Alluvium Health builds the operating system that helps healthcare organizations manage, measure, and optimize patient access across their entire network.

We solve one of healthcare's most persistent challenges: access fragmentation. As health systems grow through mergers and acquisitions, they end up with disconnected EMR systems, point solutions that don't talk to each other, and no clear way to understand or improve how patients actually access care. Alluvium changes that by turning disconnected data and workflows into a single, AI-powered platform that healthcare operators can proactively manage.

Our Platform Helps Health Systems

Manage their provider networks with real-time visibility into availability and capacity
Capture patient demand across every channel and route it intelligently
Measure performance to identify bottlenecks and optimize operations
Master their access strategy using AI tools that any operator can use

For health systems under margin pressure, we bring the same operational discipline to patient access that revenue cycle management brought to billing - turning access into a measurable, controllable function that drives both better patient experience and stronger financial performance.

blockit is now Alluvium Health. Our new name reflects the evolution of our platform and the future we are building to improve access to healthcare.

The Elixir Software Engineer will play a pivotal role in the development, testing, and maintenance of software applications. This position demands a robust understanding of software engineering principles and practical experience in implementing these principles to create high-quality, reliable software solutions. By actively participating in the entire software development lifecycle, the Software Engineer will ensure the delivery of software that meets customer needs and supports the company's growth. Their contributions will be essential in driving the team's success and advancing the organization's technological capabilities.

We are seeking individuals who are interested in joining our team in transforming healthcare technology and make a significant impact on the industry. Be a key player in our journey to deliver innovative solutions that enhance the Alluvium platform and improve the healthcare experience for all.

Key Responsibilities

Strategic Responsibilities: Understand and implement development tasks that align with the broader goals of the project. The Software Engineer will help translate business requirements into technical specifications and contribute insights that may influence project direction.
Technical Responsibilities: Design, code, test, and debug software applications. Implement features that are scalable, operationally viable, and aligned with user needs. Maintain a high standard of code quality and follow best practices in software development.
Collaborative Responsibilities: Collaborate with team members across different departments to ensure that technical solutions integrate seamlessly with other parts of the project. Participate in regular team meetings and provide constructive feedback during code reviews.

Day-to-Day Responsibilities

Routine Tasks: Daily activities include writing clean and efficient code, updating existing software to improve functionality and efficiency, and documenting all changes made during the development process.
Project-Based Tasks: Engage in planning sessions to estimate task durations and resources required for project milestones. Work closely with QA testers to ensure that the software functions correctly across all scenarios.

Skills And Abilities

Software Development Lifecycle: Strong understanding of the full SDLC from design to development, deployment, and maintenance.
Systems Design: Experience designing components or features within distributed systems and microservices.
Functional Programming: Professional experience with Elixir or another functional programming language in production environments.
Web Development: Experience building web applications using Phoenix and LiveView.
API Development: Proficient in designing and consuming APIs for internal services and external integrations.
Database Management: Working knowledge of relational databases (PostgreSQL preferred), including data modeling, query optimization, and maintaining data integrity.
Cloud and DevOps: Experience with cloud platforms (e.g., AWS, GCP, or Azure) and CI/CD pipelines for automated build, test, and deployment processes. Familiarity with containerization (e.g., Docker) and orchestration tools (e.g., Kubernetes) is a plus.
Source Control: Proficient in Git-based workflows for managing code changes and collaborating in a team environment.
Security Awareness: Knowledge of software security principles and best practices for designing secure systems.
Problem-Solving: Ability to identify, troubleshoot, and solve moderately complex engineering challenges within your domain.
Proactive Ownership: Takes initiative to drive projects forward, anticipate issues, and improve processes or systems.
Mentorship: Provides technical guidance and coaching to junior and mid-level engineers within the team.
Collaboration and Communication: Effectively collaborates with teammates and cross-functional partners. Clearly communicates technical concepts to both technical and non-technical audiences.
Team-Oriented Work Ethic: Works autonomously on assigned tasks while contributing to team success through collaboration, support, and shared ownership.
Interpersonal Skills: Builds strong working relationships with teammates and stakeholders, fostering a supportive and collaborative environment.

Education And Experience

Bachelor’s or Master’s degree in Computer Science, Software Engineering, or equivalent experience preferred
3-7 years professional software development experience required
Professional experience with Elixir (or another functional programming language) in production environments
Experience building web applications or backend services using Phoenix (LiveView a plus)
Experience building modern frontend applications with React is preferred
Experience in SaaS, healthcare technology/IT, or healthcare B2B environments highly preferred
Experience working in a startup environment is desirable

Culture And Success

Collaborative team players with strong critical thinking and problem-solving skills
Leadership presence with an ability to engage and influence key stakeholders across the organization and make an impact
Thought leaders that cultivate a culture of out-of-the-box thinking and innovation
Self-driven and motivated with a desire to succeed in a fast-paced, changing environment
Team collaboration is encouraged to build strong meaningful relationships, while freely exchanging thoughts and ideas
High emotional IQ with an ability to stay calm under pressure
Keep a learning mindset, while recognizing failures and celebrating successes
Possess solid data and insights-driven business acumen

What We Offer