Axle Health builds scheduling and workforce management software to empower in-home healthcare providers to deliver exceptional, personalized care right where patients feel most comfortable—at home.

Some of the biggest providers in the country use our software to improve the utilization of their field teams by 15%+, and automate the operational burden of scheduling and dispatching.

Our platform includes proprietary logistics algorithms to optimize scheduling, a mobile app for field staff, an operations dashboard for office teams, engagement and booking tools for patients, and a wide range of integrations and external APIs for modular access.

We’re a team of all-star engineers and operators, backed by $4m from top investors such as Y Combinator and Pear VC, applying our intellect and logistics experience to upend how home healthcare is delivered.

About Us

Axle Health builds scheduling and workforce management software to empower in-home healthcare providers to deliver exceptional, personalized care right where patients feel most comfortable—at home.

Some of the biggest providers in the country use our software to improve the utilization of their field teams by 15%+, and automate the operational burden of scheduling and dispatching.

Our platform includes proprietary logistics algorithms to optimize scheduling, a mobile app for field staff, an operations dashboard for office teams, engagement and booking tools for patients, and a wide range of integrations and external APIs for modular access.

We’re a team of all-star engineers and operators, backed by $4m from top investors such as Y Combinator and Pear VC, applying our intellect and logistics experience to upend how home healthcare is delivered.

About You — The Role

You’re a builder with the chops and the drive to take our infrastructure from 0 to 1. We’re looking for someone with both deep technical expertise as well as the range that comes from experiencing a company’s earliest stages.

Our dream candidate can lead teams in different domains and is fueled by a passion for tackling complex problems head-on. Whether you've built your expertise designing web-scale systems at large companies, or scaling startups from 10 to 100, we want to hear your story.

What You'll Do

Build Electronic Health Record (EHR) integrations to enable tens of thousands of clinicians to be more productive each and every day

Architect cloud solutions for high volume data systems that will support hundreds of thousands of patients

Collaborate with and lead other engineers to build performant, scaleable, and secure systems

Grow a platform engineering team from the ground up

Requirements

Must have:

4+ years of experience with DevOps (or equivalent experience).

Experience with infrastructure management: Proficiency in designing, implementing, and managing cloud and on-premises infrastructure (experience with AWS and Azure preferred).

Automation skills: Expertise in automating infrastructure and operational processes using tools like Terraform, Ansible, or similar.

CI/CD pipeline experience: Experience setting up and maintaining CI/CD pipelines using tools such as Jenkins, Github Actions, or CircleCI.

Proficiency with container orchestration and configuration management tools: (e.g., Kubernetes + Docker).

Strong understanding of security best practices: Experience implementing security measures across platforms to maintain compliance (SOC II + HIPAA experience preferred).

Experience with monitoring and logging tools: (e.g., Prometheus, Grafana, Datadog, etc).

Ability to analyze and optimize performance: Proven ability to analyze and optimize the performance of infrastructure and applications.

Experience ensuring system scalability and reliability meet organizational demands.

Collaboration skills: Ability to work closely with developers, operations teams, and other stakeholders to align platform capabilities with organizational needs.

Proficiency in documenting processes, tools, and systems: and providing training and support to teams as needed.

Nice to have:

Experience with healthcare interoperability (FHIR / HL7).

Experience working with Electronic Health Records (EHRs).

Experience with robotic process automation (RPA) tooling and deployment .

Familiarity with modern programming languages: (e.g., Python, TS, or similar) for automations, testing, and tooling.

Experience designing, building, deploying, and maintaining robust infrastructure that supports web services.

Experience defining and communicating technical trade-offs to non-technical stakeholders.

Experience deploying Linux & Windows builds on-premise for legacy customers.

Knowledge of databases: (e.g., Postgres, MySQL, NoSQL) and experience with applications interacting with these databases.

Tools You May Use

• Bash + Python
• Docker + K8s
• AWS CloudWatch + Datadog + Sentry + Splunk
• Expo EAS
• Terraform + Terraform Cloud
• AWS CodePipeline + Jenkins + GitHub Actions
• Vanta

What We Offer

In addition to offering a competitive salary and best-in-class equity, we want to ensure every team member has the tools they need to work to the best of their ability. To that end:

We are committed to your Ownership:

We cultivate an environment where team members feel ownership over the work they do. Everyone in an organization has big ideas and we want to hear them and implement them

All of our employees have equity compensation. We want you to benefit from all the hard work you do in helping patients and catalyzing this shift in healthcare.

We are committed to your Wellness:

Comprehensive Medical, Dental, Vision

Unlimited PTO and sick days

Flexible working hours

We are committed to your Growth:

Fast paced work environment geared towards professional growth

Get the chance to move roles within the organization to learn new skills and contribute in other areas

We are committed to building Community:

Monthly team events, dinners, & happy hours

Special team events: yacht party, Universal Studios, Magic Castle, Vegas, etc.

Please only apply for one open role. Your application will automatically be considered for all open roles.

Healthcare is complex, healthcare in the home even more so. Part of the reason in-home care isn't widespread is because it's not economical without a heavy technological component. Providing economical in-home care is a series of optimization problems. How do you assign visits to the lowest cost health professional qualified for a visit? How do you account for different license requirements across states? How do you ensure visits that require refrigerated supplies are completed earlier in the day? Solving this 3-dimensional tradeoff between time, geography, and licensure is what we do day-in and day-out.