The posting
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Role Summary: The Senior Full Stack Developer designs and builds modern web and service-layer capabilities that support patient communication experiences at athenahealth. This role works from Austin, TX in a hybrid model and combines front-end and back-end engineering to deliver reliable, maintainable software across React, TypeScript, Java 21, Spring Boot, Kafka, PostgreSQL, and HAPI FHIR. The position reports to the Senior Engineering Manager.
Team Summary: Patient Conversations creates modern communication experiences that connect patients with their care teams through SMS, secure web chat, and voice channels. The team is building a strategic platform that supports real-world patient and practice workflows, including conversational support, escalation paths, and secure handoffs across channels. The SMS and secure web chat experiences are already in use, and voice is an important next step in the roadmap. This work spans product experiences, backend services, data handling, integrations, and operational reliability. You would join a small engineering team with a mix of front-end, back-end, and full-stack contributors, partnering closely with product, design, architecture, and quality engineering to deliver high-impact capabilities at scale.
Essential Job Responsibilities:
- Develop and maintain full stack features using React, TypeScript, Java 21, Spring Boot, Kafka, PostgreSQL, HAPI FHIR, Gradle, and athenahealth’s Forge design system.
- Build user-facing experiences and service APIs that support patient communication workflows across SMS, secure web chat, and voice-enabled experiences.
- Design and implement scalable backend services, event-driven workflows, and integrations that support reliable conversation handling and data exchange.
- Collaborate with product, design, architecture, and quality engineering to translate requirements into well-structured technical solutions.
- Write clean, testable, well-documented code and participate in code reviews, design reviews, and troubleshooting.
- Improve application performance, reliability, observability, and maintainability across the full stack.
- Support secure handling of healthcare data and apply sound engineering practices for privacy, access control, and compliance requirements.
- Use AI tools and AI-assisted workflows to improve engineering productivity, evaluate outputs critically, and apply judgment when incorporating AI-generated suggestions into code, design, or troubleshooting.
- Contribute to technical discussions and help identify practical implementation patterns for new product capabilities and platform enhancements.
Additional Job Responsibilities:
- Support production issue investigation and root-cause analysis when needed.
- Participate in release planning, deployment readiness, and post-release validation.
- Help refine engineering standards, coding conventions, and reusable patterns.
- Contribute to documentation for technical design, APIs, and system behavior.
- Assist with mentoring peers through code reviews, pairing, and knowledge sharing.
- Participate in cross-functional discussions to help clarify requirements and implementation tradeoffs.
- Support continuous improvement of engineering processes, tooling, and developer experience.
Expected Education & Experience:
- Bachelor’s degree in Computer Science, Software Engineering, or a related field, or equivalent practical experience.
- 4 to 8 years of software development experience building production applications.
- Experience developing modern front-end applications with React and TypeScript.
- Experience building production-grade backend services with Java and Spring Boot.
- Experience with Kafka or similar event streaming / messaging systems.
- Experience working with PostgreSQL or similar relational databases.
- Experience integrating with healthcare interoperability standards or APIs, including HAPI FHIR.
- Experience using build tooling such as Gradle.
- Experience working with a design system, including Forge or similar reusable component libraries.
- Experience designing and delivering full stack features in a collaborative product engineering environment.
- Experience writing automated tests and supporting code quality, reliability, and maintainability.
- Understanding of secure software development practices in regulated or data-sensitive environments.
- Familiarity with API design, service-to-service communication, and operational debugging.
- Experience working on systems that require clear documentation and cross-functional coordination.
Expected Compensation
$113,000 - $193,000
The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
https://www.athenahealth.com/careers/equal-opportunity
