NexHealth
Senior Software Engineer, Fullstack, Practice Engineer
San Francisco, California, United States · Senior
Stay score
odds of building a lasting career here
Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.
Lottery odds assume a STEM candidate.
Personalize to your clock →H-1B wage level
the lottery is wage-weighted — each level is one more entry
$131 more — $165,131 — moves this role to Level II and 2 lottery entries. That figure is inside the range the employer already advertised.
Based on the DOL prevailing wage for this occupation and worksite, a base salary of $165,131 would place this position at wage Level II. That figure is within the posted range, and I'd like to target it. This role classifies under "Software Developers" for prevailing-wage purposes.
DOL prevailing wage, 2026-27 wage year · Software Developers (15-1252) · San Francisco-Oakland-Fremont, CA. Wage level is derived by USCIS from the offered wage, occupation and worksite; the occupation shown is inferred from the job title.
Employer immigration record
from this employer's Department of Labor filings
Files H-1B transfers
Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.
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About the role
- Our users are front desk staff, office managers, and patients.
- We judge our work by one question: did it make their day easier?
- We're a small, distributed team with very little process.
Responsibilities
- Build and ship features across our React/TypeScript web app, our iOS app, and the backend services that power scheduling, payments, forms, messaging, and insurance verification.
- Own features end to end: define the problem, shape the solution with product and design, build it, roll it out, and keep iterating based on how it's actually used.
- Bring your own point of view on what we should build. You'll look for friction in how clinics and patients use the product, and you'll make the case for fixing it.
- Mentor other engineers and raise the bar on how the team designs, reviews, and ships.
- Influence decisions beyond your own work, shaping product direction and technical approach across the PX product.
- Strong modern frontend skills in React and TypeScript, paired with real backend depth: API design, data modeling, and working with production databases. You're genuinely full-stack, not a backend engineer who occasionally touches the UI.
- Experience building and shipping features on iOS alongside web.
- A track record of owning customer-facing features from problem definition through design, launch, and iteration.
- Experience partnering closely with product and design as a peer, contributing ideas rather than just implementing specs.
Requirements
- 5+ years of experience as a software engineer building customer-facing products.
Nice to have
- NexHealth Compensation Range
Compensation
- The range listed is just the base salary component of NexHealth's total compensation package for employees.
- NexHealth Compensation Range
- $165,000 - $230,000 USD
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- High-impact work that directly improves the healthcare experience for millions
Company info
- Practice Engineering (PX) owns the parts of NexHealth that people actually touch:
- our customer-facing web app, our iOS app, and the backend APIs behind them.
- We judge our work by one question:
- did it make their day easier?
- That means a lot of room to shape what we build and how.
- It also means nobody will hand you a perfectly scoped ticket.
- It's easy to make decisions that make our lives simpler, but not the customers.
This listing is sourced directly from NexHealth's careers page and normalized into a canonical job model.