Software Engineer

**Software Engineer** **Remote** **Employment Type:** Full\-Time \| Individual Contributor **About Nsight Health** Nsight Health is transforming how care is delivered through Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Behavioral Health Integration (BHI). We empower healthcare providers to manage chronic conditions using real\-time data, AI\-enabled technology, and 24/7 clinical support. Our HIPAA\-compliant platform connects patients and care teams nationwide—improving outcomes, adherence, and peace of mind. Join a fast\-growing, mission\-driven team that blends healthcare and technology to make a measurable difference in people’s lives. Nsight Health — Where Technology Meets Compassion. **Position Summary** We are seeking a full\-stack Software Engineer to join the team behind PRVNT, Nsight Health's enterprise care management platform serving 350\+ clinics and real Medicare patients across RPM, CCM, PCM, and BHI programs. This is a production environment where the work matters and the stakes are real. Reporting to the VP of Engineering, you will own full\-stack development across clinical workflows, backend services, EHR integrations, and HIPAA\-compliant data handling. You are not a specialist waiting for clean tickets—you move across the stack, close gaps, and ship features that work in a regulated environment. Development is moving fully in\-house, vendor dependencies are being replaced with owned infrastructure, and AI is not a feature here; it is the architecture. The engineers we are hiring now are the ones who make that possible. **AI Fluency Requirement \- Non\-Negotiable** Nsight Health is an AI\-first organization. Every member of our leadership and operations team is expected to actively use AI tools in their day\-to\-day work \- not as a novelty, but as a core productivity multiplier. This role requires genuine curiosity about AI, comfort experimenting with tools like Claude, ChatGPT, and workflow automation platforms, and the judgment to know when AI helps and when it doesn't. **If AI makes you uncomfortable, this is not the right role.** **Key Responsibilities** **Clinical Platform Development**: Maintain and extend core PRVNT features including patient chart, clinical dashboards, adherence workflows, billing ledger, SOAP notes, and assessment delivery. Extend clinician and manager dashboards to surface actionable data without requiring staff to hunt for it. Support automated delivery of clinical assessments such as PHQ\-9 and GAD\-7 via secure SMS. **Backend \& Integrations**: Integrate with EHRs using HL7 FHIR and SFTP\-based connections. Improve async reliability across messaging, letters, and billing file generation through job queuing and retry logic. Maintain Twilio short code messaging pipelines and extend billing capabilities including trending reports and CPT code attribution. **Access, Permissions \& Compliance**: Implement and maintain