Elixir Software Engineer

Company Description

Traditionally, healthcare software has been chronically closed-source. This has forced health systems into a battle of competing priorities — patient experience, clinical workflows, affiliate referrals, business outcomes, marketing initiatives. No one system can do it all, yet they aren’t made to integrate or communicate with each other. This leaves health systems with big gaps to try and piece together themselves on the back end. 

At blockit, we are designing a better way forward in healthcare — with open access, seamless integration, and the ability to platform any workflow. 

Unlike other closed border, walled garden solutions, blockit is built to play well with others. Our proprietary integration engine bridges the gap between patients, providers, data, systems, and departments. 

Since our founding in 2016, we’ve formed partnerships with and designed solutions for some of the largest and most reputable health systems — especially in the areas of patient scheduling and closed-loop referral management. 

By using blockit to platform their existing workflows, and to design new ones, these health systems have meaningfully improved access to care for their patients, evidenced by these two examples:

• At a large for-profit health system, ED referral follow-through rates increased from 25% to 82%

• At a large not-for-profit health system, the time to schedule a patient in the call center dropped from 8 min to under 2 min.

If you want to connect it, we can do it. We are built to bring systems together — not keep them apart.

Job Description

We are seeking a Senior Software Engineer with Elixir experience to join our team. This is a skilled, experienced individual contributor role where you will demonstrate technical excellence and autonomy within their team. Engineers at this level are responsible for designing, developing, and delivering scalable, reliable software solutions within their area of ownership. This role requires proficiency in Elixir and combines strong coding skills, thoughtful problem-solving, and mentorship for junior and mid-level engineers. Senior engineers contribute to the technical quality, scalability, and success of their team while collaborating closely with product, design, and engineering partners.

We are seeking individuals who are interested in joining our team in transforming healthcare technology and make a significant impact on the industry. Be a key player in our journey to deliver innovative solutions that enhance the blockit platform and improve the healthcare experience for all.

Key Responsibilities:

• Technical Responsibilities:
  • Design, develop, and maintain features and components within distributed systems.
  • Build web applications using Phoenix, LiveView, and Elixir in a functional programming environment.
  • Design and consume APIs that are reliable, well-documented, and scalable.
  • Work with relational databases (PostgreSQL) for schema design, query optimization, and data integrity.
  • Utilize Git-based workflows and CI/CD pipelines to automate build, test, and deployment processes and deliver high-quality, reliable software.
  • Operate applications deployed in cloud environments such as AWS or GCP.
• Strategic Responsibilities:
  • Participate in technical design and planning within your team, providing input on architecture, scalability, and performance.
  • Collaborate with product, design, and engineering teammates to align solutions with business and technical goals.
  • Identify and contribute to improvements in engineering practices, tooling, and processes within the team.
• Collaborative Responsibilities:
  • Mentor and provide technical guidance to junior and mid-level engineers.
  • Participate in design discussions, code reviews, and knowledge-sharing sessions within the team.
  • Partner cross-functionally with engineering, product, and design to deliver high-quality features and improvements.
  • Help foster a collaborative and inclusive team culture.
• Operational Responsibilities:
  • Take ownership of the quality, reliability, and performance of the features and components you build.
  • Participate in code reviews, incident response, troubleshooting, and operational support as needed.
  • Help manage technical debt and contribute to the long-term maintainability of systems within your scope.

Day-to-Day Responsibilities:

• Routine Tasks: Write, review, and merge code. Monitor and maintain system performance. Update and refine development and deployment processes.
• Project-Based Tasks: Own feature development from design to deployment. Participate in technical design discussions. Deliver high-quality code aligned with product goals and timelines.

Qualifications

Education and Experience:

• Bachelor’s or Master’s degree in Computer Science, Software Engineering, or equivalent experience preferred
• 5+ years of professional software engineering experience
• 5+  years professional experience with Elixir (or another functional programming language) in production environments
• Experience building web applications or backend services using Phoenix (LiveView a plus)
• Experience building modern frontend applications with React is preferred
• Experience in SaaS, healthcare technology/IT, or healthcare B2B environments highly preferred
• Experience working in a startup environment is desirable 

Skills and Abilities:

• Software Development Lifecycle: Strong understanding of the full SDLC from design to development, deployment, and maintenance.
• Systems Design: Experience designing components or features within distributed systems and microservices.
• Functional Programming: Professional experience with Elixir or another functional programming language in production environments.
• Web Development: Experience building web applications using Phoenix and LiveView.
• API Development: Proficient in designing and consuming APIs for internal services and external integrations.
• Database Management: Working knowledge of relational databases (PostgreSQL preferred), including data modeling, query optimization, and maintaining data integrity.
• Cloud and DevOps: Experience with cloud platforms (e.g., AWS, GCP, or Azure) and CI/CD pipelines for automated build, test, and deployment processes. Familiarity with containerization (e.g., Docker) and orchestration tools (e.g., Kubernetes) is a plus.
• Source Control: Proficient in Git-based workflows for managing code changes and collaborating in a team environment.
• Security Awareness: Knowledge of software security principles and best practices for designing secure systems.
• Problem-Solving: Ability to identify, troubleshoot, and solve moderately complex engineering challenges within your domain.
• Proactive Ownership: Takes initiative to drive projects forward, anticipate issues, and improve processes or systems.
• Mentorship: Provides technical guidance and coaching to junior and mid-level engineers within the team.
• Collaboration and Communication: Effectively collaborates with teammates and cross-functional partners. Clearly communicates technical concepts to both technical and non-technical audiences.
• Team-Oriented Work Ethic: Works autonomously on assigned tasks while contributing to team success through collaboration, support, and shared ownership.
• Interpersonal Skills: Builds strong working relationships with teammates and stakeholders, fostering a supportive and collaborative environment.

Additional Information

blockIt Culture and Success:

• Collaborative team players with strong critical thinking and problem-solving skills
• High emotional IQ with an ability to stay calm under pressure
• Leadership presence with an ability to engage and influence key stakeholders across the organization and make an impact 
• Thought leaders that cultivate a culture of out-of-the-box thinking and innovation
• Self-driven and motivated with a desire to succeed in a fast-paced, changing environment
• Team collaboration is encouraged to build strong meaningful relationships, while freely exchanging thoughts and ideas
• Keep a learning mindset, while recognizing failures and celebrating successes
• Possess solid data and insights-driven business acumen 

What We Offer:

• Experience in Shaping and Delivering a Leading Edge Healthcare Technology
• Competitive Compensation Package - $141,000 - $165,000 depending on experience
• Health and Wellness Group Benefits Plan
• 401K and Matching
• Very Progressive PTO policy
• Cultural Focus on Work-life balance
• Vacation Expense Reimbursement 
• Hybrid and Remote based roles 
• Access to role-based professional development/training opportunities

All information will be kept confidential according to EEO guidelines.