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Senior Software Engineer
MiSalud
Software Engineering
Palo Alto, CA, USA
Posted on Feb 28, 2026
Company Description
MiSalud is on a mission to make healthcare accessible and affordable for all by removing barriers of language, cost, and circumstance. We believe that the future of medicine lies at the intersection of human expertise and technical creativity. Whether we are building cross-border platform integrations or pioneering AI-augmented development workflows, we lead with compassion and precision to create meaningful change in the lives of our users.
Job Description
MiSalud is building the platform to integrate health services across North America. We are a high-impact engineering team of 6, currently scaling our backend services, web applications, and mobile presence. We operate under HIPAA compliance, navigating the complex constraints of healthcare to build better systems.
We are looking for Senior Software Engineers who operate as generalists. You will make real architectural decisions and work wherever the highest-impact work is, whether that's backend services, infrastructure, or frontend.
What Actually Matters to Us
AI-Native Workflow: We are actively reshaping how we work around agentic coding tools. AI-assisted development is our daily reality, not an experiment. If you prefer to keep AI at arm's length, this isn't the right fit.
Technical Judgment: AI makes us faster, but it doesn't replace craft. You must understand why code works, possess strong opinions on system design, and be willing to defend them.
Extreme Ownership: As part of a small team, you have high autonomy and high accountability. You operate like an owner of the product
What You'll Work With
You don't need to be an expert in everything on day one, but you should be excited to master:
AI: Claude Code and Cursor
Backend: Go services, gRPC, and Protocol Buffers.
Frontend: TypeScript within an Nx monorepo.
Database: PostgreSQL with sqlc for type-safe queries.
Infrastructure: GCP (GKE, Cloud SQL), Pulumi, and Kubernetes.
Practices: Proto-first API design and automated CI/CD.
Qualifications
- At least 3 years of professional software engineering experience
Strong fundamentals in backend development and SQL
Experience with Go or TypeScript (both is a plus, willingness to work in both is a must)
Comfort working across the stack, you don't need to be an expert in everything, but you shouldn't shy away from unfamiliar territory
Experience with or genuine interest in cloud infrastructure and DevOps practices
Healthcare industry experience is a plus but not required, we operate under HIPAA compliance, and you'll learn the constraints as you go
Additional Information
What We Offer
Hybrid work: One day per week in the office, plus an additional day every three weeks. The rest is remote
Competitive base salary, paid time off and mental health support
A learning and development budget and a work-life balance that we actually mean
A team small enough that your work visibly moves the product
Diversity & Inclusion
At MiSalud, we believe diversity is essential to building better healthcare systems. We are an Equal Opportunity Employer committed to creating a workplace where everyone can thrive.