---
title: 'Sr. Full Stack Engineer at HHAeXchange'
canonical: 'https://feeny.ai/job/sr-full-stack-engineer-hhaexchange-washington-esqw1aawxht7'
type: 'job'
last_seen: '2026-09-09'
---

# Sr. Full Stack Engineer at HHAeXchange

- **Company:** HHAeXchange
- **Location:** Washington, DC
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-07-29
- **Last confirmed live:** 2026-09-09
- **Apply:** https://jobs.lever.co/hhaexchange/4ec5959c-b426-4aac-80e7-084a9341d41e

## Job description

HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create an end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, caregivers, home care provider agencies, and payers. We’re looking for a Sr. Full Stack Engineer who’s eager to think big and build products that make a difference, improving the experience of tens of thousands of caregivers and families. You’ll work across the full stack — from intuitive frontends to scalable backend services — diving into technologies like Go, Angular, PostgreSQL, Redis, SQS, Kubernetes, and GenAI tooling. This role is for thoughtful, driven builders who thrive on solving complex challenges alongside a talented team of engineers. You must value a ‘startup-like’ culture on a small but mighty team that unlocks rapid iteration cycles through a quick but thoughtful decision-making process. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Job Duties

- Build the Foundation for Scalability: Drive the design, implementation, and maintenance of APIs and microservices that enable robust functionality and seamless integrations.
- Excel in Full Stack Development: Gain hands-on expertise in frontend with Angular and backend with Go, while optimizing cloud infrastructure for efficient scaling.
- Cultivate Mentorship & A Standard of Excellence: Mentor fellow software engineers, fostering a culture of collaboration, accountability, and technical excellence. Conduct code reviews, providing feedback to improve team efficiency and maintain quality coding standards
- Integrate Gen AI Innovations: Incorporate generative AI into our agency management software, boosting usability and efficiency to create intuitive experiences that users love.
- Push the Envelope: Encourage exploration of new technologies, tools, and approaches to continually enhance our platform for better user outcomes.
- Guide Strategic Decisions: Evaluate priorities, options, and tradeoffs to inform key development choices.
- Collaborate with a Passionate Team of Peers: Work closely with product managers, designers, and stakeholders to gather requirements, align on objectives, and deliver features that exceed expectations.
- Ensure Lasting Quality: Develop and maintain comprehensive unit and integration tests to uphold high standards of software reliability.

This Role Is a Good Fit for You If:

- Love a challenge and want to learn fast by doing important work.
- Are excited to touch every layer of the stack and see how software and infrastructure fit together end-to-end.
- Have a bias toward ownership, creativity, and seeing results.
- Thrive in a fast-paced, collaborative environment where no two days are quite the same.
- Want the energy of a startup with the stability of a proven company.

Other Job Duties

- Other duties as assigned by supervisor or HHAeXchange leader.

Travel Requirements

- Travel 5-10%, including overnight travel, domestic & abroad (US and other delivery locations)

Required Education, Experience, Certifications and Skills

- 4-8 years of experience in software engineering roles building on modern architectures and frameworks
- Proficiency in one reactive JavaScript framework, such as Angular, React, or Vue
- Proficiency with backend-development, such as Go, NodeJS, or Python (Go experience strongly preferred)
- Proficiency in PostgreSQL/MongoDB
- Experience with continuous integration/continuous deployment (CI/CD) pipelines and tools
- Experience with high-performance SaaS solutions built on microservices and serverless architectures
- Excellent written, verbal, and interpersonal communication skills
- Strong analytical and problem-solving skills
- Flexible, team player
- Ability to organize and plan work independently
- Ability to work in a rapidly changing environment
- Knowledge of JIRA/Confluence is a plus
- Healthcare experience and familiarity with HL7 and FHIR interoperability standards is a plus

The base salary range for this US-based, full-time, and exempt position is $140,000-160,000/yr, not including variable compensation. An employee’s exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.

This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.

HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.

## About HHAeXchange

## Company Overview
- **One-liner**: HHAeXchange provides a homecare management software platform that connects providers, payers, and members to streamline Medicaid long-term services and supports (LTSS).
- **Entity Type**: Private (Private Equity‑backed; last round led by Hg in 2021)
- **Headquarters**: New York, NY, USA
- **Founded**: 2008
- **Founders**: Not publicly available

## Core Business
- **Primary industries**: Healthcare IT, Homecare Management Software, Medicaid LTSS Technology
- **Target customers**: B2B – homecare agencies, managed care organizations (MCOs), state Medicaid programs, and self‑direction service providers
- **Mission / purpose**: “Help make homecare better for everyone” by enabling aging and disabled individuals to thrive in their homes and communities

## Products & Services
- **HHAeXchange Platform** (SaaS): End‑to‑end homecare management solution covering scheduling, billing, EVV (Electronic Visit Verification), compliance, and analytics. Acts as a single source of truth connecting providers, payers, and members.

## Market Standing
- **Valuation / Market Cap**: Not disclosed
- **Key Metric**: Annual revenue of **$35.4M** (latest estimate); total funding not publicly itemized across multiple PE rounds (led by Wincove, Cressey & Company, Hg)
- **Notable Investors / Partners**: Hg (lead in 2021), Wincove (2014), Cressey & Company (acquired majority stake in 2019). Partners include HCP (integration partnership announced 2022).
- **Growth Signals**:
  - Named to Inc. 5000 list of fastest‑growing private companies for ten consecutive years
  - Headcount grew ~21.6% YoY (453 employees per LinkedIn data; Built In reports 502)
  - Aggressive acquisition strategy: acquired Cashé Software (Jun 2024), Generations Homecare System (Jul 2024), and Sandata (Oct 2024)
  - Expanded executive team with new CHRO and CRO in early 2025

## Competitive Advantages
- **End‑to‑end coverage**: Only platform that fully integrates provider, payer, and member workflows for Medicaid LTSS – a complete view not offered by many competitors.
- **Network effects**: Large installed base (thousands of agencies, multiple state Medicaid programs) creates switching costs and data network effects.
- **Regulatory alignment**: Deep expertise in EVV and Medicaid compliance, making the platform “sticky” for government‑contracted providers.
- **Recent acquisitions**: Adding self‑direction (Annkissam), billing (Cashé), and broader homecare capabilities (Generations, Sandata) to widen the moat.

## Strategic Focus
- Continue expanding through M&A to build the most comprehensive homecare management ecosystem.
- Enhance data insights and interoperability across payers, providers, and state systems.
- Scale headcount and go‑to‑market capabilities (notably adding sales and customer success roles).

## Why Work Here
- **Culture**: Emphasizes core values **Achieve, Grow, Collaborate, Support**. Offers on‑the‑spot rewards, mental health initiatives, cultural celebrations, and employee inclusion events.
- **Work policy**: Primarily on‑site (New York HQ, plus offices in Miami, Minneapolis, Frisco, TX). Some roles posted as “In‑Office or Remote” – check specific listings.
- **Benefits**: Performance bonuses, generous parental leave, dental/health insurance, Flexible Spending Account (FSA), tuition assistance, and diversity‑based Employee Resource Groups (ERGs).
- **Engineering culture**: Growing tech team (99 technical staff) with stack including Ruby on Rails; opportunities to work on platform data insights and integration projects.
- **Impact**: Directly improve the lives of aging and disabled individuals – a mission‑driven environment.
- **Recent employee ratings** (242 reviews): Overall 2.8/5.0 (Work‑Life 2.8, Compensation 3.1, Culture 2.7, Career 2.6) – indicates room for improvement, but typical for a fast‑growing PE‑backed company.

## Sources
1. [HHAeXchange Careers Page (Lever)](https://jobs.lever.co/hhaexchange)
2. [HHAeXchange Official Careers Page](https://www.hhaexchange.com/careers)
3. [LinkedIn Company Profile](https://linkedin.com/company/hhaexchange)
4. [Built In NYC Company Profile](https://builtin.com/company/hhaexchange)

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