Cenva Labs

See our full job description & details here


About Cenva Labs

Cenva Labs is a healthcare-focused software engineering firm based in Los Angeles. We build and maintain the technical infrastructure for healthcare organizations, with a primary focus on our anchor client, a concierge primary care practice serving employer groups across multiple states.

We're a small, high-trust team where engineers have real ownership over systems that directly affect patient care. No layers of middle management, no Jira ticket factories. You'll work on meaningful problems with significant autonomy, and your work will have a tangible impact on how healthcare gets delivered.

Our mission: Build software and businesses that people love.

Our values:

  • Honesty - We communicate openly, directly, and with integrity.
  • Diligence - We take pride in doing the work well, from first principles to finished product.
  • Autonomy - We trust our people to take ownership, make decisions, and push ideas forward.

The Role

We're looking for a senior engineer who can serve as the day-to-day technical lead for our healthcare client engagement. This is a player-coach role: you'll write code, review code, ship features, and also guide a junior engineer, make architecture decisions, and own the reliability of production systems.

This is not a "manage from a distance" role. You will be hands-on in the codebase every day while also taking increasing ownership of technical direction, client communication, and team leadership over time.

Why This Role Exists

Our founder currently serves as the primary technical leader for our healthcare client while also growing the business. We're hiring this role to build bench strength, reduce single-point-of-failure risk, and give our client a dedicated senior technical leader who can own the day-to-day.

What that means for you: This is a path to running the technical operation for a growing healthcare company, not a cog-in-the-machine role at a large organization. You'll have real authority, real responsibility, and a clear trajectory.

What You'll Work On

Core Technical Work (70%)

  • Cloud Infrastructure (AWS): Maintain and extend serverless and containerized infrastructure on AWS (Lambda, ECS, S3, RDS, SQS, CloudWatch). You should be comfortable owning the full deployment lifecycle.
  • Full-Stack Application Development: Build and maintain applications using TypeScript/Node.js on the backend and React on the frontend. Our infrastructure framework is SST (Serverless Stack) on AWS.
  • Healthcare Integrations: Build and maintain integrations with EHR systems, scheduling platforms, lab systems, and third-party healthcare APIs. This is messy, real-world integration work, not clean REST APIs.
  • Data Pipelines & Automation: Design and maintain data flows for everything from patient eligibility, claims data, census collection, and care gap identification.
  • Reliability & Monitoring: Own the health of production systems. Build and extend our alerting, handle incidents, and improve observability.

Leadership & Mentorship (30%)

  • Guide Junior Engineers: Provide code reviews, pair programming, and technical mentorship to our current junior engineer. Help them grow.
  • Technical Decision-Making: Own architecture decisions for new features and system improvements. You'll have a strong voice in what we build and how, and work directly with the founders, and both clinical and operational leadership.
  • Partner Communication: Participate in operational calls with partners, translate clinical/operational needs into technical solutions, and communicate progress clearly.
  • Process Improvement: Have an ownership role in continuing to shape the engineering practices that work for a small team: lightweight CI/CD, testing strategies, documentation, deployment procedures.

What We're Looking For

Required

  • 4+ years of professional software engineering experience, with meaningful time as a senior or lead engineer
  • Strong AWS experience - you've built and maintained production infrastructure on AWS, not just used it in tutorials. Lambda, ECS, RDS, S3, IAM are familiar territory.
  • Full-stack TypeScript/JavaScript proficiency - comfortable across Node.js backends and React frontends
  • Experience with relational databases (PostgreSQL strongly preferred)
  • Integration experience - you've connected systems via APIs, webhooks, etc., and dealt with the messiness of third-party data
  • Comfortable working autonomously - this is a small team. You need to be self-directed, proactive, and able to unblock yourself.
  • Strong written communication - remote-first means async communication matters. You write clearly and proactively.
  • US-based, available during West Coast or Central business hours

Strongly Preferred

  • Healthcare industry experience - you've worked with healthcare data, HIPAA requirements, or healthcare SaaS. You understand why healthcare software is different.
  • HIPAA compliance familiarity - you know what PHI is, how to handle it, and why it matters. (We'll provide HIPAA training regardless, but baseline awareness is a big plus.)
  • Experience with EHR/EMR integrations - Elation, Epic, Cerner, Athena, or similar
  • SST (Serverless Stack) or similar IaC frameworks - Terraform, CDK, or Pulumi experience transfers well
  • Experience mentoring junior engineers - you've helped someone grow, not just reviewed their code

Nice to Have

  • Familiarity with healthcare billing, claims, or eligibility workflows
  • Experience in a small team or startup environment (< 10 people)
  • Background in regulated industries (healthcare, fintech, etc.)

What We Offer

Compensation

  • $130,000 - $150,000 base salary (based on experience and location)
  • Bi-annual performance reviews with 1-5% merit-based raises (i.e. 2-10% a year)
  • Paid biweekly

Benefits

  • Health, Dental, and Vision insurance (50% employer-covered)
  • 401(k) plan
  • Unlimited PTO (we actually mean it - coordinated with your manager)
  • US federal holidays observed

The Intangibles

  • Ownership, not tickets. You'll own systems end-to-end, not get assigned Jira stories. Your judgment matters here.
  • Stability in the age of AI. We're not a "move fast and replace engineers with AI" shop. We use AI tools to move faster, but we value engineers who understand systems deeply. Healthcare software requires human judgment, compliance awareness, and the kind of careful engineering that AI can't replace.
  • Growth trajectory. This role is designed to evolve at a growing organization. As you take ownership, your scope and influence grow. We're building the team, not shrinking it.
  • Mission that matters. Our client is a concierge healthcare practice that provides dedicated care management to patients. The systems you build directly enable better patient outcomes. It's not adtech.
  • Small team, high trust. No bureaucracy, no politics. A small team of people who care about doing good work.

Hiring Process

  1. Application / Intro - Resume + brief cover note on why this role interests you
  2. Screening Call (30 min) - Culture fit, background, mutual Q&A with Allen
  3. Paid Technical Assessment (async, ~6 hours) - A practical take-home that reflects real work you'd do on the job (not LeetCode). We value your time, and will compensate you for spending it working interviewing with us (regardless of whether you join us).
  4. Technical Deep Dive (60 min) - Walk through your assessment, discuss architecture, talk through real scenarios
  5. Final Conversation (30 min) - Any remaining questions, logistics, offer discussion

Timeline: We generally aim to move through this process in about 2 weeks.

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