Skip to content

Senior Software Engineer, RCM Billing

170k – 240kMountain View, CASan Francisco, CALos Angeles, CANew York, NYFullstack EngineeringHybrid5+ YOE
Summary

Senior full-stack engineer driving technical direction and scaling the Insights RCM platform. Builds with React, Python, and PostgreSQL while mentoring engineers and leading high-impact projects.

About the role

What You’ll Do

  • Drive the technical direction of our practice management platform, Insights, ensuring it scales to support thousands of practices and millions of users
  • Design, build, and maintain scalable full-stack solutions using ReactJS, Python, and PostgreSQL
  • Improve system reliability and observability by implementing best practices in monitoring, logging, and alerting
  • Optimize performance and scalability of our web applications, ensuring seamless user experiences as we rapidly expand
  • Collaborate with infrastructure and backend teams to ensure high availability and resilience of core functions
  • Mentor and guide engineers, fostering a culture of technical excellence and continuous learning
  • Lead and deliver high-impact projects, balancing speed and quality in a fast-paced, high-ownership environment
  • Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack
  • Work closely with product and design teams to build intuitive, user-friendly experiences for healthcare providers and staff

What You Have

  • 5+ years of professional software development experience, with a focus on building scalable full-stack applications
  • Proficiency in full-stack development with expertise in JavaScript (React/Vue), Python, and PostgreSQL
  • Strong architectural skills with experience designing and maintaining highly scalable, reliable, and performant web applications
  • Experience leading multi-month, high-impact projects, balancing trade-offs, and delivering results in a fast-paced environment
  • Deep understanding of modern front-end engineering—React fundamentals, performance optimization, state management, and component-driven design
  • Experience working with complex backend systems, including designing APIs and optimizing database performance
  • Strong debugging and problem-solving skills, with a focus on observability (monitoring, logging, and alerting best practices)
  • Ability to mentor engineers and drive technical excellence across the organization
  • Excellent communication skills, with the ability to effectively present technical concepts to leadership and cross-functional teams

Nice to Have

  • Experience scaling front-end applications in a fast-growing, high-traffic environment
  • Deep understanding of frontend performance optimizations and ability to diagnose bottlenecks in React applications
  • Strong product intuition with a track record of influencing UX/UI decisions to improve usability
  • Background in data visualization and building interactive dashboards for analytics-heavy applications
  • Experience with developer tooling and CI/CD pipelines for frontend applications
  • Familiarity with modern API design patterns (GraphQL, REST, gRPC) and best practices in backend-for-frontend (BFF) architectures
  • Contributions to open-source projects or a strong engineering blog presence
  • Experience working in highly regulated industries (finance, insurance, government) with a focus on security and compliance
  • A passion for improving healthcare and healthcare operations in America
Skills
ReactJavaScriptPythonPostgreSQLVueGraphQLRESTgRPCCI/CDData Visualization
Similar roles at this salary range
All Fullstack Engineering jobs →
Gusto

Staff Software Engineer, Product Engineer

Seasoned full-stack engineer building and scaling Gusto's customer-facing products (Payroll, Benefits, HR). Owns multi-quarter projects, mentors engineers, and leverages AI tools. Requires 8+ years experience.

197k – 247kNew York, NYFullstack EngineeringHybrid8+ YOEReactAI Tools
Brex

AI Engineer, Product

Product engineer building Brex's Audit Agent harness: workflows, data contracts, feedback loops, and UI that turn agent reasoning into trustworthy customer-facing experiences. Requires strong full-stack shipping track record and product mindset.

171k – 240kSan Francisco, CAFullstack EngineeringHybrid5+ YOESQLLLMs
Haus

Senior Full Stack Engineer

Build and evolve full-stack systems powering causal inference marketing experiments. Own features across Python/Flask APIs, React frontends, and ad platform integrations while using AI tools to ship faster.

200k – 220kSeattle, WA +1Fullstack EngineeringHybrid5+ YOEGCPReact
OnePay

Software Engineer, Banking

Software Engineer on the Banking team building scalable features for mobile and backend financial services using Node, TypeScript, and React Native.

170k – 210kUnited StatesFullstack EngineeringRemote4+ YOEAWSNestJS
Stripe

Senior Software Engineer

Lead technical solutions and mentor engineers on scalable systems for card issuing, fraud prevention, and compliance in banking-as-a-service. Requires 3+ years of software engineering experience with typed or untyped languages and database/web development skills.

190k – 286kSouth San Francisco, CAFullstack EngineeringHybrid3+ YOEC++AWS