Senior Software Engineer II, RPM Growth & Ops

Passionate about precision medicine and advancing the healthcare industry? Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical information about the right treatments for the right patients, at the right time.

At Center Health, we help people with diabetes feel better every single day. You might know us for Aria , our AI coach. Aria chats with patients about their glucose, meals and medications, and people who use it lower their blood sugar twice as well as they do with a human coach. Behind Aria is something just as exciting: a remote patient monitoring (RPM) program that's growing fast with clinics all over the US. Clinics enroll their patients, and we connect to their glucose monitors. When someone starts drifting out of range, we let their care team know, instead of three months later at the next appointment. Patients get support between visits, clinicians get a clear view of who needs them most, and practices get a program that pays for itself. Every new clinic means hundreds to thousands more people getting better care, and you'll see that impact week by week. We're now part of Tempus , one of the biggest precision medicine platforms in healthcare. Tempus brings deep clinical history on millions of patients. We bring the live, day-to-day picture. Put together, that's a brand new way to care for chronic disease, and diabetes is only the beginning. We're a small team, and every one of us has been touched by diabetes, either personally or through someone we love. We started Center to build the thing we wished existed.

You'll be the engineer who keeps our RPM engine humming, and makes it better every week. Every day, a lot of systems have to work together: patient outreach, device connections, data sync, claims documentation and more. When they all run smoothly, patients get care and clinics thrive. You'll own that machine: the integrations, the monitoring, and a fast, friendly response when something needs attention. And because you'll know the system better than anyone, you'll be the first to spot the growth ideas hiding inside it.

Build and improve the automations behind outreach, data sync and reporting Bring your own ideas for growing RPM, and ship them Keep our RPM and EHR integrations healthy, with monitoring that tells us about problems before anyone else notices Work through our EHR integration pipeline: exports, re-exports, and the reports clinics rely on Be the quick, reassuring engineering response when clinics, patients and our support team need help Lead our EHR integrations as we take on larger clients How we build We build with AI every day, and we've put real care into doing it well. Our repo ships its own set of Claude Code agents that understand our security setup, our monitoring operations and our quality system. Every change moves through a clear loop: plan it, build it, test it, review it. If a change touches regulated code, the process catches it. The result is a small team that moves quickly, ships safely, and spends its energy on the interesting problems. Our stack is TypeScript from top to bottom: Svelte on the front end, Node services behind it, MongoDB underneath, Capacitor for mobile, and LangChain with Vertex and OpenAI powering the AI. A lot of our operations run on n8n. Don't worry if some of that is new to you. A couple of us had never written Svelte before joining and were shipping within a day. Some of what we build counts as a medical device, and we're a HIPAA business associate, so we take quality and privacy seriously. It adds a little process, and it also means you can be proud of everything that reaches a patient.

A solid track record of shipping and running production systems , usually 5+ years. We