Staff Engineer (Fullstack)Job type: Full Time · Department: EPD · Work type: Hybrid · USD 220,000-240,000 / yearNew York, New York, United StatesAlaffia & Our MissionEvery year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We're here to change that paradigm.Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire lifecycle of claims. With Alaffia, health plans can cut wasted spending more effectively than ever — and provide their members the most affordable care.We're a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone.*This position requires current authorization to work in the United States. Unfortunately, we are not in a position to sponsor work visas at this time.About the Role & What You'll Be DoingWe are seeking exceptional Staff+ level Engineers to join our product engineering organization and drive transformative impact across our platform. At these levels, you will be responsible for solving complex technical challenges that span multiple teams, defining architectural standards, and shaping the technical direction of our product engineering organization. You will work on the most critical and ambiguous problems facing our business, translating strategic objectives into coherent technical roadmaps, leading and executing on the technical roadmaps to achieve the business outcome. You will leverage cutting‑edge AI coding tools to optimize development workflows, mentor senior engineers, and serve as a force multiplier for the entire engineering organization.ResponsibilitiesTechnical LeadershipDesign and architect systems that affect large parts of the business, ensuring scalability, maintainability, and performanceOwn the technical design and delivery of complex projects involving multiple systems or critical infrastructureMake key technical contributions that set direction for how the team writes code, designs systems, and uses core librariesSimplify complex problems, enabling teams to achieve more with less effortCreate substantial improvements in stability, performance, and scalability across the platformStrategic ImpactIdentify, formalize, and deliver solutions that impact the entire engineering organizationWork cross‑functionally with business and product partners to influence technical and business decisionsSet strategic direction for significant portions of the technology stackAnticipate potential problems in major projects and devise effective solutions to mitigate themFacilitate cross‑team collaboration, driving decisions among groups with disparate interestsAI‑Augmented DevelopmentChampion the adoption of AI coding tools (Claude Code, GitHub Copilot, Cursor, etc.) to accelerate development velocityEstablish best practices for leveraging AI assistants in code generation, review, and refactoringOptimize development workflows by integrating AI tools into the engineering lifecycleMeasure and demonstrate productivity improvements from AI‑augmented development practicesMentorship & InfluenceMentor senior engineers and be a force multiplier for the entire teamProvide technical guidance with a proven track record of sound judgmentInfluence without formal authority, securing cross‑team buy‑in for technical initiativesKey Skills & QualificationsCode FluencyWrite highly robust, scalable code that is flexible, reusable, efficient, and adaptable to changing requirementsProvide high‑quality code review feedback and foster effective, collaborative code review cultureStrong awareness of technologies and ecosystems, able to introduce new ideas to solve business and technical problemsProficiency with AI coding tools (GitHub Copilot, Cursor, ChatGPT, etc.) to accelerate developmentResponsible for successful project delivery including planning, risk management, design, development, testing, rollout, and maintenanceFind ways to simplify application code/infrastructure and improve developer efficiencyWrite libraries and modules that can be extended and adopted across the organizationSoftware DesignDesign software components that are difficult to misuse and flexible for adjacent use casesReduce complex designs to simple foundational components through correct data structures and algorithmsCreate simple interfaces to complex underlying systemsReview designs across related areas with high quality, ensuring quality for cross‑team/cross‑module design and API issuesDeep expertise in implementation or principles behind libraries, platforms, and systemsArchitecture DesignMake correct technology choices for components, including build vs. buy decisions and framework selectionOwn overall health and engineering quality of systems or collections of featuresDrive overall testing strategy for systems with high reliability or quality requirementsDesign systems with significant ambiguity and/or many dependent systemsTechnical StrategyEnsure alignment of software and systems to overall technical strategyMake appropriate tradeoffs in consultation with engineering leadersBusiness AcumenLeverage fluency in Alaffia Health's business, products, customers, and strategy to identify opportunitiesUnderstand how strategy and business priorities inform and guide team prioritiesWhat We're Looking ForRequired Experience & Qualifications10+ years of software engineering experience with demonstrated technical breadth and depthProven track record of delivering complex, high‑impact projects affecting multiple teams for enterprise SaaS applicationsProven ability to define and execute technical vision and strategy at scaleExpert‑level proficiency in TypeScript, Python, GraphQL, and PostgreSQLExperience with AI coding assistants and demonstrated ability to improve team productivity through their adoptionDeep understanding of full‑stack web development, system design, and cloud infrastructure (AWS preferred)Experience with DevOps practices, CI/CD pipelines, and containerization (Docker, Kubernetes)Strong project management skills with ability to break down complex projects into milestonesExcellent communication skills with ability to influence without formal authorityExperience mentoring senior engineers and driving technical standardsDeep expertise in healthcare technology and regulatory compliance (HIPAA, HITRUST) preferredWe're Looking ForPreferred QualificationsExperience building SaaS applications in the healthcare sectorTrack record of building and deploying user‑facing AI productsExperience with AI/ML model deployment and integrationContributions to open source projects or technical publicationsExperience with medical billing, healthcare administration, or clinical workflowsOur CultureAlaffia was born out of our founders' personal connection to the inefficiency of the U.S. healthcare system. We are deeply mission‑driven, with an abiding belief that technology can help create a better future for everyone —and we're looking for others who share our passion for change to join the team.What Else Do You Get?Competitive compensation package (cash + equity)Medical, Dental and Vision benefitsFlexible, paid vacation policyWork in a flat organizational structure — direct access to Leadership#J-18808-Ljbffr