Software Engineer (Remote)

Overview

Abax Health is a healthcare technology company dedicated to enhancing the patient's financial experience through data-driven engagement. Our platform and tech-enabled services enable hospitals and health systems to identify patients at financial risk, personalize outreach, and optimize patient access operations. By combining empathy with innovation, we empower providers to improve outcomes and drive operational performance.

Mission & Vision

Ensure that every patient receives the care they need, when they need it. To be the trusted source of patient access innovation increasing revenue and transforming patient access and financial clearance by reducing administrative burdens, uncovering untapped revenue, and improving the financial and clinical outcomes for patients and health systems across the United States.

Location: United States | Remote

Summary

The Software Engineer is a key member of Abax Health’s newly established U.S.-based development team. A core part of this role is helping transfer knowledge, development responsibility, and technical ownership of the AbaxOne platform from our existing Macedonian offshore development team to the new U.S.-based team, while continuing to build new products and capabilities.

This is a hands-on engineering role spanning frontend, backend, APIs, databases, cloud technologies, and integrations. We do not expect expertise in every layer. We do expect strong engineers who can understand systems, learn quickly, go deep when needed, and take ownership of problems through resolution.

This is also a different kind of software engineering role. We want engineers spending more of their time understanding business problems, designing solutions, experimenting, and applying engineering judgment—and less time on repetitive production work. AI-assisted development is a core part of how we work, helping accelerate coding, testing, implementation, debugging, documentation, and maintenance while the engineer remains accountable for the quality and correctness of the solution.

Our current architecture is primarily .NET, but .NET is our existing architecture, not our hiring philosophy. We value engineering judgment, problem solving, adaptability, and strong fundamentals over deep expertise or allegiance to any particular language, framework, or technology—and we are open to evolving our stack as better solutions emerge.

This is not a people-management role. Senior Software Engineers lead through initiative, technical judgment, collaboration, and ownership.

Responsibilities

• Design, build, test, deploy, and maintain production software across the application stack.
• Develop new capabilities while supporting and modernizing AbaxOne.
• Build deep knowledge of AbaxOne architecture, workflows, integrations, and dependencies as knowledge and development responsibility transition to the U.S.-based team.
• Help establish durable internal technical ownership and continuity for the AbaxOne platform.
• Spend significant time understanding business problems, exploring solutions, experimenting, and applying engineering judgment before and during implementation.
• Diagnose application defects, integration failures, data issues, performance problems, and production incidents.
• Perform root-cause analysis and implement durable solutions.
• Make practical technical decisions that balance speed, scalability, maintainability, and reliability.
• Identify technical debt, risks, and opportunities to simplify or improve the platform.
• Contribute to strong practices for testing, code review, documentation, deployment, security, and production readiness.
• Use and help develop AI-assisted engineering approaches that accelerate development, implementation, testing, debugging, and maintenance while remaining accountable for correctness, security, performance, and maintainability.
• Partner closely with fellow engineers, Product, QA, Data, Implementation, Infrastructure, Security, Support, and business stakeholders.
• Take ownership of problems and initiatives from analysis through production.

Qualifications And Experience

• Strong software engineering experience building and supporting production applications.
• Experience across multiple areas of a modern application stack, including backend, frontend, APIs, relational databases, integrations, or cloud technologies.
• Strong system-design, troubleshooting, debugging, and root-cause-analysis skills.
• Experience with SQL, APIs, automated testing, source control, code review, and CI/CD.
• Experience with modern cloud environments; Microsoft Azure is preferred.
• Ability to quickly learn unfamiliar technologies and systems.
• Experience using AI-assisted development tools with appropriate technical judgment and validation.
• Strong communication, collaboration, initiative, and ownership.
• Experience with .NET/C#, healthcare technology, HL7/FHIR, EHR integrations, or HIPAA-regulated environments is valuable but not required.

Physical Demands and Working Conditions

• Remote, U.S. based position.
• Requires reliable high speed internet and a private, quiet, and focused workspace that protects patient confidentiality.
• Prolonged sitting while working at a computer and using a telephone or headset.
• Clear, professional communication with patients, providers, and colleagues in every interaction.
• Occasional availability outside of scheduled hours may be required based on business needs.

Benefits

FLSA Classification: Exempt

Benefits Offered

Employer sponsored Medical, Dental & Vision

HSA Employer Contributions, Employer Paid Life, Short-term and Long-term Disability, and AD&D Insurance Plans

Flexible Time Off Plan & Paid Holidays

Employee Referral Bonus