Staff Backend Software Engineer (Elixir)

We are looking for our founding Staff Elixir Backend Software Engineer to build Community's technical foundation from the ground up. You'll be employee #1 on Papa Community’s engineering team, reporting directly to Papa Community's GM with dotted-line mentorship from Papa core’s engineering leadership.

What You’ll Do (Responsibilities)

• Build the technical foundation for Papa Community’s virtual care platform, designing and implementing systems that connect EHR, care management tools, billing infrastructure, and patient communication platforms.

• Develop secure and scalable integrations between healthcare systems, ensuring reliable data flows and HIPAA-compliant architecture that can support growth to thousands of patients.

• Build data infrastructure and internal tools that enable operational intelligence, automation, and real-time visibility into patient outcomes and care workflows.

• Create systems that support clinical teams with dashboards, automated patient outreach triggers, and clinical decision support tools.

• Lead key technical decisions, including evaluating build-vs-buy tradeoffs, selecting technologies, and architecting solutions that balance speed, reliability, and scalability.

• Partner with Papa Community leadership and Papa’s core engineering team to shape the technical roadmap and determine when to leverage third-party tools versus building custom solutions.

• Establish engineering standards and best practices, including code quality standards, testing expectations, deployment processes, and documentation.

• Own platform reliability, monitoring, and performance, ensuring systems supporting healthcare workflows remain stable and resilient.

• Continuously improve system performance, observability, and operational processes to maintain high reliability for patient data, care coordination, and billing workflows.

Minimum Qualifications

• 10+ years of professional software development experience.

• Expert-level proficiency in Elixir.

• Proven experience building and shipping reliable production systems.

• Experience improving software quality through code reviews, automated testing, controlled rollouts, and monitoring.

• Strong focus on system reliability, performance, and maintainability.

• Passion for improving healthcare access and patient outcomes.

Preferred Qualifications

• Experience working with healthcare technology and industry data standards such as FHIR, HL7, and X12.

• Experience integrating with EHR systems, healthcare vendors, clearinghouses, or billing platforms.

• Experience designing HIPAA-compliant systems that manage protected health information.

• Experience building backend applications using Phoenix LiveView.

Compensation & Benefits:

• Target salary range of $200,000 to $230,000
• Equity
• Medical, dental and vision insurance coverage
• Health Savings Account (HSA) & Flexible Spending Account (FSA)
• 401(k) plan with a match up to 4%
• Flexible PTO & 11 company holidays
• Parental leave and caregiver leave