Senior Software Engineer

We are looking for a Senior Software Engineer to join our core engineering team. You will take ownership of significant features and initiatives, collaborate closely with product and operations stakeholders, and help shape the architecture of our platform. This is a hands-on role for someone who thrives in a fast-moving environment, takes pride in clean and maintainable code, and can operate with a high degree of autonomy. What You'll DoLead development of major features and initiatives from architecture through deliveryCollaborate cross-functionally with product, QA, and operations to solidify requirements and translate them into durable technical solutionsWrite clean, well-structured code across the full stack and contribute to ongoing refactoring and technical debt reductionDrive and utilize the team's newly authorized Claude Code in Action Training to accelerate sprint velocity, reduce manual code review burden, and improve code consistencyDesign, implement, and take ownership of critical core systems, including the eConsultWorkflow State Machine and the Multi-tenancy/Organization Scoping enforcementServe as a technical mentor through rigorous code reviews, setting a high standard for quality, and enforcing the Service Layer Pattern for all business logicTake an active role in infrastructure, deployments, and release processes What We're Looking For5+ years of professional software engineering experienceStrong backend proficiency in Node.js/TypeScript/Express.js (primary) with experience in database migration tools like Knex; familiarity with PHP/Laravel is a plus for legacy servicesExperience building single-page applications using modern Web Components (Vanilla JS), lit-html for reactive templating, and utility-first styling with TailwindCSSSolid SQL skills, including complex query design and schema architecture in PostgreSQL (our primary production database) and SQLiteExperience with AWS services (S3, EC2, RDS, or similar)Comfort working in a Linux server environmentAbility to lead projects and coordinate across stakeholders without formal authorityA strong instinct for simplicity — you push back on unnecessary complexityHealthcare technology experience is a plus, but not required Nice to HaveDirect experience utilizing Claude Code or other LLMs for AI-Assisted Development and unit test generationDirect experience with Epic FHIR R4/STU3 (SMART on FHIR) integration, or experience with other transactional services like Twilio and SendGridFamiliarity with HIPAA compliance requirements in a SaaS environmentExperience with CI/CD pipelines (GitHub Actions, Jenkins)Familiarity with our modern development ecosystem, including Vite (build system),Cypress (E2E), and Vitest (unit testing)About AristaMDAristaMD is a technology-enabled clinical services organization that enables primary care providers to manage and sustainably deliver excellent specialty care, profitably. From its genesis as an eConsult provider, AristaMD built longitudinal care delivery that can be easily customized to meet your organization’s needs. Our specialty care delivery and coordination services empower primary care organizations to deliver rapid access to high-quality specialty care, enhance population health management, and reduce costs. For additional information, visitwww.aristamd.com or follow AristaMD on LinkedIn and X.Originally posted on Himalayas