Product Engineer

About us

ecares health is a healthcare technology startup spun out of Essen Health Care, a large multispecialty provider group in the Bronx. We're building the care coordination OS that brings concierge medicine to underserved communities. Our platform powers proactive outreach, intelligent care programs, and automated scheduling, helping provider groups ensure no patient falls through the cracks.

Through our unique relationship with Essen Health Care, we have access to clinical and operational experts who help drive our product strategy and refine our vision. Our platform is currently live with active users at Essen, and we are finalizing expansion to more practices across New York City in the coming months.

Why ecares

Healthcare is full of absurd complexity: a patient has two tax IDs, three insurance plans, referrals that expire in ways that don't make sense, and an EHR that was built in 1999. A clinical rule that sounds simple ("high-risk diabetes patients should see endocrinology every 90 days") touches eligibility logic, scheduling constraints, provider credentialing, and half a dozen integrations.

There are a hundred health tech startups with AI in their names, but few are interested in leveraging LLMs, and other cutting-edge technology, to build the operational infrastructure that makes care coordination work. And none are as committed as we are to the belief that technology is society's strongest lever to improve health at a population level.

Position title: Product Engineer

Job Summary: We're hiring a Product Engineer to join our founding engineering team. Where our Software Engineers take well-scoped tickets and ship them, you'll work closer to the problem. You'll take a loosely defined need, e.g."care managers need a better way to see which patients are falling behind on their care plan, and own the feature from discovery to development to launch. You'll work directly with the product team and our designer to shape features and how users interact with the platform.

This role requires product judgment as much as engineering skill. You'll make tradeoff calls in the moment: what's good enough for v1, what edge case actually matters, what's going to confuse a care coordinator vs. what's going to save them 20 minutes a day. You need to be comfortable making those calls and moving, then adjusting based on what you see.

Responsibilities

You will manage the data layer and intelligence layer of ecares, including:

• Patient, provider, scheduling, and care coordination data
• Operational performance metrics
• Product analytics for new features
• Predictive models for access, utilization, and outcomes
• Data pipelines and experimentation frameworks

Your work will directly influence:

• How patients are scheduled
• How providers are utilized
• How care teams coordinate
• How product features are designed

 What You’ll Do

You will:

• Build and manage data pipelines connecting:
  • eClinicalWorks (eCW)
  • ecares health
  • Operational systems
• Design data models that reflect real healthcare workflows
• Create prototypes, simulations, and experiments to test:
  • Scheduling efficiency
  • No-show reduction
  • Care coordination outcomes
• Partner with:
  • Product owners
  • Software engineers
  • Operations and clinical leaders
• Define and track KPIs that matter in healthcare:
  • Access
  • Throughput
  • Outcomes
  • Utilization
• Help decide what features should be built based on data
• Design analytics that are embedded directly into the product

You will operate as both a data engineer and a product & operations consultant.

What we’re looking for

• 3+ years of professional software engineering experience, with meaningful experience building user-facing products
• Strong frontend skills and enough backend to be self-sufficient
• Product instinct. You can look at a workflow, identify what's broken, and propose a solution that's practical and buildable. You don't need a detailed spec to get started.
• Good design sense. You care about how things look and feel, not just whether they work. You can partner with a designer effectively and fill in the gaps on your own when needed.
• Comfortable with ambiguity. You'll often start with a problem, not a solution. You ask the right questions, make reasonable assumptions, and course-correct as you learn.

Our stack: Python (FastAPI), React/TypeScript, MSSQL, Redis, Azure (Container Apps, Static Web Apps, DevOps Pipelines), Terraform.

Nice to have

• Health tech or healthcare experience
• Experience with HER systems or healthcare data
• Experience working directly with end users to understand workflows and iterate on solutions
• Background in design, UX research, or working closely with design teams
• Background working with underserved communities or in mission-driven organizations

Location

Based in the Bronx, co-located with Essen Health Care. We sit next to the care coordinators, clinicians, and operators who use the platform every day and work in a community that we serve. Instead of scheduling a user research session, you can walk down the block and see someone using what you built.

Hybrid: 3 days on-site, 2 days remote.

Why this role

You’ll shape the technical foundation of a platform that’s live, growing, and directly improving healthcare for underserved communities.

Essen Health Care and ecares health are Equal Opportunity Employers and are committed to creating an inclusive, diverse, and equitable workplace for all.