Senior Software Engineer

Responsibilities

• The core domain model. Patients, providers, credentials, authorizations, sessions, claims, payments.
• Money invariants. The rules governing how money moves — rate calculations, payout conditions, payroll logic — live in code, not Notion docs.
• Lifecycle state machines. Patients, claims, authorizations, credentials — each has explicit states and valid transitions.
• Schema evolution. Migrations run before features ship. Nothing breaks when the model changes.
• AI infrastructure. We’re already shipping LLM-powered clinical workflows. You build the foundation that makes them reliable, auditable, and safe in a healthcare context.
• Security and HIPAA. Access controls, audit logging, encryption.
• Production. Deploy it, monitor it, and pick up the phone when it breaks at 2am.

  Qualifications

  • You’ve spent 4+ years somewhere correctness actually mattered — fintech, insurance, healthcare, logistics.
  • You’ve felt what it’s like when business rules are implicit, when the data model doesn’t match reality, when someone hot-patches production because the migration wasn’t thought through.
  • You don’t want to build that system.
  • Required Skills: You think in state machines before you write code. You’d rather ship right than ship fast. You’re senior enough to make hard technical calls but you still want to be the one making them in code, not in meetings.

    Preferred Skills

    • Bonus if you’ve shipped LLM features in production (RAG, evals, guardrails).
    • Bonus if you’ve worked with event sourcing or ledger architectures.
    • Bonus if you have healthcare/EHR experience.

      Pay

      Pay range and compensation package