Software Engineer (Python/SQL) – Healthcare Data | San Juan, On-site

A physician-owned medical group, growing 60% year over year and expanding across several states, runs its operations from a 40-person office in San Juan. We are hiring one engineer to build our own software and turn our operational data into decisions. You will work directly with the owner and our U.S.-based developers, with a full AI-tooling budget (Claude Code and API) and the hardware you want. **What you’ll build** * A proprietary platform for the business side of medicine: coding-compliance and claims documentation tools, billing, collections, and reporting, integrated with our imaging and scheduling systems * Internal tools for scheduling, intake, and records workflows, used daily by our sites * Automated reporting: recurring reports from phone, scheduling, imaging, and accounting systems pulled on a schedule into one dashboard * Python automations, documented so the team can maintain them * Workflow fixes made on-site with operations staff, and the rollout of AI tools to the office with training and HIPAA-compliant usage rules **You have** * Three or more years of production Python with SQL * Built and deployed a web application or internal tool with a database behind it * Built scheduled data pipelines; Git; REST APIs * Shipped a dashboard or report other people relied on * Spanish and English, spoken and written * Authorization to work in Puerto Rico; on-site in San Juan Even better: medical billing, coding, or revenue-cycle exposure; DICOM, HL7, or FHIR; FastAPI/Django/Node and a frontend; Postgres; hands-on with LLM tooling. This role works with protected health information. HIPAA training is required and provided. **Compensation and benefits** $75,000–$95,000 base, depending on experience, plus a performance bonus tied to what you ship. Health and dental insurance, paid time off, and paid holidays. Full-time, on-site. **To apply** Send a resume and a link to, or short description of, something you built that people actually used. Process: a 30-minute call, a 90-minute live build exercise, and a conversation with the owner. Interviews are recorded with your written consent. Offers are contingent on a background check conducted in accordance with applicable law. Pay: $75,000.00 - $95,000.00 per year Benefits: * Dental insurance * Health insurance * Paid time off * Vision insurance Work Location: In person