Software Engineer

Software Engineer

Location: Remote
Level: Mid-level (3+ years)

Company Summary

NourishedRx is the first operating system for Food is Health, providing a comprehensive platform that enables partners—including non-profits, counties, and states—to operationalize and scale their own clinically integrated nutrition programs. Founded in 2019, we are a high-growth digital health company built on the conviction that diet-related disease – the single largest influenceable category of healthcare spending – is best solved by treating diet as a root cause rather than a downstream symptom.

We provide the interoperable infrastructure that turns nutrition from a fragmented, manual effort into scalable healthcare infrastructure. By serving as the underlying operating system, we empower health plans and government entities to design, launch, and measure clinically integrated nutrition programs with a focus on outcomes-based reimbursement to drive meaningful health improvements.

Join us in revolutionizing healthcare through food.

The Role

NourishedRx is seeking a Software Engineer who already works the way modern engineering teams now work: with AI coding agents doing much of the typing, and the engineer doing the thinking. You will build across our TypeScript platform — member, clinician, and partner experiences, the services behind them, and the integrations and data that make outcomes-based reimbursement possible.

Here, being a software engineer means owning the problem, not just the code. You decide what should be built and how, write the plan and the guardrails, direct tools like Claude Code and Cursor to do the implementation, and then prove the result is correct before it ships. In healthcare, “the agent wrote it” is never an excuse: you are accountable for every line that reaches production, and for the members and clinicians who depend on it.

You will work closely with Product, Clinical, and Operations, including on our new ACCESS product for Medicare beneficiaries, and help shape how our team builds with agents as the tools keep changing.

Responsibilities

Building with Agents

• Use agentic coding tools (Claude Code, Cursor, Copilot) as your primary way of building: plan the change, direct the agent, and steer it when it goes wrong.

• Write the clear specs, acceptance criteria, and constraints that let agents produce correct work the first time — and recognize when a task is faster or safer to do by hand.

• Review agent-written code as carefully as a teammate’s: check the logic, edge cases, security, and whether it fits the codebase, not just whether it runs.

• Keep our codebase easy for both people and agents to work in: clear structure, good project instructions and context files, and tests that tell an agent when it is wrong.

• Share what works. Help evolve the team’s practices, prompts, and tooling as agentic tools improve.

Product & Platform Engineering

• Own features end to end across our TypeScript/Node services and React web apps, from understanding the need through release and follow-up.

• Build and maintain integrations with health plans, partners, and clinical data sources, and the data pipelines behind outcomes and performance reporting.

• Contribute to ACCESS, our AI-enabled offering for Medicare beneficiaries, including the agentic guide that helps members reach clinical goals.

• Work directly with Product, Clinical, and Operations to turn real workflows into simple, reliable software — including human-in-the-loop steps where judgment matters.

• Ship small changes often, watch how they behave in production, and fix what you find.

Quality, Safety & Reliability

• Verify before you ship: automated tests, running the real app, and checking results against what was asked — not just trusting a green build or an agent’s summary.

• Protect member data. Apply HIPAA-aware practices in everything you build, and never let sensitive data reach tools or services that shouldn’t have it.

• Build guardrails, logging, and escalation paths into AI-enabled features so that failures are caught and handled safely.

Qualifications

Required

• 3+ years of professional software engineering experience shipping production web applications.

• Hands-on, daily experience building with agentic coding tools such as Claude Code, Cursor, Codex, etc... not just autocomplete. You can describe how you plan work for an agent, how you review its output, and a time it confidently got something wrong and how you caught it.

• Strong TypeScript and Node.js skills, and experience building React front ends.

• Experience with relational databases (such as Postgres), APIs, and integrating with third-party systems.

• Experience deploying and running services in the cloud (AWS, GCP, or similar).

• Solid fundamentals that let you judge code you didn’t type: data modeling, debugging, testing, security, and performance.

• A habit of verifying your work — you test the real behavior, not just the happy path.

• Clear written communication. Much of the job is writing precise plans, specs, and reviews for both people and agents.

• Comfort with ambiguity: you can take a loosely defined problem, ask the right questions, and turn it into working software.

Preferred

• Experience in healthcare, digital health, or another regulated industry, including working with HIPAA or similar data-protection requirements.

• Familiarity with healthcare data and interoperability (FHIR, HL7, EHR integrations, eligibility or claims data).

• Experience building with LLM APIs, AI agents, or conversational products, including evaluation and guardrails.

• Experience with data pipelines, analytics, or outcomes and performance reporting.

• Experience setting up team-level practices for AI-assisted development (project context files, custom commands, review workflows, CI checks).

• Experience at a startup or growth-stage company.

• Side projects or open-source work built with agentic tools that you can walk us through.

Benefits

• Competitive salary and benefits package, including medical, dental, and vision coverage.

• Access to the agentic coding tools you need to do your best work.

• The chance to build a new AI-enabled, outcomes-based product for Medicare beneficiaries from early stages through launch and scale.

• A collaborative environment in which you can learn, grow, and contribute meaningfully to the success of a dynamic and innovative organization.