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hhaexchange

SaaS platform for homecare operations

Principal Software Engineer

Full-Time
$165k - $180k/yr
Senior, Expert
Bachelor's, Master's
Remote in USA
RemoteMust be located in the Eastern or Central time zone; travel up to 10%, including overnight travel.
Software EngineeringBackend Engineering

About the job

Requirements
  • B.S. or M.S. degree in Computer Science, Engineering, or a related field, or equivalent significant industry experience.
  • At least 8 years of professional software engineering experience in a software product company building scalable, high-performance systems.
  • At least 5 years of experience building healthcare software, including handling protected health information under HIPAA.
  • Hands-on experience with HL7 and FHIR in production systems.
  • Strong production experience with C# and the .NET platform, and working knowledge of at least one other programming language such as Python or Java.
  • Experience designing, building, and operating software as a service on AWS or a similar cloud, using microservices, containers such as Docker and Kubernetes, and serverless services.
  • Solid understanding of relational databases such as SQL Server and PostgreSQL, and NoSQL databases, including diagnosing performance problems.
  • Experience building applications that meet HIPAA requirements, with knowledge of identity and access management, encryption, audit logging, and OWASP secure coding practices.
  • Record of leading technical work across more than one team without formal authority, and mentoring engineers.
  • Experience with Agile methods, continuous integration and continuous delivery, and DevOps practices.
  • Clear written and spoken communication, including the ability to explain complex technical topics to technical and non-technical audiences.
  • Strong analytical skills and a record of delivering practical solutions.
Responsibilities
  • Set the technical direction for systems owned by one or more teams, and record major decisions, options considered, and rationale in Architecture Decision Records.
  • Write, review, and ship production code regularly, focusing on high-risk work or work that sets patterns for other engineers.
  • Guide gradual modernization of legacy applications into modern services using the strangler pattern, defining the work sequence, rollback plan for each step, and measures of progress while feature delivery continues.
  • Design and review healthcare data exchange solutions using HL7, FHIR, and X12 EDI, accounting for trading-partner differences, version changes, error handling, and reconciliation between systems.
  • Own system-wide performance, reliability, availability, scalability, security, and accessibility; define measurable targets such as service level objectives and review results with teams.
  • Ensure designs protect protected health information and follow HIPAA requirements by applying least-privilege access, audit logging, encryption, and secure coding practices based on OWASP guidance.
  • Define and maintain coding standards, design review practices, project templates, and automated checks that are easy to find and follow.
  • Set practical guidance for responsible use of AI coding tools, including review and testing of AI-generated code and data that must never be entered into the tools, such as protected health information.
  • Coach engineers at all levels, provide specific written feedback in design and code reviews, and explain the reasons behind recommendations.
  • Work with Product Management, Product Owners, Quality Assurance, and Architecture to define scope, assess feasibility, and turn business needs into technical plans.
  • Identify technical risks early, state each risk plainly, describe options, and track the chosen mitigation through completion.
  • Act as a primary technical contact for executives and business partners, explaining technical trade-offs in plain language to technical and non-technical audiences.
  • Evaluate new tools and methods against clear criteria, including pilot scope, success measures, and production support ownership, before recommending adoption.
  • Perform other duties as assigned by a supervisor or HHAeXchange leader.
  • Travel up to 10%, including overnight travel.
Desired Qualifications
  • Experience with X12 EDI transactions such as eligibility, claims (837), and remittance (835).
  • Experience modernizing a legacy enterprise web application into modern services without a full rewrite.
  • Experience with TypeScript and Angular, or a similar framework, at enterprise scale.
  • Experience operating systems that communicate through messages or events, including change data capture.
  • Experience delivering software that meets Web Content Accessibility Guidelines in an enterprise application.
  • Practical experience using AI coding tools and the ability to describe the guardrails used.
  • Knowledge of Medicaid, home and community-based services, or electronic visit verification.

About the company

HHAeXchange provides a management platform that connects homecare agencies, state Medicaid programs, caregivers, and patients to coordinate care. The software works as a subscription service that centralizes scheduling, billing, and compliance tasks into one digital system. Unlike competitors that may focus on isolated tools, this platform unifies all stakeholders in the homecare ecosystem to ensure everyone has access to the same data. The company's goal is to improve the quality of patient care by reducing administrative work and making communication between providers and payers more efficient.

Company Size

1,001-5,000

Company Stage

Growth Equity (Venture Capital)

Total Funding

N/A

Headquarters

New York City, New York

Founded

2008

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Simplify's Take

What believers are saying

  • April 15, 2026 RCM Services monetizes billing, denials, and collections beyond software subscriptions.
  • August 17, 2026 Goal Tracking increases caregiver workflow lock-in and raises switching costs.
  • August 2026 provider survey and 2026 state-mandate updates support demand for compliance automation.

What critics are saying

  • Illinois’ free HHAeXchange EVV portal trains agencies to expect low-cost state software by 2026.
  • Combining Sandata, Cashé, and Generations risks product sprawl, delayed integrations, and support fragmentation.
  • A Medicaid procurement shift toward incumbent state portals or alternate EVV vendors would crush pricing power.

What makes hhaexchange unique

  • HHAeXchange spans care plans, EVV, billing, payroll, and RCM inside one workflow.
  • Illinois uses HHAeXchange as EVV aggregator and free state portal, locking in program infrastructure.
  • Sandata, Cashé, and Generations expand HHAeXchange’s installed base across Medicaid homecare operations.

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Benefits

  • Health Insurance
  • Paid Vacation
  • Paid Holidays
  • 401(k) Retirement Plan
  • 401(k) Company Match

Growth & Insights and Company News

Headcount

6 month growth

16%

1 year growth

17%

2 year growth

17%
HHAeXchange
Aug 17th, 2026
Introducing goal tracking: every visit moves a goal forward.

Introducing goal tracking: every visit moves a goal forward. by Robert Moore, Vice President, Product Management, HHAeXchange Mon Aug 17 2026 GOAL! A ball sailing into the corner of the net. A spike of adrenaline. A crowd on its feet. Everyone loves a goal. HHAeXchange all want to win - but that feeling means something different for everyone, because HHAeXchange is all chasing different goals. That's the heart of person-centered care. Every individual has their own needs, their own version of progress, and their own goal to reach. For someone receiving home and community-based services (HCBS), a goal might be learning to prepare a meal on their own. It might be getting dressed without help, or building the confidence to leave the house. Whatever the goal, tracking that progress is what turns a care plan from a piece of paper into real life experiences. Today HHAeXchange is introducing Goal Tracking, a new function within HHAeXchange that connects care plans, goals, and visit documentation all while eliminating paperwork. Care plans shouldn't live in a filing cabinet. Most care plans start out strong. Someone sits down, writes out the goals, and defines what progress looks like. Then real life sets in. Paper files. Spreadsheets. Progress notes on post-its attached to the back of a binder. As caseloads grow, it gets harder to see who's on track and who needs help because there is no single clear place to track progress. Goal Tracking gives care plans a home. As caregivers document outcomes during a visit in the HHAeXchange+ mobile app, those notes roll straight into the goal they support. Agency staff review and approve progress as it comes in. All the documentation stays updated because care is being delivered, not because someone remembered to update a spreadsheet that week. Care coordinators get a real view of where each individual stands and can spend their time on guidance and support instead of chasing down status updates. Build person-centered care plans. Care plans in HHAeXchange are built around the individual, not a template that gets forced to fit. Agencies can: * Create care plans with milestones, short term goals, and long term goals * Define milestones with clear, measurable outcomes * Set up criteria for goals and milestones by state and payer requirements * Reuse a plan structure across individuals with similar needs, instead of starting from scratch every time While purpose-built for Intellectual and Developmental Disabilities (I/DD), the configurable Goal Tracking templates can support other goal-based programs as well. See progress with every visit. A goal is only as good as the ability to see how someone is progressing towards it. Goal Tracking pulls that visibility into the visit itself: * Capture progress during both scheduled and unscheduled visits * Add goal notes directly from visit documentation, no separate entry required * Track status changes, milestone completion, and overall goal progress * View trends and history over time, not just a single snapshot * Give the whole care team a shared view of how someone is doing Spend time on the goals That need extra help. The point of tracking progress isn't the tracking itself. It's knowing when an individual is making strides towards their goals, and knowing when to step in. Goal Tracking is built to give you the visibility you need: * See which goals may need attention before they fall further behind * Know when to notify coordinators when intervention is needed * Monitor goal progress and completion across an entire caseload at once * Spot trends and identify at-risk individuals earlier * Keep clean, audit-ready records that support reimbursement and compliance The goal is the point. Not every goal comes with a cheering crowd. Some are quiet - a meal cooked alone, a morning routine managed without help, a small piece of independence handed to someone who deserves to live life on their own terms. Those wins deserve the same attention as the loud ones. Goal Tracking makes sure they get it, one visit at a time. Ready to see Goal Tracking in action? Request a demo today!

HHAeXchange
Apr 15th, 2026
HHAeXchange unveils end-to-end Revenue Cycle Management services to streamline and optimize homecare billing.

HHAeXchange unveils end-to-end Revenue Cycle Management services to streamline and optimize homecare billing. RCM Services combines expert oversight with operational insights to boost collections, reduce denials, and accelerate cash flow New York, April 15, 2026 - HHAeXchange, a leader in homecare management solutions for providers, caregivers, managed care organizations (MCOs), and state Medicaid programs, today announced the launch of Revenue Cycle Management (RCM) Services, a managed solution backed by expert oversight to help agencies increase collections, reduce denials, and maximize profitability. With today's agencies facing rising costs, ongoing payer complexities, and persistent staffing challenges, RCM Services delivers faster, cleaner reimbursement and greater financial predictability for HHAeXchange customers. Administrative workload and cost remain significant operational challenges for homecare agencies, with 41% of providers citing them as top concerns in HHAeXchange's 2025 Provider Voices Survey. RCM Services addresses this challenge by assuming responsibility for the entire revenue cycle from end to end, enabling agencies to focus more on caregiver support, operational stability, and most importantly, high-quality care. "Homecare providers are navigating diverse payers, rising costs, growing administrative demands, and an increasingly complex financial and regulatory environment," said Paul Joiner, CEO of HHAeXchange. "RCM Services relieves agencies of the operational burden of billing and collections while improving cash flow and business performance. By offloading revenue cycle management to experts who deeply understand homecare and the HHAeXchange platform, agencies gain clarity, efficiency, and more time to focus on care." RCM Services manages the full revenue cycle on behalf of agencies, from submitting claims and posting payments to resolving discrepancies, supporting rejections resolution, appealing denials, and minimizing aged receivables. Working directly within the HHAeXchange platform, the RCM Services team ensures accurate billing, timely follow-up, and continuous optimization. With these services, agencies can achieve a 97 percent collection rate or higher and a shorter payment timeline. "With RCM Services, our cash flow improved significantly in 60 days," said Jenny Chan, President of ABC Health Services Registry, Inc. "They resolved aged receivables and current billing issues, and we are getting paid much more quickly and at a higher percentage of what we bill than we did in the past. The RCM team actively engages with me and my staff and helps us through any new issues that arise." Beyond billing and collections, the service equips agencies with operational intelligence to help identify and address denial trends, authorization issues, and payer challenges. By addressing these issues at the source, agencies can submit clean claims, reduce rejections, and maintain payer compliance - a top concern cited by 70% of providers in HHAeXchange's 2025 Provider Voices Survey. Through a combination of deep expertise and granular visibility, RCM Services transforms revenue cycle management from a complex cost to a transparent profit center, driving increased collections, fewer denials, and accelerated cash flow. About hhaexchange. Founded in 2008, HHAeXchange is the leading technology platform for homecare and self-direction program management. Developed specifically for Medicaid home and community-based services (HCBS), HHAeXchange connects state agencies, managed care organizations, providers, and caregivers through its intuitive web-based platform, enabling unparalleled communication, transparency, efficiency, and compliance. In 2024, HHAeXchange expanded through the strategic acquisitions of Sandata, Cashé Software, and Generations Homecare System, strengthening its commitment to advancing the industry. For more information, visit hhaexchange.com or follow the company on X, LinkedIn, and Facebook.

HIT Consultant
Jan 17th, 2025
Recent Digital Health Executive Hires And Promotions: Medidata Expands Team, Carerev, Philips, Eko Health, Others

AVIZVA, a health-tech organization that offers a variety of solutions for healthcare enterprises, that it has appoints James Vertino as its new CEO.Model N appoints Bret Connor as Chief Executive Officer. The Board of Directors of Blue Shield of California appoints Lois Quam as chief executive officer to lead Blue Shield of California, the first woman to serve as CEO in the health plan’s 86-year history. She joined the company as president in 2024.   Yaqrit, a late-stage biotech and medtech company developing lifesaving treatments for advanced liver diseases appoints Troels Jordansen has joined Yaqrit as Chief Executive Officer.OP Solutions names Michael Kallish as Chief Executive Officer, effective immediately.Access TeleCare appoints Dr. Michael Genovese to Chief Medical Officer for Behavioral Health.Enveda appoints Jason Kim as Chief Financial Officer (CFO).Eko Health appoints of Justin Spencer as Chief Financial Officer (CFO). (Pull from site)Qure.ai appoints Jim Mercadante as its new Chief Commercial Officer. (Pull from site)Symplr, appoints Dr

HIT Consultant
Oct 3rd, 2024
HHAeXchange Acquires Sandata Technologies: Expanding Homecare Solutions

- HHAeXchange, a provider of homecare management solutions, announced today its acquisition of Sandata Technologies, a veteran in the homecare industry with four decades of experience.

HIT Consultant
Jul 8th, 2024
M&A: HHAeXchange Acquires Generations Homecare System

- HHAeXchange, a provider of homecare management solutions, announced today the acquisition of Generations Homecare System.