21st Century Home Health Agency is growing fast, and our technology has to keep pace. Salesforce is the backbone of how we capture referrals, convert them to admissions, and equip our community liaisons in the field — which makes this role central to how quickly and how well the agency grows.
You'll own our Salesforce environment — build it, run it, and know it better than anyone. This is a hands-on back-end development job, not configuration or consulting. You'll work directly with leadership to design solutions, write production code, build MuleSoft integrations, and automate our Health Cloud org.
Sometimes you'll work solo, sometimes alongside our outside Salesforce consultants. Either way, you're the internal technical authority. Fully on-site in Burlingame.
What you'll do
Write and maintain production Apex — classes, triggers, batch and scheduled jobs, async processing
Build custom UI with Lightning Web Components (and Aura where it still lives)
Build and optimize MuleSoft integrations connecting Health Cloud to clinical, operational, and third-party systems
Design REST and SOAP integrations
Write complex SOQL and SOSL, and keep it fast and inside governor limits
Automate business logic across the platform — Flows, batch processes, custom scripts
Run sandboxes, deployments, and release pipelines (Salesforce DX, change sets, Copado or Jenkins)
Scope, review, and validate what external consultants deliver
Administer the org — users, profiles, permission sets, roles, security
Handle data migrations, ETL, and data integrity with Data Loader and scripts
Keep Git discipline and document architecture, customizations, and integration logic
Build the reports and dashboards our operational and clinical teams rely on
Debug and fix platform issues using developer console, debug logs, and error analysis
4+ years of hands-on Salesforce development, primarily back-end
Health Cloud experience — you know the data model and how clinical workflows are built
Deep Apex: triggers, batch, future methods, queueable jobs, real test coverage
Strong MuleSoft development — API design, deployment, cross-system connectivity
JavaScript, HTML, and CSS for LWC work
Comfortable writing scripts for automation, data processing, and system operations
Track record as an internal developer, and/or working directly with outside Salesforce firms
Git required; CI/CD experience (Salesforce DX, Copado, or similar) strongly preferred
Solid grasp of governor limits, platform architecture, and the security model
Able to turn business and clinical requirements into scalable solutions without hand-holding
Certifications
Salesforce Certified Administrator — required
Platform Developer I — required; Platform Developer II strongly preferred
MuleSoft Certified Developer — required or in progress
Job details are sourced from the employer's original posting.
Open job postingAbout the company
21st Century Home Health Services Inc. provides home health care services.