Software Engineer, Internal Tools

About the role

Metriport is an open-source data intelligence platform that helps healthcare organizations access and exchange patient data in real-time. We integrate with all major US healthcare IT systems and tap into comprehensive medical data for 300+ million individuals. We've found product-market fit with multi-million ARR, 100+ customers (including Amazon One Medical, Strive Health, Circle Medical, and Brightside Health), backing from top VCs, and years of runway. We're ready to scale. We're a tight-knit, high-performing team of mostly former founders (including two YC alumni). We're engineering-heavy, operate with minimal bureaucracy and high autonomy, and hire based on competence, not prestige. We push hard—founders work six days a week from our SF office—but give everyone freedom to craft their schedule. We measure output and we're committed to sustainable intensity.

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 experience connecting APIs, webhooks, and third-party services. You deeply understand REST, OAuth, mTLS, websockets and other integration technologies and know when and how to use them.
• Security-aware mindset: You understand what it means to handle sensitive data responsibly — secrets management, scoped permissions, secure credential storage. You don't need to be told to think about this.
• Self-directed: You're comfortable working on projects where you're the only one tracking progress. You create urgency for yourself.
• Location: San Francisco / Bay Area (or willing to relocate).

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).

Benefits

• Competitive equity + compensation package
• Full family Platinum health insurance, dental, and vision coverage
• 401(k) retirement plan + matching
• Flexible work from home or in-office
• Healthy lunches are complimentary when working in-office (and breakfast + dinners as needed)
• Quarterly company off-sites with the team
• MacBook provided by us
• Unlimited PTO (we work hard, but trust you to take time you need to be at your best)
• Our tech On the frontend, we use React - on the backend, we rely on Node.js and TypeScript for writing core business logic. We use AWS cloud services and manage our infrastructure as code with AWS CDK. Data lives in PostgreSQL, DynamoDB, S3, Snowflake, FHIR server, and more. Our Ops teams use the main tools/services used by successful startups.