Join Our Mission to Revolutionize Healthcare

Thoughtful is pioneering a new approach to automation for all healthcare providers! Our AI-powered Revenue Cycle Automation platform enables the healthcare industry to automate and improve its core business operations.

We’re looking for an exceptional Staff Software Engineer to join our Core Platform Engineering team, with a specific focus on integrating with Epic’s APIs and other healthcare interoperability standards.

As a Staff Engineer, you’ll drive the architecture and implementation of robust, secure, and scalable systems that directly integrate with Epic. You’ll work closely with our product and engineering teams to enable high-fidelity data exchange, real-time automations, and mission-critical workflows in healthcare environments. Your work will help power AI-driven solutions that reduce administrative burden and improve patient outcomes.

Learn more about our Warrior culture. Join us to transform how leading healthcare companies operate.

Your Role

• Build Healthcare-Grade Integrations: Lead the development of scalable backend services that interface with Epic using FHIR, HL7v2, and Epic’s proprietary APIs. Ensure compliance with security, privacy, and interoperability standards.
• Own the Backend Stack: Design and implement modular services that support data pipelines, job orchestration, real-time event handling, and long-running workflows, all tuned for the realities of healthcare data.
• Drive Infrastructure and Observability: Contribute to the design of our AWS-based infrastructure. Champion monitoring, alerting, and traceability to ensure reliability and fast issue resolution for critical integrations.
• Collaborate Cross-Functionally: Work alongside product managers, clinical operations, and other engineers to deeply understand customer workflows and translate them into robust system behaviors.
• Mentor and Unblock: Provide architectural guidance and technical leadership to other engineers, particularly around integration patterns, authentication strategies, and system reliability.

Your Qualifications

• Software Engineer Experience: 8-10+ years of relevant experience
• Epic Experience: Hands-on experience integrating with Epic via FHIR APIs, HL7v2, Interconnect, or Bridges. Comfortable debugging workflows involving ADT, Orders, or Scheduling.
• Backend Systems Expertise: Proficient in Python (FastAPI preferred), Node.js, or Go. Strong API design skills including idempotency, pagination, error handling, and versioning.
• Security and Compliance Mindset: Deep understanding of HIPAA, audit logging, and OAuth2 authorization flows (including Epic’s App Orchard or vendor sandbox patterns).
• Cloud and Infra: Experience deploying and scaling microservices in cloud environments (preferably AWS), with infrastructure-as-code (Terraform a plus).
• Data Storage & Pipelines: Comfortable designing schemas and queries across PostgreSQL and/or DynamoDB. Familiar with processing batch and streaming data securely and efficiently.
• Testing & CI/CD: Builds with quality from the start - writes unit, integration, and smoke tests and contributes to CI/CD pipelines.

What Sets You Apart

• You’ve built production systems that exchange data with EHRs and understand the quirks and edge cases of real-world healthcare data.
• You bring strong systems thinking and can design for failure, latency, and observability from day one.
• You’ve worked in fast-paced, highly regulated environments and are pragmatic about trade-offs between velocity and stability.
• You know that good documentation and clean interfaces are just as critical as performant code.
• You’re motivated by impact, not titles, and you bring others along for the ride.

Why Thoughtful?

• Competitive compensation
• Equity participation: Employee Stock Options.
• Health benefits: Comprehensive medical, dental, and vision insurance.
• Time off: Generous leave policies and paid company holidays.

Required Technical Exercise - submissions without this component will not be considered:

• Please spend no more than 20 minutes completing a quick coding exercise by following the instructions here.