---
title: 'Senior Software Engineer at NexHealth'
canonical: 'https://feeny.ai/job/senior-software-engineer-nexhealth-toronto-1rx4gwckdb1k'
type: 'job'
last_seen: '2026-09-08'
---

# Senior Software Engineer at NexHealth

- **Company:** NexHealth
- **Location:** Toronto, Canada
- **Compensation:** $156k–$188k
- **Posted:** 2026-06-04
- **Last confirmed live:** 2026-09-08
- **Apply:** https://www.nexhealth.com/careers/open-positions?gh_jid=6013397004

## Job description

## About NexHealth

Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?

NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.

- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs

## About the Role

NexHealth has built the world’s most advanced healthcare integration API that synchronizes in real-time. With our real-time integration with electronic health record systems (EHRs), we help developers at tech companies like Swell, Truelark, Quip, Cherry, and more quickly build products and services that synchronize with EHR systems. NexHealth has also built our own doctor facing SaaS product on top of our own API.

This role will be based out of Toronto or Vancouver and embraces a hybrid working model that balances remote and onsite work (the specifics of which are at the discretion of NexHealth management). You’ll work on some of our most challenging problems, from building an open data lake for health records, to building dev ops for our next 100x growth, to defining and building the next generation of health record system integrations for the industry.

## What You’ll Do

- Keep up with our exponentially growing customer base and associated dataset, scaling our data processing and storage layer from terabytes to petabytes and beyond.
- Build and maintain bidirectional, real-time integrations with dozens of EHRs, scaling to hundreds or thousands of integrations.
- Drive improvements to our core systems to unlock 100x growth in the number of practices, patients, and developers relying on our platform.
- Own cross-functional projects end to end, from technical design and decomposition to a successful launch and rollout.
- Partner with engineering leaders and product managers to generate, prioritize, and deliver on ambitious engineering goals.

## What You’ll Bring

- 5+ years of experience as a software engineer, with a focus on building scalable back-end systems and platforms.
- Deep experience integrating and scaling storage systems, cloud-native services, and related open source projects, including the Kubernetes ecosystem, AWS, and PostgreSQL.
- Knowledge of common DevOps tools and practices.
- Firm grasp of quality and security engineering principles. You understand not just the what, but also the why.
- A vision for what great software and great engineering looks like, and the technical expertise and leadership skills to make that vision a reality.
- Excellent systems-level thinking. You can understand all the different components of a distributed system, how they interact, and how customer journeys and data flows touch each part.
- Excellent written and verbal communication skills. You can communicate technical concepts to business stakeholders, and business needs to the engineering team.

NexHealth is committed to employment equity and creating an inclusive environment for all employees. We welcome applications from all qualified candidates. We are committed to providing accessible employment practices in compliance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodation during the hiring process, please let us know.

Artificial Intelligence Notice

Artificial intelligence may be used in the recruitment process for this position to assist in screening, assessing, and/or selecting applicants.

## Compensation

Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.

NexHealth Compensation Range $156,000—$188,000 CAD

## Benefits

- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions

## Our Values

- Solve the customer’s problems, not yours When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.
- Do the things others are not willing to do As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.
- Take ownership Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.
- Say what’s on your mind, with positive intent Be direct, proactive, transparent, and frequent in your communication.
- Default trust As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.
- Think in first principles We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.

## About NexHealth

## Company Overview
- **One-liner**: NexHealth provides a unified platform for scheduling, patient communications, digital forms, payments, and insurance verification that integrates directly with health record systems to automate front‑office tasks for medical and dental practices.
- **Entity Type**: Private (Series C, valued at $1B as of 2022)
- **Headquarters**: San Francisco, California, USA (with an additional office in Draper, Utah)
- **Founded**: 2017
- **Founders**: Alamin Uddin and Waleed Asif

## Core Business
- **Primary industry**: Healthcare technology (healthtech) – patient experience platform and EHR integration middleware.
- **Target customers**: B2B – medical and dental practices of all sizes (SMB to enterprise DSOs like The Smilist), as well as developers who need a single API to connect to multiple health record systems.
- **Mission/purpose**: “Accelerate innovation in healthcare” by connecting patients, doctors, and developers.

## Products & Services
- **Scheduling**: Online booking that syncs in real time with the practice’s health record system; automatic cancellation fill.
- **Communications**: Unified inbox for messages, reminders, recalls, and payment requests.
- **Forms**: Digital intake forms sent automatically and completed before the patient arrives; includes insurance verification.
- **Payments**: Terminals and digital payments that sync to the practice’s ledger.
- **Verification**: Eligibility confirmed automatically before appointments.
- **API / Platform**: Developers can use NexHealth’s API to integrate health records into their applications, eliminating the need to build separate integrations with dozens of EHR vendors.

## Market Standing
- **Valuation**: $1 billion (as of the $125M Series C raise in 2022) [nexhealth.com](https://www.nexhealth.com/culture)
- **Total Funding**: $177.36M raised to date [cbinsights.com](https://www.cbinsights.com/company/nexhealth)
- **Key Metric**: 10,000+ medical and dental practices run on NexHealth [nexhealth.com](https://www.nexhealth.com/)
- **Notable Investors/Partners**: Not publicly disclosed in available sources (the $125M Series C round lead investors were not named in the provided materials).
- **Growth Signals**: 
  - Grew from 5 to ~300 employees between 2020 and 2022 [nexhealth.com](https://www.nexhealth.com/culture)
  - Revenue and customer base doubling year‑over‑year
  - Hiring “hundreds of people” in the coming year [nexhealth.com](https://www.nexhealth.com/careers)
  - Signed enterprise customer The Smilist (50+ locations) [nexhealth.com](https://www.nexhealth.com/culture)

## Competitive Advantages
- **Deep EHR integration**: NexHealth connects directly to health record systems and syncs in real time, eliminating manual workarounds and reconciliation.
- **No long‑term contracts**: Monthly, flexible plans – a differentiator against legacy platforms that lock practices into annual contracts.
- **Speed of support**: “Get support in seconds, not hours” – average response time under 2 minutes, with no phone trees or hand‑offs [nexhealth.com](https://www.nexhealth.com/).
- **Platform approach**: A single API that abstracts away the complexity of multiple EHRs, making NexHealth a “protocol” for moving healthcare data.

## Strategic Focus
- **Scale the platform**: Expand total addressable market (TAM) by serving larger enterprise organizations and moving beyond dental into broader medical specialties.
- **Build the “protocol”**: Long‑term vision to become the standard layer for moving healthcare data between any two points (e.g., from a lab in Germany to a hospital in the US) [nexhealth.com](https://www.nexhealth.com/culture).
- **Customer growth**: Keep existing customers “insanely happy” while rapidly acquiring new practices.
- **Talent density**: Continue hiring high‑performance individuals who can operate 2‑3× faster and with higher quality than industry norms.

## Why Work Here
- **Culture**: Mission‑driven, high‑performance environment (“Nexers” are expected to be fast, high‑quality, and growth‑minded). The company surveys employees twice a year to evolve the culture.
- **Remote/hybrid**: Offices in San Francisco and Draper, UT, with remote teams across the US, South America, and Europe. Flexible mindset on location.
- **Growth opportunities**: “Up‑level quickly” – employees are encouraged to redefine their roles to solve the most pressing customer problems. The company is growing fast, offering rapid career advancement.
- **Long‑term focus**: Aspirations measured in decades; small, fast‑paced teams with autonomy. High performers are retained long‑term (>6 years), low performers exit quickly (<6 months).
- **Perks**: Not explicitly listed, but the culture emphasizes learning & development, work/life blend, and ownership.

## Sources
1. [nexhealth.com – Careers page](https://www.nexhealth.com/careers)
2. [nexhealth.com – Homepage](https://www.nexhealth.com/)
3. [nexhealth.com – Culture/About page](https://www.nexhealth.com/culture)
4. [cbinsights.com – Company profile](https://www.cbinsights.com/company/nexhealth)

## Other roles at NexHealth

- [Senior Onboarding Manager - API Platform](https://feeny.ai/job/senior-onboarding-manager-api-platform-nexhealth-san-francisco-california-vbrp5598c8ct) — San Francisco California, United States
- [Staff Product Manager](https://feeny.ai/job/staff-product-manager-nexhealth-united-states-tvadp886ywvw) — United States
- [Staff Product Manager](https://feeny.ai/job/staff-product-manager-nexhealth-seattle-washington-m03839kj50z5) — Seattle Washington, United States
- [Staff Product Manager](https://feeny.ai/job/staff-product-manager-nexhealth-san-francisco-california-471ggxccewvh) — San Francisco California, United States
- [Senior Product Manager](https://feeny.ai/job/senior-product-manager-nexhealth-seattle-washington-bh7zrzfef6ge) — Seattle Washington, United States
- [Senior Product Manager](https://feeny.ai/job/senior-product-manager-nexhealth-san-francisco-california-qr16dbtnkqe7) — San Francisco California, United States
- [Marketing Operations Lead](https://feeny.ai/job/marketing-operations-lead-nexhealth-san-francisco-california-wvwkgtg7617h) — San Francisco California, United States
- [Head of IT & Security](https://feeny.ai/job/head-of-it-security-nexhealth-san-francisco-california-aysjvekgzp2d) — San Francisco California, United States / Seattle Washington, United States
- [Senior IT Systems Engineer](https://feeny.ai/job/senior-it-systems-engineer-nexhealth-san-francisco-california-g19ryjx6z6s5) — San Francisco California, United States / Seattle Washington, United States
- [Senior Software Engineer, Front end](https://feeny.ai/job/senior-software-engineer-front-end-nexhealth-san-francisco-california-4d3hgarfp63q) — San Francisco California, United States