Sr. Software Engineer

We are currently seeking a highly motivated Staff Software Engineer to deliver best-in-class technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. With over a million managed lives across the country and terabytes of data generated, our software and applications need to be cutting-edge, efficient, and aligned with our core values of improving patient outcomes and empowering our providers.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

Why this role - and why Astrana

Healthcare is nearly 20% of U.S. GDP, yet remains fragmented, inefficient, and misaligned.

Astrana is building a new category: a technology-driven healthcare platform that sits across payers, providers, and care delivery - integrating clinical, claims, and operational data and enabling decisions based on total patient outcomes, not isolated transactions. Astrana is building the operating layer for healthcare delivery.

This is not a concept. It is already working. Astrana today:

• $3.2B in revenue in 2025, growing 56% year-over-year
• 1.6M+ patients under management across a national platform

Why do this here vs somewhere else:

• You are early, despite meaningful scale

The platform is already large and growing quickly, but this capability is still being built - giving you outsized influence and career opportunity

• You can actually change the system, not just analyze it

Astrana operates under delegated risk, with real responsibility for cost and outcomes - so what you build can directly influence decisions and behavior.

• There is immediate, real-world deployment at scale

You are not building pilots or internal tools that may or may not be adopted. You are building into workflows used across a large and growing population.

• The incentives are aligned with the problem

Improving outcomes while reducing cost is the business model - making AI, automation, and coordination economically meaningful from day one.

• You have executive backing and speed

AI is a core priority with direct CEO sponsorship, enabling fast iteration from idea to production.

• You are surrounded by strong builders

Our team includes engineers and operators from leading tech companies (Google, Amazon, etc), top quantitative firms (Citadel, D.E. Shaw), and strong academic backgrounds.