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Open nowPosted 119 days ago

Backend SWE

SynAIpse2 open roles

Where
Cincinnati, OH
Work mode
Hybrid
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Your applicationOpen nowBackend SWESynAIpse · Cincinnati, OH

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The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.3%14 days
  5. 35.6%30 days
  6. 57.8%60 days
This job: posted 119 days ago

The posting

Backend Web Application Engineer

Role descriptionThe backend engineer maintains and extends the Laravel application behind SynAIpse: EHR integrations, the deterministic coding rule engine, and the data pipelines that feed our machine learning systems.

You work alongside the founders, working across EHR integrations including eClinicalWorks, Epic, and athenahealth and shaping the architecture as we expand to new specialties.

What you will doExtend our Laravel application to support EHR integrations (eClinicalWorks, Epic, athenahealth), extending via HL7v2, FHIR, and Cloud Fax. Iterate on our deterministic coding rule engine, including NCCI edits and payer-specific requirements. Build a self-service onboarding flow so new practices can provision their own integrations without us doing it manually. Build the data labeling interfaces and pipelines that turn coder and user input into training data for our models. Implement services that meet HIPAA, SOC 2, and HITRUST standards.

Qualified applicants have done this4+ years with Laravel or an equivalent MVC framework. Deployed systems that required 24/7 stability and availability. Strong written and verbal communication — able to translate technical detail for non-technical audiences. Implemented logging and auditing controls for access to and disclosure of Protected Health Information (PHI) under HIPAA.

Exceptionally qualified candidates have done thisDirect experience with one or more EHR APIs. Worked with HL7v2 or FHIR resources. Worked on revenue cycle management, medical billing, or other healthcare projects.

CompensationCompetitive base salary commensurate with experience. Meaningful founding-stage equity. Health, dental, and vision insurance. Remote-first with optional hybrid at 1819 Innovation Hub, Cincinnati.

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