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Senior Software Engineer, Infrastructure

Job in New York, New York County, New York, 10261, USA
Listing for: Fathom
Full Time, Seasonal/Temporary position
Listed on 2026-01-29
Job specializations:
  • Software Development
    Software Engineer, Cloud Engineer - Software
Salary/Wage Range or Industry Benchmark: 160000 - 220000 USD Yearly USD 160000.00 220000.00 YEAR
Job Description & How to Apply Below
Location: New York

Senior Software Engineer, Infrastructure

Pay Competitive

Location:

New York, New York

Employment type:

Full-Time

Job Description

Req#:  Fathom is on a mission to use AI to understand and structure the world’s medical data, starting by making sense of the terabytes of clinician notes contained within the electronic health records of the world’s largest health systems. Our deep learning engine automates the translation of patient records into the billing codes used for healthcare provider reimbursement, a process today that costs hospitals in the US $15B+ annually and tens of billions more in errors and denied claims.

We are a venture-backed company that completed a Series B round of financing for $46M in late 2022. Fathom is hiring for a Senior Software Engineer, Infrastructure to join our expanding team in New York. This opportunity is worth exploring if you are someone who is passionate about intelligent automation and you get excited about being the 10X multiplier on your team.

You will be leading the way for us in devops and security. To that end, we are looking for experienced candidates who are comfortable operating with autonomy. We need you to utilize your combination of strong software engineering experience and cloud service mastery to design, deploy, and monitor all operational aspects of our platform.

Please note that New York area opportunities are hybrid only and require 3 days in office weekly at our financial district location in Manhattan.

Your role and responsibilities will include:
  • Working to ensure the stability, security, and performance of Fathom’s platform
  • Developing dependable internal tools that aid our machine learning and software engineers to be more efficient, in everything from infrastructure deployment to continuous integration and testing
  • Maintaining and configuring internal development and access control systems
  • Collaborating with our product and engineering teams to identify strategic long-term projects and preempt infrastructure needs in advance
We are looking for a teammate with:
  • 5+ years of development experience in a company/production setting
  • Experience with building, controlling, and monitoring secure cloud-based platforms
  • An ability to define, defend, and drive technical infrastructure decisions and initiatives
  • Basic operational familiarity with databases (SQL and No

    SQL) and ability to help pick and implement the right tool for a given job
  • A desire to collaborate in office 3 days weekly
Bonus points if you have:
  • Fluency in Python
  • Knowledge of Google Cloud
  • Experience with tools like Docker, Kubernetes, and/or Spark
  • Familiarity with continuous integration systems like Circle

    CI or Jenkins and/or continuous delivery systems such as Spinnaker
  • Skills in devops in support of machine learning
  • Interest in machine learning and/or healthcare
Salary range:

$160,000 - $220,000 USD

About the company

What if you had a coder who could code millions of charts per day at unparalleled accuracy and cost? Fathom uses AI to automatically code charts straight to billing.

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Position Requirements
10+ Years work experience
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