Senior Software Engineer

Position Summary: 

MacroHealth is building the next-generation platform for healthcare markets — connecting payers, providers, and partners to create smarter, faster, more cost-effective care. We solve some of the most complex data and interoperability challenges in U.S. healthcare, operating at true enterprise scale. 

We are looking for a Senior Back-End Software Engineer who combines deep technical expertise with a product problem-solving mindset. This role is for someone who thrives on autonomy, takes ownership from idea to delivery, and works closely with product and business teams to shape solutions — not just implement them.  

Key Relationships: Engineering, Product Management  

Key Accountabilities:  

• Own complex back-end services from concept to deployment.
• Collaborate directly with product managers and stakeholders to understand the “why” behind requirements and propose solutions that improve outcomes.
• Design and implement APIs and processing pipelines for high-volume healthcare data, integrating interoperability standards like X12, HL7, and FHIR.
• Work in a cloud-native microservices environment (Java/Scala, Docker, RESTful APIs).
• Explore and integrate AI/ML components into core workflows — e.g., for automated data classification, anomaly detection, or predictive insights.
• Continuously improve code quality with unit/integration testing and peer reviews.
• Proactively identify technical opportunities and product improvements — not just react to tickets.
• Mentor team members and contribute to a culture of ownership and accountability. 

Knowledge, Skills and Abilities: 

• Be a core contributor to the services that power our healthcare data platform, responsible for designing, building, and optimizing systems that process millions of transactions reliably and securely.  
• This role is ideal for engineers who have worked at organizations that:
  • Operate at scale in healthcare claims processing, interoperability, or clearinghouse services.
  • Build with modern interoperability standards (FHIR, X12 837/835, HL7, CARIN BB, CMS APIs).
  • Integrate AI/ML into production systems for smarter, more adaptive decision-making.
  • Have strong engineering cultures and modern, cloud-native architectures.

Required Education and Experience:  

• 5+ years of professional software engineering experience (Java or Scala preferred).
• Proven background in healthcare data systems, especially claims processing, clearinghouses, or payer/provider integrations.
• Deep understanding of interoperability standards: X12 (837, 834, 835), HL7, FHIR, CARIN BB, CMS APIs.
• Exposure to AI/ML-powered systems in production — integrating models, leveraging AI APIs, or building pipelines that feed AI services.
• Experience designing and deploying cloud-based microservice architectures.
• Hands-on with AWS, Azure, or GCP, containerization, and CI/CD.
• Track record of delivering impactful solutions in partnership with product teams.
• Comfortable making trade-offs, suggesting product improvements, and working independently. 

Preferred Education and Experience:  

• Experience with data orchestration tools (NiFi, Azure Data Factory).
• Functional programming with Scala.
• Knowledge of HIPAA and healthcare compliance. 

Location: Remote anywhere within the US (Must be located in the US)

Salary: $165,000 - $180,000 annual base salary plus bonus, equity, 401k match, flexible PTO and medical/dental/vision insurance

Core Competencies: 

One Team:  

Act as one team with fellow MacroMates and customers  

Value humility, low ego, and collaboration  

Maintain an All for One, One for All attitude

Deliver on Promises:  

Do the right thing  

Do what you say you will do  

Work with a sense of urgency and transparency

Macro Thinking:   

Challenge yourself and others to think boldly, bigger, and into the future  

Lead with a Growth Mindset  

Act as a thought leader for the healthcare industry 

MacroHealth is an equal opportunity employer.