Staff Backend Software Engineer (Elixir)

TL;DR

Staff Backend Software Engineer (Elixir): Building and optimizing the core technical foundation for virtual care delivery with an accent on robust integrations, data flows, and HIPAA-compliant architecture. Focus on enabling operational intelligence, leading critical technical decisions, and establishing engineering practices for a 0-to-1 venture.

Location: Remote with a strong preference for candidates in the San Francisco Bay Area, CA who can work in-person 2-3 days per week. Must be US-based with openness to travel for in-person collaboration.

Company

hirify.global is a healthcare technology company providing vital social support to older adults and families through human connection.

What you will do

• Design and implement the core platform for virtual care delivery, integrating EHR, care management systems, billing, and patient communication tools.
• Establish robust data flows and ensure HIPAA-compliant, scalable architecture.
• Build data infrastructure and tooling for clinical teams to enable informed decisions and automate care workflows.
• Lead critical technical decisions, evaluate build vs. buy trade-offs, and shape the technical roadmap.
• Define code standards, testing expectations, deployment processes, and technical documentation.
• Ensure system reliability, monitoring, and continuous improvement for healthcare-critical workflows.

Requirements

• 10+ years of software development experience.
• Expert-level proficiency in Elixir.
• Experience building and shipping high-quality, highly reliable work.
• Experience improving quality through thoughtful code reviews, testing, proper rollout, and monitoring.
• Product mindset, strategic technical leadership, and high autonomy.
• Ability to thrive in ambiguous startup environments and adapt quickly.

Nice to have

• Experience with healthcare technology standards (FHIR, HL7, X12) and HIPAA-compliant systems.
• Experience with Phoenix LiveView.

Culture & Benefits

• Competitive salary and equity package.
• Comprehensive medical, dental, and vision insurance.
• HSA/FSA and 401(k) plan with a match up to 4%.
• Flexible PTO and parental/caregiver leave.
• People-first culture fostering authenticity, transparency, and a non-hierarchical environment.