Healthcare Technology, SaaS, Software

Staff Software Engineer

RemoteRemoteFull TimeStaffCA$170,000–CA$200,000 /yrPosted 24 days ago

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Required skills

backend services
APIs
full-stack
LLMs
production support
code reviews
observability
instrumentation
alerting
technical leadership

Nice to have

Python
PHP
MySQL
TypeScript
React
AWS

Role summary

Elation is seeking a Staff Software Engineer to join their billing team. This role involves designing, building, and running complex cloud-based systems that manage financial transactions between insurers, patients, and primary care practices. The engineer will focus on maximizing reimbursement for practices, handling inconsistent data, shipping AI features, and improving a mature codebase. The position requires 8+ years of professional software development experience, including technical leadership, and comfort working across the stack. Experience with LLMs, backend services, APIs, and observability is essential. The role is fully remote within the US, Canada, and New Zealand.

Our team is committed to enhancing physician and patient quality of life through Elation, a SaaS cloud-based clinical platform. Since inception, we’ve been focused on building an intuitive, reliable experience that empowers physicians to deliver better care to patients.

Elation is looking for a full-stack engineer with a deep understanding of web programming, design, and technical obstacles to join our application team focused on building and maintaining AI driven product experiences. As a member of the team you’ll be deeply involved in the system design, development, and maintenance of these products.

If you’re excited about building AI-powered tools that help doctors and patients, we want to hear from you — even if you don’t check every box below!

What You’ll Do in Your First 60 Days

Ship your first AI-powered feature improvement to production

Partner with Product and UX to scope and design at least one new capability

Get familiar with our stack (Python, MySQL, React, AWS) and AI integration patterns

Participate in code reviews and share knowledge with the team

What Success at 6–12 Months Looks Like

You’re owning significant features end-to-end, from design through deployment

You’re helping shape technical direction for AI-native product experiences

You’re mentoring other engineers and collaborating to improve team practices

You’ve built strong partnerships with support and infrastructure to help triage bugs and quickly resolve production issues

The AI features you’ve built are measurably improving physician and patient outcomes

How We Work

A typical team at Elation includes 3–5 engineers, an engineering manager, a product manager, a UX designer, and QA working together on a specific product area. Engineers have autonomy over technical implementation decisions while partnering with Product on feature scope and priorities. You’ll own features end-to-end — from architecture and design through deployment and production support.

What We’re Looking For

Essential

5+ years of professional software development experience

Experience building APIs using modern backend technologies

Ability to communicate complex technical problems clearly to both technical and non-technical partners

Track record of delivering high-quality software projects

Enthusiasm and interest in building systems using AI and large language models

Valued but Not Required

Experience building systems with AI/LLMs (OpenAI, Anthropic, etc.)

Experience with server-side technology including Python and MySQL

Experience with a modern JavaScript framework (React, Angular, etc.)

Experience deploying systems on AWS or other cloud providers

DevOps/observability experience or strong interest in learning

Knowledge of US healthcare industry and health tech

Everyone Is Welcome

We’re committed to building a diverse and inclusive engineering team. Please don’t see everything in this post as a ‘must have’ — if you’re excited about this role but don’t check every box, we still want to hear from you.

We especially encourage applications from women, people of color, the LGBTQ+ community, people with disabilities, neurodivergent people, parents, carers and people from lower socio-economic backgrounds. If you have any requirements or accommodations that would help you interview or work comfortably, please let us know.

Our engineering team is fully remote and brings diverse backgrounds and experiences. This role is open to candidates in the US, Canada, and New Zealand.Salary: $170,000 - $200,000k/yr USD OR $185,000 - $215,000k/yr CAD

Elation welcomes individuals from all backgrounds and walks of life. Elation is proud to be an Equal Opportunity Employer and is dedicated to creating and maintaining a diverse and inclusive work environment.

We are committed to equal opportunity for all employees and applicants, and value individuals with diverse perspectives including, but not limited to: race, color, religion, sex, sexual orientation, socioeconomic status, age, gender identity or gender expression, national origin, disability or veteran status.

Elation also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. We firmly believe a strong culture that supports a diverse and inclusive workforce allows us to achieve Elation’s mission of helping independent primary care thrive.

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