> Markdown version of [/jobs/ext/2706466-lead-software-engineer](https://www.wearedevelopers.com/jobs/ext/2706466-lead-software-engineer). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Lead Software Engineer - **Company:** Onos Health inc. - **Location:** San Francisco, CA, United States (Remote available) - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Artificial Intelligence, Amazon Web Services, Amazon S3, ASC X12 Standards, JIRA, Databases, Programming Tools, Django Web Framework, Github, PostgreSQL, Machine Learning, Next.js, Systems Integration, TypeScript, Fast Healthcare Interoperability Resources, Large Language Models, Amazon Relational Database Service, Production Code, Health Level Seven International, Machine Learning Operations, Celery, Front End Software Development, Vertica, Terraform, Docker - **Published:** September 4, 2026 - **Apply:** https://startup.jobs/lead-software-engineer-onos-health-8136429 ## About the Role * 5+ years experience building software applications * Prior experience leading engineering teams as a tech lead or engineering manager * Strong product sense and system design skills with a track record of defining clear requirements, test scenarios, and acceptance criteria for complex systems * Customer obsessed and motivated to make an impact in the healthcare space * A hands-on technical leader who can architect robust and extensible systems, establish best practices with AI coding tools, and ship high quality production code Bonus points if you have: * Worked with machine learning and large language models for end-user applications * Hands-on experience navigating healthcare data formats such as EDI X12, HL7, FHIR, and custom payer flat files ## Description We're seeking an experienced and highly capable engineering leader who is motivated to meaningfully improve the way healthcare is administered in the United States. You'll take ownership of developing a significant part of the Onos platform through hands-on development and technical leadership. As an early team member, you'll work closely with our founding team while helping to build and lead a growing engineering team. This role is a hybrid role based in San Francisco, where you'll be expected to work at our office in person 3 times a week., * Architect workflows that utilize AI/ML to process claims, medical records and other data types to evaluate the optimal care path for health plan members * Lead the integration and rollout of the Onos platform for new enterprise customers to provide actionable insights and recommendations to health plan administrators * Own end-to-end development of new features and functionality for the Onos platform, including requirements gathering, scoping, architecting, implementation and testing to deliver timely and high quality outcomes * Establish engineering best practices and technical foundations for future team growth * Shape our technical roadmap, make key architectural decisions, and influence the company's product and technical strategy Technical Challenges At Onos: * Develop an intelligent engine that ingests complex medical standards of care documents and evaluates provider adherence to guidelines * Design and implement robust and extensible systems to easily support many different kinds of enterprise workflows and integrations * Build AI/ML pipelines to analyze handwritten clinical notes, accurately extract important medical information, and automate recommendations for clinical reviewers * Scale our systems to process millions of healthcare records while maintaining strict security and compliance requirements, At Onos, we work with a modern tech stack where we continuously evaluate and adopt cutting-edge technologies as we scale. * Infrastructure/Systems: AWS (ECS, Bedrock, Glue, etc.), Docker, Github Actions, Terraform * Languages/Frameworks + Backend: Python, Django, Celery / Celery Beat, django-ninja, django-tenants + Frontend: NextJS, Typescript, Tanstack Query, Shadcn UI, Zod, Nuqs * Database/Storage: PostgreSQL (AWS RDS), S3, Clickhouse * Development Tools: Github, Jira, Claude Code, CoderabbitAI, Tusk ## Related Videos - [Improving quality with Agentic AI with Rovo Dev and Xray](https://www.wearedevelopers.com/videos/2005-improving-quality-with-agentic-ai-with-rovo-dev-and-xray) - [Docker Compose: Rediscovered](https://www.wearedevelopers.com/videos/1978-docker-compose-rediscovered) - [Innovating Developer Tools with AI: Insights from GitHub Next](https://www.wearedevelopers.com/videos/1268-innovating-developer-tools-with-ai-insights-from-github-next) - [Shipping Faster with Less: Render on Cloud Hosting, AI Workloads, and the Future of DevOps](https://www.wearedevelopers.com/videos/1894-shipping-faster-with-less-render-on-cloud-hosting-ai-workloads-and-the-future-of-devops) - [Collaboration Quantified: Lessons from Open Source Developer Networks](https://www.wearedevelopers.com/videos/1422-collaboration-quantified-lessons-from-open-source-developer-networks) - [The AI-Native Engineering Org: What’s Real, What’s Hype, What’s Next](https://www.wearedevelopers.com/videos/100004-the-ai-native-engineering-org-what-s-real-what-s-hype-what-s-next) ## Related Articles - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [The Best X (Twitter) Accounts for Developers](https://www.wearedevelopers.com/magazine/294-the-best-x-twitter-accounts-for-developers) - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [MLOps – What’s the deal behind it?](https://www.wearedevelopers.com/magazine/125-mlops-what-s-the-deal-behind-it)