Fullstack Software Engineer

ABOUT THE ROLE Join a small engineering team building software for healthcare providers and patients. You will own foundational systems and end-to-end product work, helping make complex clinical and operational workflows more accurate and efficient. WHAT YOU'LL DO - Design and build AI-enabled tools for clinical documentation, treatment planning, reassessments, and administrative workflows. - Develop systems for healthcare authorizations, billing, payment adjudication, and provider payouts. - Build provider operations software for credentialing, contracting, compliance, payroll, scheduling, and staffing. - Create patient and family experiences for intake, onboarding, scheduling, communication, progress tracking, and payments. - Automate operational workflows across credentialing, billing, authorizations, and care coordination. - Own platform foundations, including data models, APIs, security, reliability, AI infrastructure, and production systems. - Model complex workflows as clear states, transitions, and business rules, with careful attention to edge cases and data integrity. WHAT WE'RE LOOKING FOR - Four to ten years of fullstack software engineering experience, including full-time product engineering work at a startup. - Strong proficiency in Python and experience with NoSQL databases such as MongoDB or Firebase. - Experience making architecture or system design decisions and owning products end to end. - Background in healthtech, fintech, or another operationally complex and accuracy-sensitive industry. - Strong CS fundamentals, supported by a bachelor's degree or equivalent depth of education. - Careful, detail-oriented engineering judgment, especially around business logic, data integrity, and money movement. - Current work authorization that does not require employer visa sponsorship. COMPENSATION & BENEFITS Base salary: $160,000 to $200,000 annually. Visa sponsorship is not available. LOCATION Hybrid, with three days per week in the office in San Francisco, California. New York may also be considered.