Senior Healthcare Software Engineer

2 weeks ago


Houston, Texas, United States Sanavate Group Full time

Job Description:

Join our healthcare team as an embedded software engineer working directly in our clinic/hospital environment. You'll optimize our custom EMR/billing system (PHP/MariaDB but moving to a modern stack with your help). This unique role combines hands-on development with clinical workflow improvement.

What makes this role special: You'll work alongside providers and administrative staff to truly understand the pain points, then build solutions that immediately impact patient care and revenue cycle management.

Your day-to-day:

  • 80% Development: Optimize billing logic, improve database queries, fix critical bugs

  • 19% Clinical shadowing: Observe workflows, identify bottlenecks, gather requirements

  • 1% Mentorship: Teach SQL, system architecture, and development practices to clinical leadership

Core responsibilities:

  • Maintain and enhance PHP-based EMR system with 157-table MariaDB database

  • Optimize medical billing calculations (CPT codes, modifiers, facility/professional fees)

  • Ensure HIPAA compliance in all code changes

  • Document system architecture and create knowledge transfer materials

  • Translate clinical needs into technical requirements

Must haves:

  • Experience developing healthcare/EMR systems

  • Expert-level PHP and MariaDB/MySQL

  • Deep understanding of medical billing (CPT codes, modifiers, claims)

  • Experience with HIPAA-compliant systems

  • Strong teaching/mentoring skills

  • Comfortable working in clinical environments

Nice to have:

  • Python experience (our analytics scripts)

  • Revenue cycle management experience

  • Healthcare data analytics background

  • Experience with medical scheduling systems

What we offer:

  • Direct impact on patient care and provider workflows

  • Autonomous problem-solving in a domain-expert environment

  • Mentorship opportunity with engaged leadership

  • Clinical setting exposure (understand the "why" behind every feature)

  • Flexible technical decisions (you'll guide our technology choices)

Pay: $130, $170,000.00 per year

Work Location: In person


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