Senior Backend Engineer

Axle Health·Hacker News
Santa MonicaPosted Jul 1, 2026
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Axle Health (health tech x logistics) | Backend, Interoperability, and DevOps roles | ONSITE: Santa Monica (5 days) | https://www.axlehealth.com/careers

Home-based care should be the default in American healthcare. It isn't, mostly because the technology has never been good enough. Patients heal faster at home, it costs a fraction of facility-based care, and it's what people actually want — yet the industry runs on phone calls, spreadsheets, and systems built in the 90s. We started Axle Health because we think that's fixable, and because the stakes are high enough that it's worth doing right.

We're Axle Health, and we think in-home care deserves world-class technology. We're building the operating system for home-based healthcare — the scheduling intelligence, the clinician tools, the logistics coordination — everything that has to work perfectly so a clinician shows up at the right door at the right time with everything they need. It's a hard and important problem, and we're just getting started.

The complexity is real: real-time scheduling optimization across dynamic clinician networks, last-mile logistics that make Uber Dispatch look simple, integrations with every flavor of EMR and payer system you've never heard of, mobile-first tools that have to work in spotty cell coverage in someone's living room, and the compliance surface area that comes with handling PHI at scale — we need to build it all, and we want people who think this stuff is genuinely fun.

Currently hiring Senior Software Engineers (7+ YOE) for:

Backend (Python + Django): https://www.axlehealth.com/careers?ashby_jid=8db08b55-399c-4...

Interoperability (Typescript + Node): https://www.axlehealth.com/careers?ashby_jid=0bcdc195-ac3f-4...

DevOps and Infrastructure: https://www.axlehealth.com/careers?ashby_jid=c54930f7-5de6-4...

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