We’re representing an early-stage healthcare technology startup rebuilding health insurance infrastructure to reduce friction for patients and providers. The company partners closely with direct primary care providers and is focused on building operational systems that make healthcare more usable, efficient, and human-centered.
Their platform powers claims workflows, payments, provider operations, and healthcare coordination systems through scalable backend infrastructure and intelligent automation. The team combines expertise across healthcare, engineering, product, and operations to modernize a highly complex and regulated industry.
What You Will Do
Build and scale backend systems and data pipelines that support healthcare claims, payments, and operational workflows
Design automation systems for provider notifications, support workflows, and internal operational tooling
Develop scalable APIs and infrastructure that improve reliability and operational efficiency across healthcare systems
Collaborate closely with Operations, Engineering, and business teams to translate complex workflows into robust technical systems
Rapidly prototype solutions and evolve them into maintainable, production-grade systems
Help define the long-term architecture and evolution of the company’s data platform
Work directly on systems that impact providers, patients, and internal operational teams in real-world healthcare environments
Contribute to technical design discussions, backend architecture decisions, and engineering best practices
Ideal Background
5+ years of professional software engineering experience (4+ years for exceptional candidates)
Strong Python backend engineering experience with production systems ownership
Experience designing and maintaining ETL workflows, data pipelines, or scalable backend systems
Strong systems thinking and ability to work through ambiguity in complex domains
Clear communicator capable of explaining technical tradeoffs and business impact
Comfortable working closely with operational and non-technical stakeholders
Interest in healthcare and willingness to navigate regulated, operationally complex environments
Preferred
Startup experience, particularly within early-stage or high-growth environments
Experience with Flask, FastAPI, SQLAlchemy, and PostgreSQL
Exposure to healthcare systems, claims infrastructure, EHR integrations, or healthcare vendor tooling
Experience working with large, messy, or operationally sensitive datasets
Familiarity with AI-assisted workflows or intelligent automation systems
Compensation and Benefits
Base salary: $140K–$240K
Equity / stock options included
Fully remote U.S.-based role with high autonomy and ownership
Flexible / unlimited PTO
Multiple annual company onsite events and team gatherings
Opportunity to work on infrastructure that directly improves patient and provider experiences
Early-stage environment with strong product ownership and meaningful technical influence
Numbers & Facts
Location
San Francisco, California (Remote)
Salary
$140,000–$240,000 Per Year
Skills
Application Programming Interface (API)unmatched
Artificial Intelligence (AI)unmatched
Automationunmatched
Automation Systemsunmatched
Best Practicesunmatched
Communication Skillsunmatched
Data Managementunmatched
Data Setsunmatched
Database Extract Transform and Load (ETL)unmatched
Engineeringunmatched
Health Insuranceunmatched
Healthcareunmatched
Healthcare Providersunmatched
Machine Toolunmatched
Medical Record Systemunmatched
Operational Strategyunmatched
Patient Careunmatched
PostgreSQLunmatched
Primary Careunmatched
Product Engineeringunmatched
Production Systemsunmatched
Prototypingunmatched
Python Programming/Scripting Languageunmatched
Reliability Engineeringunmatched
Scalable System Developmentunmatched
Software Engineeringunmatched
Startupunmatched
Systems Engineeringunmatched
Systems Scalabilityunmatched
Technical/Engineering Designunmatched
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