Staff Software Engineer – Payer

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

📋 Description

• Design and implement LLM-driven systems that analyze clinical documentation on a large scale and deliver real-time feedback to providers.

• Create ML/LLM systems that identify inappropriate billing practices, over-utilization, and subpar care in relation to claims and appointments.

• Convert risk signals into actionable feedback for providers and transparent reporting for insurance partners.

• Develop systems to evaluate prescribers against clinical quality benchmarks.

• Create ML systems that identify patient needs and connect them with appropriate providers.

• Construct AI evaluation frameworks, optimization cycles, and observability mechanisms to ensure the reliability and safety of LLM features in the healthcare sector.

• Set the technical standards for the Payers & Outcomes engineering team.

• Lay the architectural groundwork for other teams.

• Guide engineers and enhance engineering practices and efficiency.

• Formulate solutions for undefined issues, collaborate with cross-functional stakeholders, and deliver software.

• Engage in technical decision-making, design discussions, and code evaluations.

⛳️ Requirements

• Comprehensive product engineering experience encompassing API architecture, backend logic, frontend state management, and user experience design.

• Proven track record of transforming ambiguous challenges into successfully shipped software.

• Capability to make sustainable, scalable technical choices.

• Expertise in enhancing engineering efficiency through tools, automation, and reusable templates.

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

• Ability to deliver quickly and iterate based on user insights.

• Quick adaptability to complex healthcare payer, regulatory, and clinical environments.

• Passion for enhancing access to mental healthcare.

• Strong written and verbal communication skills.

• Background in applying LLMs to practical workflows, code generation, operational automation, or developer tools.

• Commitment to responsibly deploying AI in the healthcare industry.

• Proficiency in TypeScript and Python 3.

• Familiarity with technologies such as React, Remix, Next.js, FastAPI, SQLAlchemy, Postgres, Redis, Snowflake, AWS, Temporal, Kafka, Datadog, Sentry, PagerDuty, Cursor, Claude, Gemini, and Eddy.

• Candidates must be located in the NYC, San Francisco, or Seattle areas.

• Must possess authorization to work in the United States.

🏝️ Benefits

• Competitive equity package.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• HSA/FSA options.

• 401(k) plan.

• Reimbursement for Carrot Fertility services.

• 16 weeks of parental leave.

• Therapy reimbursement.

• Budget for professional development.

• 13 holidays annually.

• Full week off in December.

• Flexible paid time off (PTO).

• Reasonable accommodations available for individuals with disabilities.