At Crisis Text Line, engineering, product, and design work as one team to create a trusted, innovative, and deeply human-centered Crisis Care Platform. Our technology supports millions of people in moments of need and empowers global partners to deliver life-saving support at scale. We’re seeking a senior full-stack engineer who is passionate about shipping production-ready software, owning high-impact features end-to-end, and tackling complex technical challenges that have real-world impact. Role: As a Senior Full-Stack Software Engineer, you will design, build, deploy, and operate core platform features used by people in their most vulnerable moments. You’ll help evolve our API-first, services-driven architecture while raising the bar on security, reliability, and developer experience. This is a highly hands-on role for engineers who want deep ownership, technical influence, and mission-driven impact. Our Stack You’ll work across a modern, cloud-based environment, including: - Backend: Services, APIs (GraphQL), relational databases - Frontend: Full-stack ownership of user-facing and internal tools - Cloud: AWS - Infrastructure: Terraform (nice to have) - Observability: Datadog, Grafana - CI/CD: Automated pipelines and DevOps-first culture Responsibilities - Own features end-to-end: Design, build, test, ship, and maintain full-stack features in production. - Solve hard problems: Break down ambiguous technical challenges and deliver scalable, secure solutions. - Champion security: Contribute to authentication, authorization, and platform security practices. - Build for scale: Improve service architecture, APIs, and system reliability as we grow globally. - Collaborate deeply: Partner with product, design, and engineering peers to deliver high-impact solutions. - Raise engineering quality: Improve testing, CI/CD, observability, and developer workflows. - Support production: Participate in on-call rotation to ensure platform reliability. Qualifications: - 6+ years of experience programming in a high-level language - 4+ years of experience in full-stack development - Experience working with telemetry tools such as Datadog or Grafana - Experience working with Terraform is a plus - Experience working within cloud environments (AWS). - Hands‑on experience with PHP (Symfony framework), Node.js, React/Redux, and Golang - Strong experience working with relational databases such as MySQL and PostgreSQL, as well as caching technologies like Redis - Experience building and maintaining REST‑based APIs and GraphQL APIs - Strong problem-solving skills, ability to communicate analysis and reasoning clearly Preferred Qualifications - Experience acting as a security champion, including threat modeling, vulnerability remediation, or leading secure coding practices. - Hands-on experience building or supporting authentication and identity systems (OAuth, SSO, JWT, RBAC, identity providers). - Experience designing or evolving service-oriented or API-first architectures. - Experience in improving or owning CI/CD infrastructure, deployment automation, and release processes. - Familiarity with infrastructure-as-code, especially Terraform. - Experience designing for high availability, performance, and observability at scale. - Demonstrated ability to mentor other engineers, elevate code quality, and contribute to architectural discussions. - Background working in mission-driven, regulated, or high-trust environments (e.g., healthcare, nonprofit, financial services). - Strong product mindset with the ability to translate user and business needs into clean, scalable technical solutions. Reliable High-Speed Internet Required: Must have a stable high-speed internet connection to support seamless remote collaboration, virtual meetings, online job tasks, etc. The full salary range for this position, across all United States geographies, is $115,192 to $160,018. The upper portion of the salary range is typically reserved for existing employees who demonstrate strong performance over time. Starting salary will vary by location, qualifications, and prior experience; during the interview process, candidates will learn the starting salary range applicable for their location. We pay competitively in the tech-forward nonprofit space and offer a robust benefits package. Only candidates in the following states will be eligible for employment: CA, CO, CT, FL, GA, IL, IN, IA, MD, MA, MI, MO, NJ, NM, NY, NC, OH, PA, TN, TX, UT, VA, WA Benefits & Well-Being Crisis Text Line offers thoughtfully designed, equity-centered benefits that support holistic wellness, financial security, and flexibility. Our benefits are built to meet people where they are and reduce barriers to care and sustainability. Highlights include: - Comprehensive medical, dental, and vision options that prioritize accessibility and financial peace of mind - Employer-funded HSA contributions - Generous PTO, sick time, and 19 paid holidays with a winter break - 12 weeks of fully paid parental leave after 26 consecutive weeks of service - Monthly wellness and mental health stipends - Home office and professional development stipends - 403(b) retirement plan with employer contribution - Sabbatical after 3 years of service Benefits are for U.S.-based employees; international benefits may vary. #LI-KR1 This is a remote-only position Please note: The following eligibility applies to U.S.-based roles only. Only candidates in the following states will be eligible for employment: CO, CT, FL, GA, IL, IN, MD, MA, MI, NJ, NM, NY, NC, PA, TN, TX, UT, VA, WA.

Brightree, a ResMed company, is looking for a Senior Software Engineer to join the Brightree engineering team. As an experienced software engineer, you will work closely with business and technical leaders to refine our technical direction and product strategy while delivering data-driven, intelligent solutions that improve patient outcomes in the HME industry.  The ideal candidate is a strong technologist with an ownership mindset who takes pride in designing scalable system architectures and driving innovation. You are a collaborative team player, eager to work across disciplines, mentor junior developers, and deliver high-quality, resilient, and high-scale distributed systems that have a direct impact on our customers.   Key Responsibilities  - Own and lead architecture discussions, designing highly scalable, performant, and resilient software solutions in a cloud-native environment. - Demonstrate strong ownership of software components from design to deployment, ensuring system reliability and maintainability.  - Apply AI-assisted development tools (e.g., GitHub Copilot, Augment, MCP servers, and Agentic AI frameworks) to enhance productivity and code quality.  - Design data-centric architectures, treating data as a first-class citizen for secure transport, storage, and analytics.  - Champion a quality-first approach, implementing unit tests, automation frameworks, and robust functional testing.  - Identify codebase and system design gaps, setting and maintaining high-quality engineering standards through code, security, and design reviews.  - Enhance product scalability and self-service capabilities, ensuring efficient onboarding and customer adoption.  - Take an active role in mentoring junior engineers, sharing technical expertise, and fostering a culture of collaboration and innovation.  - Support hiring efforts, participating in interviews and attracting top engineering talent.    Required Qualifications & Experience  -  8+ years of experience in software engineering, preferably using Microsoft .NET technologies in a web-based, high-traffic system.  - Strong architectural design skills, with experience building scalable, distributed, and event-driven systems.  - Expertise in ASP.NET, including Razor, WebForms, Web API, WCF, JavaScript, CSS, and caching services.  - Expertise in writing and maintaining REST/WCF or GRPC API’s. - Proficiency in MS SQL Server (T-SQL/SQL) in a high-volume transaction environment.  - Proven ability to design and implement RESTful APIs and microservices.  - Hands-on experience with CI/CD pipelines, deployment strategies, and zero-downtime deployments.  - Production experience with event-driven architectures or message-broker solutions (e.g., Kafka, RabbitMQ).  - Proficient in object-oriented programming, API design, and distributed system principles.  - Strong experience in source code versioning, configuration management, and automated build pipelines.  - Proactive problem-solver with an ownership mentality, always looking for opportunities to optimize system performance and stability.    Preferred Skills & Experience  - Bachelor's degree in Computer Science or related field. - 4+ years of experience developing and operating applications in AWS, with a strong understanding of key AWS services and tools.  - Experience decomposing monolithic applications into smaller, autonomous services.  - Knowledge of Domain-Driven Design (DDD) and best practices for designing scalable services.  - Hands-on experience with Docker containerization in production environments.  - Healthcare or HME industry experience will be a plus.  Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.

Brightree, a ResMed company, is looking for a Senior Software Engineer to join the Brightree engineering team. As an experienced software engineer, you will work closely with business and technical leaders to refine our technical direction and product strategy while delivering data-driven, intelligent solutions that improve patient outcomes in the HME industry.  The ideal candidate is a strong technologist with an ownership mindset who takes pride in designing scalable system architectures and driving innovation. You are a collaborative team player, eager to work across disciplines, mentor junior developers, and deliver high-quality, resilient, and high-scale distributed systems that have a direct impact on our customers.   Key Responsibilities  - Own and lead architecture discussions, designing highly scalable, performant, and resilient software solutions in a cloud-native environment. - Demonstrate strong ownership of software components from design to deployment, ensuring system reliability and maintainability.  - Apply AI-assisted development tools (e.g., GitHub Copilot, Augment, MCP servers, and Agentic AI frameworks) to enhance productivity and code quality.  - Design data-centric architectures, treating data as a first-class citizen for secure transport, storage, and analytics.  - Champion a quality-first approach, implementing unit tests, automation frameworks, and robust functional testing.  - Identify codebase and system design gaps, setting and maintaining high-quality engineering standards through code, security, and design reviews.  - Enhance product scalability and self-service capabilities, ensuring efficient onboarding and customer adoption.  - Take an active role in mentoring junior engineers, sharing technical expertise, and fostering a culture of collaboration and innovation.  - Support hiring efforts, participating in interviews and attracting top engineering talent.    Required Qualifications & Experience  -  8+ years of experience in software engineering, preferably using Microsoft .NET technologies in a web-based, high-traffic system.  - Strong architectural design skills, with experience building scalable, distributed, and event-driven systems.  - Expertise in ASP.NET, including Razor, WebForms, Web API, WCF, JavaScript, CSS, and caching services.  - Expertise in writing and maintaining REST/WCF or GRPC API’s. - Proficiency in MS SQL Server (T-SQL/SQL) in a high-volume transaction environment.  - Proven ability to design and implement RESTful APIs and microservices.  - Hands-on experience with CI/CD pipelines, deployment strategies, and zero-downtime deployments.  - Production experience with event-driven architectures or message-broker solutions (e.g., Kafka, RabbitMQ).  - Proficient in object-oriented programming, API design, and distributed system principles.  - Strong experience in source code versioning, configuration management, and automated build pipelines.  - Proactive problem-solver with an ownership mentality, always looking for opportunities to optimize system performance and stability.    Preferred Skills & Experience  - Bachelor's degree in Computer Science or related field. - 4+ years of experience developing and operating applications in AWS, with a strong understanding of key AWS services and tools.  - Experience decomposing monolithic applications into smaller, autonomous services.  - Knowledge of Domain-Driven Design (DDD) and best practices for designing scalable services.  - Hands-on experience with Docker containerization in production environments.  - Healthcare or HME industry experience will be a plus.  Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.

Something special starts here. You can’t define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full – with joy, purpose and lifelong health – it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you’re looking for at LMH Health. You'll find everything you’re looking for at LMH Health: - Join a team that cares about the community - Tuition reimbursement to support continuing education - Professional development and recognition - Excellent benefits We’re looking for you. Job Description *MUST LIVE IN KS OR MO- MUST BE WITHIN Driving distance of Lawrence KS. I. JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical record. The Coder must stay up to date on code changes and coding guidelines to assure quality and code compliance is met at all times. The Coder has additional combined responsibilities of data quality and insurance representative functions working closely with other members of the HIMS department. II. ESSENTIAL JOB RESPONSIBILITIES - Reviews inpatient and outpatient medical records to identify the principal diagnosis and all applicable secondary diagnosis and procedures. - Use computerized encoding system to facilitate accurate coding according to the appropriate classification system. - Sequence diagnosis and procedures by following ICD-10-CM & ICD-10-PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines. - Will be cross-trained to assist with backlog in any needed focus-coding group. - Work cooperatively with medical staff and other healthcare professionals in obtaining documentation to ensure optimal hospital payment and accurate data input. - Prepare workload reports and participates in department continuous quality improvement studies. - Abstract medical data from the record to complete discharge data abstract on each outpatient. - Complete and verify diagnostic, demographic and other information for submission to KHDS. - Review, verify, and initiate necessary correction processes for data quality review. - Participate in medical record documentation auditing to monitor physician compliance with regulatory requirements. - Communicate and advise other hospital personnel on coding and DRG assignment. - Meet established quality and productivity standards. - Adhere to all hospital and departmental policies, procedures and regulations, including attendance. - Perform other related duties as assigned or requested. - Requires ability to concentrate and maintain accuracy in spite of frequent interruptions and/or distractions, sit for long periods. - Must be able to follow instructions and use sound judgment. - Requires close mental and visual attention to details, as well as excellent verbal and written communication skills. - Able to handle frustration and interactions with others in a professional manner. - Requires self-motivation to complete work assignments in a timely, accurate manner. - Maintain ongoing registration and continuing education for applicable credentials - Performs other duties as needed or assigned. - Regular and reliable attendance is an essential function of this position III. JOB QUALIFICATIONS Required: - High School Diploma or equivalent - Completion of one of the following through AHIMA accredited programs: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator OR - Credentialed through AAPC or in progress Preferred: - Radiation oncology experience - Associates or Bachelor’s Degree in Health Information Management - 3M Coding Solution Knowledge Remote Work/Work-from-Home: This position is entirely remote or work from home following completing of onboarding training program. This person must live within Kansas or Missouri, and will be required attend on-site meetings, as scheduled. Our Cultural Beliefs - People First - Integrity Matters - Better Together At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.