by Terrance Ellis | Feb 13, 2026 | Uncategorized
This is a senior full-stack role where you own the shared services layer that powers the entire platform. You’ll lead end-to-end projects, set standards, and build core components like auth, user management, workflow orchestration, and patient profiles, meaning your work hits everything and everyone.
About House Rx
House Rx helps make specialty medications more affordable and accessible for patients, supporting clinics with technology and pharmacist-led care coordination. Their platform enables medically integrated dispensing (MID), allowing clinics to dispense meds directly to patients while improving access and outcomes.
Schedule
- Full-time
- Remote (United States)
- Fast-paced environment with frequent releases and high accountability
- Autonomy to lead projects and influence engineering standards
What You’ll Do
- Own full-stack projects from design through deployment on 4–6 week timelines
- Drive the architecture, standards, and reliability for shared services and core platform components
- Build and maintain systems across: authentication, user management, workflow orchestration, patient profiles, and related foundations
- Champion automated testing, code quality, and best practices across your pod and the broader org
- Collaborate and mentor teammates to elevate technical standards and share knowledge
- Ramp quickly: ship meaningful code in 30 days, lead projects to completion in 60 days, and shape roadmap/process improvements by 90 days
What You Need
- 7+ years of hands-on software engineering experience
- Strong TypeScript and React experience
- Strong backend and database skills with end-to-end full-stack delivery experience
- Deep understanding of REST APIs, including correct verb semantics and status codes
- Ability to break down complex requirements and UI designs into deliverable tasks and build intuitive, high-performance UIs
- Track record leading complex projects with strong accountability, quality, and timeliness
- Experience in late-stage startups or similarly fast-paced, high-accountability environments
- Strong testing, automation, and technical excellence mindset
- Strong IC energy with interest in growing toward Staff/Tech Lead
Benefits
- Expected base salary: $160,000–$210,000
- Total compensation may include equity, paid time off, and benefits
- Flexible work hours and flexible PTO
- Generous parental leave
- Comprehensive medical, vision, and dental benefits
- Competitive salary plus equity stake
If “shared services” makes your brain light up, this is the fun kind of hard. You’ll be building the foundations, not just features.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 13, 2026 | Uncategorized
This is a high-impact senior engineering role on the core pharmacy management platform that runs House Rx’s most critical workflows. You’ll own full-stack projects end-to-end, shape architecture and standards, and ship meaningful improvements fast in a daily-release environment.
About House Rx
House Rx helps make specialty medications more affordable and accessible for patients, supporting clinics with technology and pharmacist-led care coordination. Their platform powers medically integrated dispensing (MID), enabling clinics to dispense medication directly to patients while improving access and outcomes.
Schedule
- Full-time
- Remote (United States)
- Fast-paced, high-accountability environment with frequent releases
- Autonomy to lead initiatives and set engineering standards
What You’ll Do
- Lead full-stack projects from design through deployment on 4–6 week timelines
- Build and maintain APIs, backend services, and database-driven features powering the core platform
- Shape architecture, enforce design principles, and uphold reliability and scalability standards
- Champion automated testing, code quality, and engineering best practices across the pod and org
- Ramp quickly: ship meaningful code in 30 days, own pod-level projects in 60 days, and contribute to roadmap improvements by 90 days
What You Need
- 7+ years of hands-on software engineering experience
- Full-stack generalist skill set with a backend/database lean and strong API-building ability
- Strong TypeScript and React experience
- Deep understanding of REST APIs, including correct verb semantics and status codes
- Ability to break down complex product requirements and UI designs into deliverable tasks and build intuitive, high-performance UIs
- Experience in late-stage startups or similarly fast-paced environments
- Strong testing, automation, and technical excellence mindset
- Comfortable as a strong individual contributor with interest in growing toward Staff/Tech Lead
- Bias for action and ability to drive initiatives forward with pragmatic, well-designed solutions
Benefits
- Expected base salary: $160,000–$200,000+
- Total compensation may include equity, paid time off, and benefits
- Flexible work hours and flexible PTO
- Generous parental leave
- Comprehensive medical, vision, and dental benefits
- Competitive salary plus equity stake
This is a “core systems” seat. If you’re the type who likes owning messy, high-stakes workflows and turning them into clean, reliable systems, this is exactly that.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 13, 2026 | Uncategorized
This role is for a QA engineer who can build serious test coverage and hold the quality line while a team ships daily. You’ll write automated tests, partner with product and engineering to define acceptance criteria, and help keep data integrity and production health tight in a real healthcare environment.
About House Rx
House Rx builds healthcare technology that helps specialty medications become more accessible and affordable. Their platform supports pharmacy workflows and data insights that help internal teams and external providers streamline medication access and improve patient care.
Schedule
- Full-time
- Remote (United States)
- Cross-functional collaboration with Engineering, Product, and Infrastructure
- Occasional partnership with Support to triage production issues
What You’ll Do
- Write high-quality unit, integration, and data assertion tests to enforce code quality
- Drive testing best practices and hold developers accountable for test coverage
- Build deep understanding of datasets and enforce data quality and integrity
- Own QA for projects from kickoff through release to ensure high-quality deliveries
- Partner with product managers to define test criteria for new features
- Create and execute test plans based on product and design specs
- Implement end-to-end browser tests for long-term coverage of new and existing features
- Assist with monitoring system performance and overall platform health
- Help triage client-facing production issues as you build product expertise
What You Need
- 3+ years of QA engineering experience or test-driven development experience
- Experience with modern testing frameworks (Jest, Playwright, or similar)
- JavaScript/TypeScript and Node.js experience
- Ability to write intermediate SQL queries for data-related incident triage
- Incident management experience
- Familiarity with monitoring tools (Sentry, Grafana, etc.)
- Team-first mindset and comfort collaborating across disciplines
Benefits
- Expected base salary: $95,000–$115,000
- Compensation varies by experience, skills, and knowledge
- Total package may include equity, paid time off, and benefits
- Flexible work hours and flexible PTO
- Generous parental leave
- Comprehensive medical, vision, and dental benefits
- Competitive salary plus equity stake
This is not “click buttons and file bugs” QA. They want someone who builds guardrails, enforces quality, and can speak dev fluently.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 13, 2026 | Uncategorized
This role is for a technical PM who can run complex deliveries end-to-end while keeping security and compliance non-negotiable. You’ll bridge clients and engineering, manage schedules and dependencies, and make sure releases ship clean through CAB, UAT, and secure SDLC guardrails.
About Carenet Health
Carenet Health supports the healthcare consumer journey with technology-enabled services and human support. They operate in compliance-regulated environments where security, documentation, and predictable delivery matter.
Schedule
- Full-time
- Remote (United States)
- Hybrid Agile/SDLC delivery environment with change control, CAB governance, and release documentation expectations
What You’ll Do
- Partner with the Technical Client Relationship Director to translate business needs into project plans and delivery schedules
- Serve as the primary point of contact for project status, communicating timelines, dependencies, and technical impacts to all audiences
- Represent project interests during Change Advisory Board reviews to support release approvals
- Lead the full delivery lifecycle from intake and design through deployment and post-release validation
- Consolidate estimates from technical leads, build schedules, sequence work, and manage dependencies across QA, Dev, and DevOps
- Ensure teams use reusable frameworks and templates to maintain delivery consistency and velocity
- Facilitate sprint planning and stand-ups and enforce adherence to hybrid Agile/SDLC processes
- Translate requirements into technical tasks, sprint goals, and measurable milestones
- Maintain real-time visibility into project health, velocity, and interdependencies to improve predictability
- Identify risks early through feasibility assessments and technical risk evaluations during scoping
- Oversee UAT readiness and run defect triage to support production-quality releases
- Coordinate cross-functional resolution of blockers and project-level issues
- Ensure delivery plans align with HIPAA, SOC 2, and secure SDLC practices, protecting PHI/PII
- Audit project artifacts and documentation for release and compliance readiness
- Coordinate Developers, QA, DevOps, and Infrastructure to meet performance and scalability standards
- Lead post-deployment reviews and Root Cause Analysis for production issues
- Identify workflow improvements and automation opportunities to shorten delivery cycles
What You Need
- Bachelor’s degree in IT, Computer Science, or related field (or equivalent experience)
- 5+ years of experience in software development, system integration, or related technical fields
- 5+ years in technical delivery leadership or project management
- Strong SDLC and Agile methodology knowledge
- Ability to translate business requirements into technical deliverables and lead cross-functional teams
- Strong communication skills with the ability to explain technical concepts to non-technical stakeholders
- Track record delivering secure, scalable, high-quality software in regulated environments
- Familiarity with Microsoft .NET, C#, ASP.NET, MS SQL Server (2016/2019+), REST APIs
- Experience with source control and CI/CD tooling (Azure DevOps, Git/GitHub)
- Healthcare, BPO, or other regulated industry experience (preferred)
- Understanding of Capex vs Opex project classification and development hour tracking (preferred)
Benefits
- Full-time technical leadership role with high visibility across clients and engineering
- Strong governance and compliance focus (HIPAA, SOC 2, secure SDLC)
- Opportunity to improve delivery processes, automation, and release quality at scale
This is the kind of PM role where you’re either organized and assertive… or you drown. If you’re the former, it’s a solid fit.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 13, 2026 | Uncategorized
This is a hands-on, execution-heavy IT role for someone who can take infrastructure projects from plan to rollout without the wheels falling off. You’ll lead practice integrations, network refreshes, hardware deployments, and ISP coordination across multi-site oncology locations.
About OneOncology
OneOncology supports independent community oncology practices through a physician-led, patient-centric, technology-powered model. They provide the capital, expertise, and technology to help practices scale, integrate, and deliver better cancer care across the U.S.
Schedule
- Full-time
- 6-month contract-to-hire
- Hybrid/on-site in Nashville, TN or fully remote for the right candidate
- Up to 50% travel across the continental U.S.
What You’ll Do
- Lead planning and execution of IT infrastructure projects across practice networks
- Drive new practice IT integrations and onboarding, ensuring infrastructure readiness
- Plan and execute network refresh and optimization initiatives at existing locations
- Oversee server and hardware installations including switches, firewalls, and endpoints
- Manage telecom and ISP setup, quotes, procurement, scheduling, and migrations
- Translate project goals into actionable engineering tasks with timelines and deliverables
- Coordinate with internal teams, vendors, and field support to deliver multi-site deployments
- Serve as the technical lead during practice integrations, coordinating on-site and remote configuration work
- Ensure compatibility and readiness of clinical and corporate IT systems during onboarding
- Partner with the IT Project Analyst to align technical deliverables with project milestones
- Participate in cross-team meetings across Support, Networking, Applications, and Data teams
- Improve deployment templates, playbooks, and technical documentation
- Provide clear status updates on tasks, blockers, resource needs, and handoffs
- Document configurations, change logs, and operational transitions for ongoing support
- Contribute to process improvements that strengthen IT execution practices
What You Need
- 8+ years of IT engineering experience across system administration, networking, and server deployment
- 5+ years of hands-on IT project execution or engineering delivery experience
- Proven experience deploying infrastructure components (switches, servers, firewalls, endpoints)
- Strong coordination skills across teams and vendors in multi-site environments
- Familiarity with project planning tools and documentation standards
- Strong written and verbal communication skills
- Experience supporting healthcare practice integrations or multi-site IT rollouts
- Background in networking, system administration, or field engineering
- Ability to work independently and manage multiple concurrent projects
- Comfort working in an agile, remote-friendly IT environment
- MSP experience (preferred)
- Certifications like Network+, CCNA, or MCSA (a plus)
Benefits
- Contract-to-hire pathway with high ownership and real delivery impact
- Work that directly supports clinical operations across expanding oncology practices
- Mix of technical leadership, field execution, and process building at scale
Posted 10 days ago, so it’s still warm, but not new. Move with purpose.
If you’re the kind of engineer who can run the playbook and still improvise when the site is on fire, this role is built for you.
Happy Hunting,
~Two Chicks…
