Senior Software Engineer
23 days ago
Nashville
Job DescriptionSalary: 140,000 to 150,000 Annual Salary Senior Software Engineer About the Company Sentact is a category leader in patient safety, clinical risk mitigation, and healthcare compliance. The company was formed through the merger of The Hardenbergh Group, Sentact, and Preverity, bringing together deep healthcare domain expertise, workforce solutions, and modern SaaS technology under a single platform. Each organization addressed different aspects of healthcare risk and quality. The combined company is focused on unifying those capabilities into a coherent, data-driven platform that helps healthcare organizations better understand risk, improve clinical operations, and maintain regulatory readiness. Today, Sentact partners with health systems nationwide to turn fragmented clinical and operational data into actionable insight that supports safer, higher-quality patient care. About the Work Healthcare systems generate enormous volumes of clinical and operational data, much of it fragmented across tools, vendors, and workflows. When that data is delayed, incomplete, or misunderstood, the consequences are real for clinicians, hospitals, and patients. At Sentact, we build systems that help healthcare organizations surface risk earlier, identify patterns that matter, and make better decisions in environments where correctness, trust, and accountability are critical. The software you work on here directly supports patient safety, clinical insight, and regulatory compliance. Location: Hybrid - Nashville, TN Type: Full-Time, Salaried, Exempt Compensation: $140,000 - $150,000 annual salary range DOE Benefits: Generous PTO, Medical, Dental, Vision, Disability, Life, HSA/FSA accounts, and 401(k) with 4% employer match The Role We are hiring a Senior Software Engineer to operate at a principal level of scope and impact on the core systems behind our healthcare SaaS platform. This role focuses on designing and evolving backend services and data infrastructure that process sensitive healthcare data at scale. You will work on foundational systems not isolated features and contribute to long-term architectural decisions that shape how the platform grows, performs, and remains reliable over time. The work involves cloud-native, data-intensive services in regulated environments. Youll regularly navigate tradeoffs across performance, reliability, security, and compliance, and youll be trusted to make sound technical decisions in the face of ambiguity. The Work • Design and evolve backend services that support critical healthcare workflows, • Model complex relational data and guide schema evolution as use cases expand, • Build secure, reliable integrations with EHRs and third-party healthcare systems, • Develop standards-based APIs and services (REST, FHIR, HL7), • Influence architectural direction related to scalability, reliability, and data integrity, • Partner closely with product, data, and security teams to solve real operational problems What We Look For Were looking for engineers who think in systems and consequences. • Experience designing and evolving production systems that other teams depend on, • Strong instincts around architectural tradeoffs and long-term maintainability, • Comfort owning systems that run in production and matter to real users, • A proactive approach to identifying risk, ambiguity, and hidden failure modes Required Experience • 7+ years of professional software development experience, • Meaningful experience owning and operating production systems, • Strong background building data-driven applications, • Significant production experience with PHP and Python, • Strong SQL skills with MySQL and PostgreSQL, • Experience building secure systems with appropriate access controls and encryption, • Ability to independently design, build, and deploy backend services Experience Thats Helpful (But Not Required) • Healthcare data standards such as FHIR or HL7, • EHR or healthcare API integrations, • Microservices or event-driven architectures, • AWS and Infrastructure as Code (Terraform, Ansible), • Experience working in HIPAA- or HITRUST-regulated environments, • Security-conscious engineering experience Why This Role Matters The systems you work on will influence how healthcare organizations identify risk, improve clinical processes, and protect patients. This is work where correctness matters, shortcuts show up later, and thoughtful engineering has real downstream impact. Were looking for engineers who want their work to matter beyond a release cycle and who care about building systems that healthcare organizations can trust. Why Join Sentact • Work on systems that directly support patient safety and care quality, • Meaningful technical scope with influence over platform direction, • Collaborative, lowego engineering culture, • Flexible hybrid work environment, • Problems that reward depth, judgment, and long-term thinking Sentact provides equal employment opportunities to all employees and applicants for employment without regard to race, color, creed, ancestry, national origin, citizenship, sex or gender, gender identity or expression, sexual orientation, marital status, religion, age, disability, genetic information, service in the military, or any other characteristic protected by applicable federal, state, or local laws and ordinances.