Senior Backend Software Engineer

This is a fully remote position, open to applicants in California, +2 more states.

📋 Description

• Create and develop systems for the storage and management of clinical data, which includes treatment plans, progress notes, patient histories, and AI-driven clinical intelligence.

• Construct and enhance insurance billing systems that estimate and process claims for major insurance providers.

• Design backend services for tailored care recommendations, health monitoring, longitudinal data representations, and therapist discovery experiences.

• Develop ledger systems that guarantee accurate payments to over 70,000 providers, ensuring idempotency and strict consistency.

• Identify solutions for ambiguous challenges and deliver production-level software.

• Make technical choices that are optimized for maintainability and scalability.

• Enhance engineering efficiency through the use of tooling, automation, and reusable patterns.

• Guide engineers through design discussions and code evaluations.

• Collaborate with various teams and communicate via Slack, design documents, and meetings.

• Utilize AI and LLMs for code generation, operational automation, and developer tools in a responsible manner within healthcare.

• Engage in live coding sessions, technical interviews, and non-technical interviews as part of the recruitment process.

⛳️ Requirements

• Proven experience in transforming ambiguous problems into deployable software solutions.

• Capability to define solutions, engage the appropriate cross-functional partners, and adjust to shifting priorities.

• Technical decision-making that emphasizes maintainability and scalability.

• Ability to enhance engineering velocity through tooling, automation, and established engineering patterns.

• Experience in mentoring engineers during design discussions and code reviews.

• Skill in delivering functional solutions rapidly and iterating based on user feedback.

• Quick learner of complex healthcare domains, including payer rules, regulations, and exceptions.

• Strong communication skills in Slack threads, design documents, and cross-team meetings.

• Background in experimenting with LLMs for code generation, operational automation, or developer tools.

• A builder's mindset regarding responsible AI automation in healthcare.

• Proficiency in Python and TypeScript.

• Familiarity with Postgres, Redis, Snowflake, AWS, Temporal, Datadog, Sentry, or PagerDuty.

🏝️ Benefits

• Attractive equity package.

• Comprehensive medical, dental, and vision insurance.

• Health Savings Account (HSA) or Flexible Spending Account (FSA).

• 401(k) retirement plan.

• Reimbursement for Carrot Fertility services.

• 16 weeks of parental leave.

• Therapy reimbursement.

• Budget for professional development.

• 13 paid holidays.

• Full week off in December.

• Flexible Paid Time Off (PTO).