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Home / Jobs / Zenara Health

Senior Software Engineer (AI-Native) - Healthcare Platform

Zenara Health

IndiaremotePosted 6 days ago
Z

Skill Required

Software-EngineerFull-Stack-EngineerBackend-EngineerFrontend-EngineerSenior-Healthcare-Software-EngineerSenior-Software-Engineer-Healthcare-ApplicationsSenior-Software-Engineer-In-HealthcareSenior-Software-Engineering-In-HealthcareSenior-AI-Platform-EngineerSenior-AI-Software-EngineerSenior-AI-Platform-DeveloperSenior-Software-AI-EngineerAI EngineerPlatform EngineerSoftware EngineerSoftware DeveloperAIsoftware engineeringQuery OptimizationEngineeringTypeScriptPostgreSQLdevelopingWebSocketdesigningsimilar)Next.jsNode.jssecuritywrittendesignGitReactAzureCloudISO 27001jQueryJiraAPIsSQLandFulltime

Key highlights

  • ₹20–40 LPA salary range
  • 4-8 years experience required
  • Fully remote position within India
  • No intermediaries — direct communication with Lead Engineer and Founder-CEO
  • Opportunity to own entire subsystems from day one
  • Requires daily use of AI development tools (Claude Code or GitHub Copilot)

Role overview

Zenara Health is a technology-focused mental healthcare company integrating AI-driven platforms with expert clinical care to improve access to and quality of mental wellness services. The Senior Software Engineer (AI-Native) role is designed for an experienced full-stack engineer who will collaborate with the company's Lead Engineer to take full ownership of entire subsystems within 90 days. The position follows a progression from apprentice (month 1) through co-owner (month 2), owner (month 3), to architect (month 4+), with the expectation of releasing features at 2-3x typical developer speed using AI tools. The role emphasizes architectural thinking, self-motivation, and the ability to learn complex healthcare domains organically.

Responsibilities

  • Oversee the billing subsystem
  • Manage FHIR/EHR integration
  • Own product frontend
  • Own claims lifecycle
  • Own clinical workflow architecture
  • Initially focus on understanding the most intricate and essential components of the platform
  • Step into a shared leadership role over the architecture
  • Contribute to new product development
  • Identify what needs to be built and execute on it
  • Produce clear written documentation, PR descriptions, and technical decision records
  • Collaborate with Lead Engineer and Founder-CEO
  • Quickly absorb expertise from technical leader
  • Take full ownership of entire subsystems within 90 days

Requirements

  • 4-8 years in full-stack software engineering — experience with shipping production SaaS applications, not agency websites or internal tools
  • Proficiency in TypeScript — concepts like generics, utility types, strict mode, and discriminated unions come naturally
  • Experience with React + Next.js — working on production applications rather than tutorial projects, with knowledge in SSR, API routes, dynamic routing, and performance optimization
  • Node.js backend skills — familiarity with REST APIs, authentication, middleware, error handling, and background job management
  • Prisma ORM + PostgreSQL experience — including schema design, migrations, query optimization, and relation modeling
  • Mastery of Git — understanding branching strategies, maintaining a clean commit history, managing PR workflows, and rebasing
  • Experience with AI-assisted development — daily engagement with tools like Claude Code, GitHub Copilot, or their equivalents, and the ability to explain how AI has influenced your development process
  • Self-motivated work style — you thrive in environments where tasks are not assigned
  • Strong English communication skills — with an async-first approach

Nice to have

  • Experience with healthcare SaaS (e.g., billing, EHR, clinical workflows, HIPAA compliance)
  • Familiarity with FHIR/HL7 standards
  • Knowledge of Server-Sent Events (SSE) or WebSocket real-time architecture
  • Understanding of multi-tenant SaaS security (e.g., RBAC, row-level security, tenant isolation)
  • Experience with Azure cloud services (App Service, Azure SQL, Blob Storage)
  • A quick learner when it comes to complex domain knowledge from subject matter experts

Benefits

  • Salary range of ₹20–40 LPA based on skills and experience
  • Fully remote work available within India
  • Equipment allowance
  • Budget for learning—covering tools, courses, and conferences
  • Direct communication with the Lead Engineer and Founder-CEO—no intermediaries involved
  • Encouraged use of AI tools to enhance productivity—utilize whatever makes your work more efficient
  • Opportunity to manage a key subsystem in a healthcare organization from the outset—no waiting for years to demonstrate your value

Additional details

  • Location: Remote across India (US Pacific overlap 4-8hrs daily)
  • Type: Full-time
  • Reports to: Lead Engineer / Founder-CEO
  • Compensation: ₹20–40 LPA (higher for exceptional candidates — prove it)
  • Notable requirement: If you do not already use Claude Code or GitHub Copilot daily, you may not be able to keep up with your future colleague
  • Schedule: Working approximately 2pm–12am IST (or similar), with mornings free for personal time, deep coding sessions in afternoon, US team overlap in evening
  • Schedule constraint: Must maintain 4–8 hours of daily overlap with US Pacific time zone (9am–5pm PT)
  • Schedule note: If you have evening commitments that conflict with this schedule, this role may not be suitable for you
  • Schedule philosophy: You propose your own schedule; the company prioritizes output and collaboration over strict timekeeping with emphasis on uninterrupted focus time
  • Fast-track progression: apprentice (month 1) → co-owner (month 2) → owner (month 3) → architect (month 4+)
  • Speed expectation: Release features at two to three times the speed of a typical developer using AI tools
  • Not a junior-to-mid role with a senior title
  • Originally posted on Himalayas

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LocationIndia
TypeFulltime
Posted9/1/2026
Apply by10/31/2026

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