Senior Software Engineer

Reporting to the Senior Director of Engineering, you’ll help build and operate the systems that connect our clinical, engagement, and operational platforms. This is a hands-on senior engineering role focused on integrations, data movement, platform reliability, and the tools our teams use every day to deliver care. You’ll work closely with product, clinical, and operational stakeholders to build software that scales our ability to reach and care for patients.

What You’ll Do Build and own the integrations at the center of our platform We pull enrollment and member data from internal systems, exchange patient records with our EHR platform, retrieve clinical documents through interoperability partners, run patient engagement and outreach through our CRM platform, drive outbound calling through multiple telephony systems, send messaging through our patient messaging platform, and exchange data with health plans and provider groups through a variety of integration channels. You’ll own these integrations end to end, from technical design and vendor coordination through implementation, monitoring, troubleshooting, and ongoing improvement.

Make these systems work as one A significant portion of the value we create comes from coordinating data across systems that were never designed to work together. You’ll help ensure data arrives accurately, is reconciled appropriately, and reaches the right systems and teams at the right time.

You’ll work with APIs, event-driven architectures, message queues, webhooks, scheduled processes, and file-based integrations to keep information moving reliably throughout our platform. Done well, this is the difference between a patient who gets meaningful care and one who slips through the cracks.

Build the product experiences on top of those integrations Extend our Laravel backend, including business logic, background jobs, console commands, and data models that support core platform workflows.

Build and maintain Livewire and Blade interfaces that allow clinical, operational, and administrative teams to act on the data flowing through the platform.

Design, Build and Consume APIs

Design, implement, and maintain well-structured APIs for internal and external consumers.

Integrate with third-party platforms using REST APIs, OAuth2, token-based authentication, webhooks, and related integration patterns.

Work closely with our cloud infrastructure

The platform runs on AWS using services such as Aurora PostgreSQL, S3, queues, and related managed infrastructure, with infrastructure defined through code.

You should be comfortable reasoning about how software behaves in production, including performance, reliability, scalability, security, and operational observability.

Mentor and support other engineers

Help develop mid-level and junior engineers through code reviews, design discussions, and day-to-day collaboration.

Share effective approaches to modern software development, including the responsible use of AI-assisted development tools while maintaining high standards for correctness, maintainability, security, and reliability.

Improve platform reliability and maintainability

Continuously improve system performance, resiliency, operational visibility, and developer productivity.

Identify opportunities to simplify architecture, reduce operational burden, and improve the long-term maintainability of the platform.

Build with security in mind

Protect PHI and other sensitive information through thoughtful system design, strong access controls, and careful attention to tenant isolation.

Security, privacy, and data integrity are core engineering responsibilities and are considered throughout the software development lifecycle.

Own what you ship

Health plans, provider groups, and our own clinics depend on the software we build.

We expect engineers to monitor, troubleshoot, and improve the systems they develop, treating reliability, data integrity, security, and operational excellence as first-class engineering concerns.

Do you have experience in UI?, * We’re looking for an engineer who combines strong technical skills with sound judgment.

• You ask questions before proposing solutions, understand the broader systems surrounding the code you’re working on, and think carefully about security, reliability, and operational impact.
• You’re comfortable working across the stack and can independently carry substantial features from concept through production.
• You communicate clearly in writing, collaborate effectively in a remote environment, and hold a high bar for the engineers around you.
• You use AI-assisted development tools productively and understand both their strengths and limitations. You know how to verify results, identify incorrect assumptions, and maintain engineering standards while working at a faster pace., * Experience building and operating production systems that integrate multiple services, process data reliably, and handle real-world failure scenarios
• Strong backend experience in PHP and Laravel (or a comparable backend framework and application architecture that can be applied effectively in a Laravel environment)
• Full-stack development experience, including server-rendered interactive user interfaces using Livewire or comparable server-driven UI frameworks, along with HTML, CSS, and JavaScript
• Experience designing, building, and consuming RESTful APIs and integrating with third-party systems using OAuth2, token-based authentication, webhooks, and related patterns
• A track record of coordinating data across multiple systems while handling failures, retries, reconciliation, and data consistency concerns
• Experience building secure software that handles sensitive information, including access control, tenant isolation, and protection of data in transit and at rest
• Experience with distributed and event-driven architectures, including queues, messaging systems, asynchronous processing, and scheduled workflows
• Strong relational database experience (PostgreSQL preferred; MySQL, MariaDB, or similar also welcome), including schema design, query optimization, and writing complex SQL alongside an ORM when appropriate
• Experience building maintainable, well-structured software that balances pragmatism, clarity, and long-term adaptability
• Hands-on experience with a major cloud platform (AWS preferred), including managed databases, storage, queues, monitoring, and observability

Education and Experience 7+ years of professional software engineering experience building full-stack, cloud-native web applications

3.63.6 out of 5 stars Remote $130,000 - $150,000 a year, Pulled from the full job description

• Paid parental leave
• AD&D insurance
• Parental leave
• Health insurance
• 401(k) matching
• Paid time off
• Vision insurance, * Competitive Compensation Package: We offer a competitive compensation package to recognize your valuable contributions and ensure your financial security.
• Comprehensive Medical, Dental, and Vision Benefits: Take advantage of comprehensive healthcare coverage, including medical, dental, and vision benefits, to prioritize your health and well-being. Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) available.
• Paid Time Off: Enjoy paid holidays, vacation time, and paid parental leave to maintain a healthy work-life balance and spend quality time with your loved ones.
• 401K Program with Company Match: Plan for your future with our 401K program, featuring a company match, to help you save for retirement.
• Monthly Phone/Internet Reimbursement: Stay connected with our monthly phone and internet reimbursement, ensuring you have the tools you need to excel in your role.
• Comprehensive Life and AD&D Coverage: Enjoy peace of mind with 100% premiums covered by GGH for Basic Life and Accidental Death & Dismemberment (AD&D) insurance for full-time team members. Additionally, voluntary supplemental life insurance is offered at a discounted rate.
• Short-Term Disability Coverage: Gain additional financial security with voluntary short-term disability (STD) coverage. This benefit provides a percentage of your salary during periods of illness or injury that prevent you from working for a set period of time.
• Collaborative and Supportive Community: Join our collaborative and supportive GGH Nurse Practitioner Community, with dedicated care coordinators and MD advisors, to foster professional growth and success

Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities. Our innovative model is led by Nurse Practitioners and focused on outcomes, not volume-meaning we prioritize quality over quantity, spend more time with our patients, and are accountable for their health and well-being.

Whether through our own senior-focused primary care clinics or our suite of integrated clinical solutions for health plans and provider groups, we are making value-based care more accessible and more effective. We help reduce avoidable healthcare costs, improve clinical outcomes, and create a best-in-class patient experience.

If you’re passionate about transforming healthcare and delivering meaningful care to those who need it most, Greater Good Health offers a purpose-driven, collaborative, and supportive environment where your work can make a lasting impact.