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Software Engineer, Internal Tools

Metriport

US$120k – $160khybridHealthcare

See all 16 open roles at Metriport

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About this role

ABOUT US

Medical data exchange is one of the biggest unsolved problems in US healthcare. If you've spent any real time in the healthcare system, you've felt it, and it only gets worse the sicker and older you get. Metriport exists to fix that. We connect to the data sources the healthcare providers of tomorrow need, take raw data that's unusable in its source form, and turn it into a single clean format that care teams, and their agents, actually use to improve outcomes. Record retrieval across thousands of legacy systems and antiquated data pipes that used to take weeks now takes seconds. Clinicians walk into appointments with the full patient picture already in hand, and that speed can mean spotting a condition early enough to actually treat it.

We're not a healthcare company. We're a technology company that happens to operate in healthcare, and we build every layer ourselves: acquisition, transform, and insight. Legacy EHRs were built to get providers paid, not to serve the clinical experience. We're building what should have existed instead: the system of record for all of US healthcare. We started in data exchange. Today we compete with the largest data platforms in the space. Tomorrow we will be the infrastructure layer healthcare runs on.

We've found product-market fit (multi-million dollar ARR, 100+ customers including Amazon One Medical, Circle Medical, Color Health, and Strive Health) and we're backed by top-tier VCs with years of runway ahead of us. If you’ve had a good healthcare experience in the past few years, there’s a good chance Metriport was behind it. That’s the version of healthcare we want people to not just expect, but demand. Join us and build the future.

About You

We're a small, high-output team, mostly former founders including YC alumni, and we operate with real autonomy and almost no bureaucracy. We hire on competence, not pedigree. Leaders are in the office six days a week, and we generally expect the team to be available six days a week too. Not because we count hours, but because there's always more wood to chop when revolutionizing how tomorrow’s healthcare providers deliver care to their patients today. We trust our team to take the time off they need and we've never said no to a time off request.

You have an entrepreneurial mindset and a strong sense of ownership. You don't wait to be told what's broken. Instead, you believe you can figure out any problem that lands in your lap even outside your exact domain. When someone scopes something for three weeks, you ask why it can't be done in three days, and you also know the difference between shipping a fast v0 and cutting a corner that comes back to bite you. You walk the tightrope between craft and speed without falling off either side.

THE ROLE

You're obsessed with automating repetitive tasks — your first instinct when you see a manual process is "how do I make this run by itself?" At Metriport, you'll own the internal tooling that keeps our company moving fast. You'll spot the friction, build the fix, and ship it — without waiting to be asked.

- You're entrepreneurial-minded, with the drive to push work forward even when it's not anyone else's top priority.

- You have strong interpersonal skills and are comfortable working directly with stakeholders across Eng, Ops, and business teams to understand their needs and translate them into working solutions.

- You're a hacker at heart — you get excited about wiring together services that weren't built to talk to each other, and you know how to make it work securely and at scale.

- You keep security top of mind. We work with sensitive healthcare data, and you treat that seriously — vetting third-party integrations, applying least-privilege thinking, and never cutting corners that could expose PHI.

- You follow the AI tooling space closely and try to use it to solve real business problems, but you have the judgment to know what's appropriate for an enterprise context and what's a hard no.

- You care about outcomes over elegance. A Slack bot that saves the Ops team an hour a day is worth more than a perfect abstraction nobody uses.

WHAT YOU'LL BE DOING

After ramping up on our internal tools and workflows, you'll own the systems that make our teams more efficient and more secure. Day to day, this looks like:

- Automating cross functional processes: many of our internal processes are still manual and error prone; you'll work with non-engineering functions at Metriport to automate away their friction within the company

- Building Automations End-to-End: Designing and shipping integrations between our internal and third-party systems — from scoping the requirement with a stakeholder, to deploying a working solution, to making sure it doesn't break quietly.

- Improving Developer Experience and Onboarding: Automating local environment setup for new engineers, improving CICD speed, reducing the time-to-productive from hours to minutes.

- Evaluating and Adopting New Tools: Researching integration platforms (Zapier, n8n, Make, etc.) and AI productivity tools, working with the Security team to assess their security posture, and rolling them out in a way that meets our compliance requirements.

- Reporting: Automating recurring reports by pulling from AWS Athena, REST APIs, and other data sources — so the team gets accurate data without manual effort every month.

- Team alignment: Participating in a daily 30-minute remote standup at 7:30 AM PST Mon–Fri (our only regular mandatory meeting).

REQUIREMENTS

- 3+ years of experience in a software engineering, automation, or internal tools role — ideally at a startup where you wore multiple hats.

- TypeScript proficiency: Our entire stack is TypeScript. You write clean, maintainable TS without hand-holding.

- React proficiency: Our internal operations tool is React-based. You can build and extend UI components to surface new workflows.

- Integration experience: Hands-on experien

Salary insight

The midpoint of this range ($140k) is about 30% below the median disclosed salary for San Francisco roles listed on ForgeApply ($200k across 8,773 jobs).

See full Software Engineer salary data for San Francisco

Based on live postings with disclosed pay on ForgeApply; refreshed daily. Not an estimate of this employer's offer.

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