[Remote] Senior Software Engineer, Clinical

Note: The job is a remote job and is open to candidates in USA. ECP is a SaaS company that provides software for senior living communities and clinical care operations. ECP is seeking a Senior Software Engineer, Clinical to migrate clinical workflows from ColdFusion and AngularJS to a Node, React, and TypeScript platform, build new clinical capabilities, own domains through production, and improve automated testing and AI-assisted development practices.

Responsibilities

• The migration. You'll take a workflow that lives in ColdFusion today, work out what it does including the parts nobody wrote down, and rebuild it. You own that domain through to production, and you write the tests that prove it works. Not all of it carries over unchanged. The medication administration workflow is already redesigned and waiting, and you'll settle with product up front which differences are deliberate, so nobody reads one as a regression later
• New clinical capability. Once a domain lands on the new platform, the team builds on it. You'll work with the product manager on scope and sequencing, and we expect you to push back when there's a cheaper way to get a caregiver the same outcome
• The quality bar. The team is moving toward engineer-owned automated coverage in Playwright, and we want it to go further. You carry the pager for the domains you build

Skills

• Depth in TypeScript on both sides of the stack, Node on the server and React in the browser. Tell us about a feature you took from the data model to the interface, and what you'd model differently now
• AI-assisted development is how you work, daily, on production code, and you know where you stopped trusting it
• You've pointed AI at a large codebase you didn't write and gotten useful work out of it. The part we want to hear about is what you did when the first answer was confidently wrong because the model couldn't see enough of the system
• You've moved other engineers along in how they use AI
• Domain-driven design in a complex domain. The version that matters here is drawing a boundary against a system you can't change, so tell us about one you drew and what it cost you when it landed in the wrong place
• You've built software where a defect has consequences past a bad user experience, and it changed how you test and how you ship. You were on call for it
• Data modeling and query performance where the tenant model is the data model. You've found and fixed a query that was fine in development and fell over on your largest customer
• You work with product instead of waiting on it. You've changed what got built by understanding the business problem behind a story
• A legacy-to-next-generation migration you saw through, particularly one where both systems ran in production at the same time
• ColdFusion, or another language you inherited rather than chose
• HIPAA, PHI, or another regulated data environment
• SQL Server, AWS, event-driven architecture in production
• Offline-first or progressive web applications
• Playwright or comparable browser automation you owned yourself
• Healthcare, or time spent watching clinical staff work

Company Overview

Company H1B Sponsorship