Staff Software Engineer
Staff Software Engineer building and directing the AI-native biller workflows platform (claims, appointments, payments) used by medical billers. Sets org-wide frontend/backend architecture, standards, and leads complex data-dense features, bulk operations, AI embedding, and performance at scale across multiple teams.
About the job
What You’ll Do
- Set the technical direction for the biller-workflow platform (frontend and backend architecture) that multiple teams build on and drive adoption across the RCM engineering org.
- Establish standards and patterns for other teams: component and design-system conventions, data-fetching and API contracts, testing, and observability practices to keep a large, multi-team frontend consistent and fast.
- Lead the hardest cross-cutting problems end-to-end: data-dense tables at scale (server-side grouping, filtering, virtualized rendering over millions of records), idempotent queue-backed bulk operations (safely mutate tens of thousands of records with undo and auditability), unified claim activity timeline (submissions, payer status, remittances, appeals, prior auth), embedding AI for claim comparison, submission-error reasoning, and rule suggestions.
- Ensure engineering excellence across teams through architecture reviews, deep code review, and mentorship.
- Own reliability and performance in production: render and query performance, replica-lag handling, health of claim-submission pipelines.
- Partner with product, design, and billing operations to turn messy billing workflows into software with rapid feedback loops.
What You Have
- 8+ years building large-scale, full-stack applications, setting technical direction and raising the bar across multiple teams.
- Org-wide frontend leadership: orchestrated adoption of a design system or shared component architecture across a large organization, established best practices, ensured engineering excellence across multiple teams.
- Ability to go deep: diagnosing and fixing React rendering bottlenecks in complex, data-dense UIs.
- Strong API and data-layer design: set conventions for REST endpoints handling filtering, grouping, pagination over large datasets; optimize queries behind them.
- Track record leading multi-month, multi-team initiatives: driven large migrations or platform rebuilds across teams, shipped incrementally without breaking users.
- Force multiplier: define conventions, review broadly, mentor engineers across teams.
- Strong debugging and observability instincts (monitoring, logging, alerting).
- Excellent communication: align leadership and multiple engineering teams around shared technical direction.
- Ownership mindset and bias for action: owned meaningful product surfaces, driven ambiguous work to completion.
- Deep expertise in TypeScript/React, Python, and PostgreSQL.
Nice to Have
- Experience with analytical/OLAP stores (StarRocks, ClickHouse, Druid) alongside transactional PostgreSQL.
- Familiarity with healthcare billing data (EDI X12 270/271, 276/277, 835, 837), clearinghouses, ERAs/EOBs, denial codes, or ability to master a complex domain quickly.
- Experience shipping LLM-powered features into production workflows.
- Strong product intuition and track record influencing UX/UI decisions.
- Experience with developer tooling and CI/CD pipelines for frontend applications.
- Experience working in highly regulated industries (healthcare, finance, insurance) with focus on security and compliance.
- Passion for improving healthcare and healthcare operations in America.
Skills
TypeScript, React, Python, FastAPI, Postgres, Design Systems, REST APIs, Data-Dense Uis, Llm Integration, Edi X12, Starrocks, ClickHouse, CI/CD
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