Staff Software Engineer (Payer)

The Work

• Payers & Outcomes: Sits at the intersection of ML, clinical quality, and trust. Builds intelligent systems to protect the integrity of the network, spot risk, surface quality signals, and provide real-time feedback to providers.
• Architect LLM-powered systems to review clinical documentation at scale and deliver helpful, real-time feedback to providers.
• Design ML/LLM systems to detect patterns of inappropriate billing, over-utilization, and low-quality care across millions of appointments and claims.
• Build systems to systematically review every prescriber in the network against clinical quality standards.
• Build ML systems to understand patient needs complexity and match them to providers best suited to help.
• Evaluate and iterate on AI systems to ensure reliability and safety in a regulated environment.
• Set the technical standard for the Payers & Outcomes group, optimize for maintainability and scale, and mentor the team.

Technical Foundations & Mentorship

• Ensure the technical bar for the Payers & Outcomes group is set high.
• Lay the architectural foundations for other teams to build on.
• Raise the engineering craft of the team as it scales.

Stack

• Languages: TypeScript, Python 3
• Frontend: React, Remix, Next.js
• Backend & Storage: FastAPI, SQLAlchemy, Postgres, Redis, Snowflake
• Infrastructure: AWS, Temporal, Kafka
• Operations: Datadog, Sentry, PagerDuty
• AI Tools: Cursor, Claude, Gemini, Eddy (in-house cloud agent harness)