Olli Health Senior Software Engineer, Scribe & Integrations Remote · Full time Company website

Apply for Senior Software Engineer, Scribe & Integrations

Olli Health is a Series A funded healthtech startup modernizing home healthcare with advanced AI tools, and we are growing. We're looking for a creative, low-ego, collaborative, startup-native engineer energized by challenging, nuanced problems with the potential to have a massive impact. Built by home health experts and seasoned product managers and engineers from Amazon, Google, Cohere Health, and Arrive Health, Olli Health streamlines ICD-10 coding and documentation with industry-leading speed and accuracy, freeing nurses to focus on patients while helping agencies maximize revenue, reduce compliance risk, and scale efficiently.

Key Responsibilities:

• Ship features end-to-end across the Scribe stack (React Native, Bun/Hono, PostgreSQL): design, requirements gathering, building, testing, deploying.
• Partner closely with the integrations team to automate interactions with EHRs and our partner home health systems, working with both the pipelines and the messy realities of EHR data.
• Work directly with our data pipelines: modify, debug, and extend them. 
• Take fuzzy product and business problems from customers and the team, and turn them into something shipped and observable.
• Work directly with our customers and internal users to identify opportunities, sharpen workflows, and observe our work in daily use.
• Help raise the technical bar across the Scribe codebase: testing, observability, mobile release hygiene.

Requirements:

• React Native (required): 5+ years production experience shipping a React Native app, including the boring parts (navigation, state, native modules when needed, release pipelines). Strong TypeScript fluency.
• Backend & databases: Comfortable building APIs and working with PostgreSQL or comparable databases. Experience with a modern Node-style backend (Hono, Express, Fastify, or similar) is a plus.
• Strong fundamentals: Data structures, algorithms, database design, and API design. Fluent shipping across mobile, backend, and data layers.
• Hands-on-keyboard senior: Prior experience shipping production software at a startup, with hands-on-keyboard coding chops and room to grow into startup leadership.
• Healthcare-data grit: Strong SQL and the patience to dig into a pipeline, an integration, or a SQL query when a clinician's note didn't make it through. Thrives in the messy reality of healthcare data.
• Breadth: Comfortable jumping between mobile UI, backend, and a data pipeline in the same day, and not precious about which layer the bug ends up in.
• Startup mentality: An enjoyment of that early startup balance between efficiency, scalability, and shipping fast to meet customer needs.
• Flexible problem solving: Equally interested in chasing a gnarly mobile bug, redesigning an integration, or building the report a customer asked for yesterday, and wise enough to know which is highest leverage in the moment.
• Authorization: Must be authorized to work in the US and CA (no visa sponsorship available).

Desirable Skills (Bonuses):

• Proven success in the Seed/Series A stage fast-paced startups.
• Direct experience integrating with EHRs (Epic, Cerner, HCHB, MatrixCare, WellSky, etc.) or similar third-party clinical/legacy systems.
• Experience with our stack: AWS, PostgreSQL, Bun, Hono, Drizzle, Expo/React Native, Dagster.
• Comfort interacting with ML/NLP and LLM-native data engineering problems.
• Experience building or operating data pipelines for analytics or ML-ready datasets.
• Experience working with healthcare datasets (e.g. payer claims data, clinical notes, EHR charts, ICD-10 coding, etc.).
• Experience building secure systems with HIPAA compliance as a core principle.
• An appreciation for the challenges of building (and building with) LLMs and agentic systems (healthy skepticism a must).

At Olli we value a growth mindset and problem-solving skills as much as specific tool proficiency and years of experience. If you have a solid foundation in engineering principles and are eager to learn, we want to hear from you.

What We Offer:

• A key early engineering FT role with equity vesting options and real influence on Scribe and our integrations strategy.
• A chance to be at the forefront of healthtech innovation, building real AI tools that meet compliance standards while solving real problems (we don't build marketing gimmicks).
• A collaborative and inclusive work environment that prioritizes debate, ethical decision-making, and is allergic to inflated egos.
• Flexible remote work environment with travel to team onsite meetings 1-2 times per year.
• Opportunities for professional growth and leadership.
• Benefits: 100% coverage of Health, Vision, Dental, and Life insurance premiums for employees; unlimited PTO; 401K plan; individual budget for your preferred laptop and monitor setup; fully remote
• Great colleagues working on a challenging problem for meaningful customers (older adults).