Senior Software Engineer

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Job Description - Senior Software Engineer
Reports To - Engineering Manager
Summary
AxisCare is hiring a full-time, fully remote Senior Software Engineer to help us build, ship, and maintain the market-leading SaaS platform powering the home care industry, and to help us reimagine how software gets made in the age of AI.
We're no longer building the car by hand, so to speak. We're building the factory that makes great cars, with humans in the loop where the human touch matters most. (Read more about how we think AI is changing product development.)
We're looking for engineers who've already internalized this shift. Engineers who push AI tools to their breaking point, then push again three months later when the models improve. Engineers who move from idea to working software in hours instead of weeks, and who bring the judgment to know when the output is actually good.
There will always be a need for people who deeply understand our customers' most important problems, solve them with high-quality software, and run that software reliably in production. That's the work that endures, and that's the work we're hiring for.
What You'll Do
Collaborate with product leaders to spike on possibilities and prototype aggressively, often putting working software in front of stakeholders before the old process would have finished a PRD, then quickly iterate from there.
Mentor junior and mid-level engineers in code design, systems thinking, and driving AI agents effectively: when to trust output, when to throw it out, and how to maintain code quality when the machine is doing the typing.
Write backend business logic, extend our API, integrate with third-party services, build frontend UI, and tackle issues throughout the codebase. All using AI fluently as a force multiplier, not a crutch.
Improve system performance and resilience, upgrade our tech stack, and go after the pipe dreams that used to be too expensive to try.
Own what you ship in production. Home care agencies rely on our software to run their business every day, so we instrument, observe, and debug what we build. We treat reliability as a first-class feature, not an afterthought.
What We're Looking For
A product-minded engineer who deeply interrogates user problems before jumping to solutions. AI makes it dangerously easy to build the wrong thing quickly.
A systems thinker who looks beyond the element at hand to the broader system and the dynamics at play within it.
An AI power user with substance. You've moved past "I tried Cursor once." You drive agents to carry out real intent on real codebases, have opinions about where today's models break down drawn from real experience, and have habits for catching those failures before they ship.
A quality-conscious builder. High-quality software is both valuable to the business now and easy to change later. AI lets us change software quickly, which makes the "easy to change later" part more important than ever.
A strong writer. Remote work demands it, clear writing is clear thinking, and clear thinking is how you get the biggest impact from AI.
A team lead for 1–2 engineers, but also fully capable of taking substantial features from concept to completion solo.
Experience required:
5+ years as a professional software engineer on teams building full stack cloud-native web apps. Ideally with PHP, but any object-oriented language works too.
React apps in TypeScript
Experience building well-structured, readily comprehensible, easily maintainable software that balances practicality with elegance
MySQL, using both PHP-based ORMs and raw SQL
Designing and building RESTful APIs, and integrating with third-party APIs
Able to work remotely from the Eastern, Central, or Mountain time zones
Qualified to work in the United States or Canada
What We'd Be Excited to Find
Experience building HIPAA-compliant software
Experience with EMR/EHR systems used in clinical care

Employment type
Full-Time

Work arrangement
Yes