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Systems Engineer I - Open Systems Solutions (Onsite) Cedar Rapids, IA

NexHealth

Senior Software Engineer, Platform

San Francisco, CA, United States
Seattle, WA, United States

$165,000 - $230,000 USD

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Job details

Pay: $165,000 - $230,000 USD
Experience: 5+ years of experience as a software engineer, with a focus on building scalable back-end systems and platforms.
Posting language: English
Posted: Nov 9, 2026

Original job description

About NexHealth

Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?

NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.

Founded: 2017
Headquarters: San Francisco, CA
Funding: $177M Series C
Employees: 200+
Trusted by tens of thousands of providers and hundreds of health-tech developers - forging the infrastructure layer that modern healthcare needs

About the Role

NexHealth has built the world’s most advanced healthcare integration API that synchronizes in real-time. With our real-time integration with electronic health record systems (EHRs), we help developers at tech companies like Swell, Truelark, Quip, Cherry, and more quickly build products and services that synchronize with EHR systems. NexHealth has also built our own doctor facing SaaS product on top of our own API.

You’ll work on some of our most challenging problems, from building an open data lake for health records, to building dev ops for our next 100x growth, to defining and building the next generation of health record system integrations for the industry.

What You’ll Do

Keep up with our exponentially growing customer base and associated dataset, scaling our data processing and storage layer from terabytes to petabytes and beyond.
Build and maintain bidirectional, real-time integrations with dozens of EHRs, scaling to hundreds or thousands of integrations.
Drive improvements to our core systems to unlock 100x growth in the number of practices, patients, and developers relying on our platform.
Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.

What You’ll Bring

5+ years of experience as a software engineer, with a focus on building scalable back-end systems and platforms.
Deep experience integrating and scaling storage systems, cloud-native services, and related open source projects, including the Kubernetes ecosystem, AWS, and PostgreSQL.
Knowledge of common DevOps tools and practices.
Firm grasp of quality and security engineering principles. You understand not just the what, but also the why.
A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
Excellent systems-level thinking. You can understand all the different components of a distributed system, how they interact, and how customer journeys and data flows touch each part.
Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.
Bachelor's degree or higher in Computer Science, Software Engineering, Electrical Engineering, or a closely related field (or foreign equivalent), or equivalent hands-on experience.

Compensation

Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.

NexHealth Compensation Range

$165,000 - $230,000 USD

Benefits

Full Medical, Dental, and Vision (up to 100% covered)
401K and commuter benefits
Flexible PTO
High-impact work that directly improves the healthcare experience for millions

Our Values

Solve the customer’s problems, not yours When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.
Do the things others are not willing to do As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.
Take ownership Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.
Say what’s on your mind, with positive intent Be direct, proactive, transparent, and frequent in your communication.
Default trust As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.
Think in first principles We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.

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More about this job

Skills

EHR
DevOps
Process data
Kubernetes
AWS
PostgreSQL
Engineering principles
Leadership
Communication skills
Computer science
Electrical engineering

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