Senior Implementation Engineer

Role overview A customer-facing implementation role on a small, high-output engineering team building healthcare data exchange infrastructure. The position blends hands-on full-stack work with technical partnership responsibilities, guiding clients from onboarding through production rollout. Expect to operate with significant autonomy in a fast-paced, founder-heavy culture that prizes speed and craft.

Responsibilities - Serve as the primary technical point of contact for customers across the full partnership lifecycle, from discovery through production launch - Lead onboarding discovery calls to capture use cases, technical requirements, and success criteria - Manage and prioritize customer requests, coordinating with engineering teams and tracking issues to resolution - Troubleshoot and debug customer-side issues, escalating to engineering when needed - Maintain and support APIs and integrations, ensuring seamless functionality for live customers - Participate in weekly customer syncs, bi-weekly sprint planning and retros, and quarterly planning sessions - Attend a daily 30-minute remote stand-up at 7:30am PST, the team's only regular mandatory meeting

Requirements - 6+ years of experience supporting software implementation in customer-facing roles - Full-stack proficiency with React, TypeScript, and Node.js - Based in or willing to relocate to the San Francisco Bay Area - Entrepreneurial mindset with a strong sense of ownership and the ability to figure out unfamiliar problems independently - Comfort balancing rapid delivery against long-term quality tradeoffs - Strong customer communication skills and the ability to build genuine technical partnerships

Nice to have - Familiarity with healthcare interoperability concepts such as HIPAA, FHIR, HIE, HL7, EHR/EMR, ADT, TEFCA, HEDIS, ICD-10, SNOMED, or LOINC

Benefits and work setup - Competitive equity and compensation package - Full family Platinum health, dental, and vision coverage - 401(k) with employer match - Flexible work-from-home or in-office arrangements - Healthy in-office lunches (plus breakfast and dinners as needed) - Quarterly company off-sites - MacBook provided - Unlimited PTO with a culture that encourages taking time off - Tech stack includes React on the frontend, Node.js and TypeScript on the backend, AWS services (ECS, Fargate, Lambda) managed via CDK, and data stored in PostgreSQL, DynamoDB, S3, Snowflake, and HAPI FHIR servers