# Senior Staff Software Engineer

**Company:** [NexHealth](https://hotfix.jobs/companies/nexhealth)
**Location:** San Francisco, CA
**Role:** Backend Engineering
**Salary:** $206k – $268k/yr
**Experience:** 10+ years
**Skills:** Kubernetes, AWS, Postgres, DevOps, Distributed Systems, Scalable Back-End Systems, Cloud-Native Services, Storage Systems, Security Engineering, Data Processing
**Posted:** 2026-04-13

> Senior Staff Software Engineer scales data processing/storage from terabytes to petabytes, builds real-time EHR integrations, and drives core system improvements for 100x growth. Requires 10+ years building scalable back-end platforms with Kubernetes, AWS, PostgreSQL, and DevOps expertise.

## Job Description

## 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

- 10+ 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.

## Compensation

Base salary range: **$206,000—$268,000 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

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**Canonical:** https://hotfix.jobs/jobs/7b98e58e-192f-40e4-b867-f4ce1d4d4fd2