Senior Software Engineer (Elixir) - Ethermed - Remote USA - Full-Time

Ethermed is dedicated to using AI and NLP to eliminate the human labor involved in all Prior Authorizations. We are acquiring funding, growing, and looking for world-class teammates to own, lead, build, and execute next generation solutions alongside us. This is a unique opportunity to create an immediate and lasting impact within the company and on US healthcare as we know it. Your work will touch hundreds of thousands of patients, providers, and administrators daily, and through your code we will truly be able to help change US healthcare.

About us

My name: Alisha Dixon
My position: Director of People/Talent
Company name: Ethermed
Company website: www.ethermed.ai
Company headquarters (country): PA - USA
Company info and history (how you’re using Elixir etc): Our tech stack is Elixir, Golang, Python, Github, k8s & Terraform on Azure Cloud. If you don’t have experience with everything in our tech stack still apply! We are willing to teach the right candidates and get them up to speed.

About the job

Job title: Senior Software Engineer
Job description: As a Senior Software Engineer at Ethermed, you will play a central role in architecting and scaling our event-driven healthcare automation platform. While we work across multiple languages and frameworks, this role is anchored in Elixir. You’ll design and build distributed, resilient services in Elixir (Phoenix, Broadway, OTP), shape our event-driven architecture, and create intuitive tooling on top of our modular back-end. You’ll also collaborate with colleagues working in Python to integrate LLM-powered workflows and healthcare-specific automation.

This role is perfect for an engineer who thrives in a fast-moving, remote-first culture and wants to apply deep Elixir expertise to solve some of the hardest problems in healthcare automation.

Architect, design, and implement services and microservices primarily in Elixir (Phoenix, Broadway, GenStage, OTP).

1. Contribute to the design and scaling of our event-driven architecture, with heavy use of message queues and streams (RabbitMQ, Kafka, Broadway pipelines).
2. Build APIs and internal tooling that make our Elixir-powered back-end accessible, maintainable, and extensible.
3. Collaborate with teammates building LLM-driven workflows in Python, ensuring smooth integration between Elixir and Python components.
4. Develop and deploy applications within Kubernetes environments (ideally AKS).
5. Leverage Terraform/Terragrunt and GitOps workflows (e.g., Kustomize) for infrastructure management.
6. Identify and adapt relevant open-source Elixir and Python projects from GitHub into our platform.
7. Work with structured and unstructured clinical data (FHIR, HL7, payer-side healthcare data, images), ensuring secure and compliant handling.
   Salary range: 150-170K Base + Bonus + Equity
   Qualifications or experience required:

5+ years building full stack applications, with 3+ years of production Elixir experience.

1. Proven expertise in Elixir frameworks: Phoenix, Broadway, OTP, GenStage.
2. Deep understanding of event-driven architectures and message queue technologies.
3. Strong experience deploying distributed systems in Kubernetes environments.
4. Familiarity with Terraform/Terragrunt and GitOps workflows (Kustomize).
5. Ability to identify, evaluate, and adapt open-source GitHub projects.
6. Self-sufficient in secure and compliant development practices (HIPAA, tenant isolation, auditability).

Position on remote work

Remote job: yes
Remote restrictions: US
Remote leeway: No
Any other notes about your position on remote work: any state

About the interview process

We have an efficient hiring process that takes about a couple of weeks from when you apply to when you receive an offer!

1. 15 minute intro call.

2. 30 min meeting with HM

3. Short take home project or example of code you’ve written.

4. 30 min chat with the CTO

Further info

Why join Ethermed?

• Be part of a groundbreaking mission: Help us transform healthcare by eliminating the manual labor involved in prior authorizations.

• Work with a talented team: Collaborate with top-notch engineers, data scientists, and product managers.

• Make a real impact: Your work will directly improve the lives of patients and providers.