This role is ideal for a seasoned back-end or full-stack engineer with at least 5 years of experience in object-oriented environments (specifically **.NET, Java
Work type: remote
Location: Remote
Salary: $121,600 – $182,400/yr
Type: Full-time
This role is ideal for a seasoned back-end or full-stack engineer with at least 5 years of experience in object-oriented environments (specifically **.NET, Java, or Python**). It is a "product-minded" senior position, meaning they want someone who cares as much about the "why" of the business as the "how" of the code. If you have deep expertise in relational databases and ORMs but enjoy operating with the autonomy of a remote-first startup, you’ll likely thrive here. The compensation is highly competitive for a fully remote U.S. role, topping out at **$182,400**. Beyond the salary, the company emphasizes a culture of "diligent execution"—favoring precision and security over "moving fast and breaking things," which is vital given the health-tech domain. You’ll also get to champion **AI-assisted coding**, showing the company's commitment to modern developer velocity. **You might be a good fit if you...** * Have mastered SQL query optimization and complex data modeling. * Prefer building "boring," reliable systems that work over chasing the latest experimental frameworks. * Are comfortable navigating ambiguity and taking ownership of a feature from design to production. * Want to work in a mission-driven environment that streamlines medical equipment delivery for patients.
Who We Are:
At Synapse Health, we're streamlining the durable medical equipment (DME) process. We manage intake, documentation, routing, claims, billing, and patient support. Our model reshapes how DME is delivered and experienced.
Since 2016, with decades of industry and leadership experience, we've delivered tech-based solutions that help our partners to modernize operations, improve coordination, and reduce administrative burdens. By taking on operational and financial complexity, we're redefining how DME works for providers, prescribers, and patients. We are proud to offer work that matters, on a mission that matters.
Learn more at[SynapseHealth.com](https://synapsehealth.com/)and on[Synapse Health’s LinkedIn](https://www.linkedin.com/company/synapsehealthdme/mycompany/).What We Need:
We’re looking for a Senior Software Engineer who wants to own meaningful systems in a fast-moving, high-impact environment. This role goes beyond writing code. You’ll drive solutions from ambiguity to production, build reliable and secure systems in a regulated healthcare environment, and make thoughtful tradeoffs that balance speed, simplicity, and long-term maintainability. If you’re energized by autonomy and building software that directly impacts patients and partners, we’d love to talk.
What You Will Do:
At Synapse Health we’ve intentionally built a culture of kindness, collaboration, and creativity, and we consider those qualities to be table stakes for any new team member. In addition, this role requires:
The base salary range for this position is $121,600 – $182,400 annually. This range reflects the anticipated compensation at the time of posting. Final compensation will be based on factors such as relevant experience, demonstrated skills, internal equity, and prevailing market conditions. Compensation discussions are encouraged throughout the hiring process.
What Sets Us Apart:
Work is a part of life, but at Synapse Health, we believe it should be meaningful and enjoyable. We’re committed to helping our team members thrive personally and professionally, which is why our benefits include: