Full Stack Engineer

Arbital Health

$150K — $170K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 2-5 years of professional full-stack development experience
  • Proven experience shipping features to production for real users
  • Strong expertise in TypeScript, Python, and React
  • Self-motivated and able to thrive in a dynamic startup environment
  • Previous exposure to healthcare is a plus

Responsibilities

  • Transform complex actuarial and financial data into intuitive interfaces
  • Develop customer and internal interfaces using Next.js and React
  • Design and implement API routes for high-volume healthcare data
  • Collaborate with Product, Design, and actuarial teams to execute designs
  • Maintain a robust codebase through testing and code reviews

Benefits

  • Generous equity grants of ISO stock options
  • Exceptional employer-paid health, dental, and vision insurance
  • 4% 401(k) match
  • Flexible PTO with additional days off during winter shutdown
  • Quarterly team offsites for collaboration
Full Job Description
We are looking for a Full Stack Engineer that will work across our product stack - from React components to API routes to the SQL queries behind them - owning features end to end, from design through production. You'll work in an AI-native environment -- fluency with AI coding tools isn't just a nice-to-have; it's how we ship fast without sacrificing quality. You will have real ownership early: you will be trusted to take a well-scoped problem and run with it. This is a strong fit if you care about the craft of building interfaces people actually enjoy using, and you want to go deep on a genuinely hard problem space: making complex healthcare and financial data legible. If you thrive in a fast-paced environment and communicate clearly with both engineers and other internal teams, this is the perfect opportunity for you!

What you'll do:
• Turn dense actuarial and financial output into interfaces that are clear at a glance, including data tables, charts, and exports that hold up under real-world data volumes and actuarial scrutiny
• Build customer-facing and internal interfaces in our Next.js and React application - the product our customers use to design and monitor the performance of their value-based care contracts
• Design and implement the API routes that power those features, working with high volumes of complex healthcare data
• Work closely with our Product, Design, and actuarial science teams to bring their models and designs to life in the product
• Write tests, review teammates' code, and help keep the codebase something the team is glad to work in

What you bring:
• 2-5 years of professional full-stack development experience
• A track record of shipping features to production that real users depend on
• Strong fundamentals in TypeScript, Python, and React - you understand component design, state, and rendering behavior, not just the syntax
• Able to work entrepreneurially: self-motivated, ambitious, and comfortable in a rapidly changing, ambiguous start-up environment
• Prior healthcare experience is a plus
• Startup experience is a plus

Tools we use:
• Python, R, SQL, Next.js, React, TypeScript, Tailwind CSS, FastAPI
• Claude, Cursor
• Infrastructure: AWS, Databricks, PostgreSQL, Airflow
• Version Control: GitHub
• Team Planning: Jira, Confluence

$150,000 - $170,000 a year

We Offer:
• Generous equity grants of ISO stock options
• We offer an exceptional benefits package with high employer-paid contributions for health, dental, and vision insurance
• 4% 401(k) match
• Flexible PTO, a weeklong winter shutdown, and 10 holidays each year
• Occasional travel required - Quarterly team offsites
• The opportunity to build a critical software platform that accelerates the American healthcare system's transition to value-based care

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