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Senior Software Engineer at Prax Health

  • Full-time
  • Hybrid, SF Bay Area

About Prax

The U.S. is in the middle of a healthcare access crisis. One in four people lack access to essential frontline care - whether it’s primary care, psychiatry, pediatrics, geriatrics, and others. And the shortage is only getting worse: we’re on track to be 100,000 doctors short in the next decade.

Nurse Practitioners (NPs) are stepping up to fill that gap. As the fastest-growing profession in healthcare, NPs are delivering essential care and starting independent practices to serve their communities. However, starting and running an independent practice has been a bureaucratic nightmare, until now.

Prax Health makes it seamless for NPs to start, run, and grow their own practices. We’re building the largest network of independent NPs, powered by the leading tech stack for independent providers. If you’re passionate about making a real impact in healthcare, let’s talk.

What you'll do

  • Ship impact, daily. Deploy code that turns weeks of paperwork into a one-click practice setup (e.g. “TurboTax for your practice”).
  • Work on a pragmatic stack. TypeScript/Next.js front-ends, Ruby on Rails APIs, Postgres. Whatever it takes to make fragmented systems work seamlessly so providers can focus on patient care.
  • Solve real healthcare problems. Turn state regulations, collaborative-practice rules, and credentialing tangles into elegant flows that just work for new practices.
  • Raise the bar, constantly. Design an architecture that scales from 100 to 100,000 multi-tenant clinics while staying HIPAA-grade and highly available.
  • Move fast without breaking trust. Champion security, privacy, and compliance every step of the way. Providers stake their livelihoods (and PHI) on us.

You might be a great fit if you

  • Have experience shipping production systems real people depend on, every day.
  • Write clean, pragmatic code in TypeScript/JavaScript and Ruby (and learn whatever else the job demands).
  • Hold strong (but loosely held) views on testing, observability, CI/CD, and sustainable scaling.
  • Thrive in high-ownership, low-process environments where the best idea wins.
  • Get fired up about empowering clinicians. Or have battled similarly regulated, workflow-heavy vertical SaaS domains.
  • Have opinions about what we should build, not just how. At our stage, engineering and product thinking blend together.

Bonus points for

  • Healthcare systems, e-signatures, payment rails, or complex document-generation experience.
  • A track record turning ambiguous industry pain into delightful software.
  • Experience with HIPAA and healthcare data security. A general software engineering security background is also a plus.
  • Personal empathy for healthcare providers, nurse practitioners, and/or the administrative burden in healthcare.

What we offer

  • Early equity & competitive salary at a wellfunded, venture-backed, values-driven startup.
  • Bay Area-based, high-trust culture that embraces flexibility and real-time collaboration.
  • Medical, dental, vision, generous PTO, and a "use-the-best-tool" hardware stipend.
  • A no-ego team that lives our values: integrity, provider-first focus, urgent execution, curiosity, and enjoying the journey.

How to apply

Email [email protected] with your résumé/GitHub and a short note on the most pragmatic solution you shipped recently (bonus: include a link/PR). We review every application personally. Looking forward to meeting you!

Published 4 days ago • Expires September 19, 2025 20:26