Join us to architect our insurance engineEvery family that comes to Hera is in one of the hardest stretches of their lives. Before we can help, we have to answer a deceptively simple question: what will this cost? The answer is the first promise we make to a family. It decides whether they say yes to care, and whether Hera gets paid for delivering it.
US healthcare still can't answer that question reliably. Payer data is ambiguous, plans number in the hundreds, and most healthcare companies settle for "we'll find out when the claim comes back." We can't settle for that. Our patients live on fixed incomes. They won't enroll until they understand the full cost, and they'll stop trusting us the first time we get it wrong.
At most healthcare companies, insurance is a back office: verify eligibility, submit the claim, work the denial. This role is different; it is not a revenue cycle management role. You will model the single most complex concept in US healthcare, and the barrier that stands between so many people and their care: insurance. You'll design and build the system that reads a patient's coverage, tells the family what they'll pay before they sign up, and gets more accurate with every claim we process.
You'll bring the rigor of a systems architect and the ethos of a strong operator, and own the engine end to end. The engine sits underneath the first conversation we have with every family and every dollar Hera collects.
Problems you'll own- The rules engine. Most of our patients carry layered coverage: Medicare pays first, a supplement second, Medicaid third. Hundreds of plans across dozens of carriers each handle patient cost-sharing differently, and the same field in an eligibility response can mean different things depending on who sent it. You'll own the source of truth for how every plan we encounter actually works, and build the system to continuously uncover those truths as we expand nationally.
- The pricing. Turn those rules into a trustworthy number a family sees when they go through onboarding. That means deciding what happens when a response doesn't match anything we know, when it says "I'm not sure," and who decides from there.
- The feedback loop. A wrong read of a patient's insurance shows up later as a denied claim, a surprise bill, or margin we never collect. Insurance payments are the source of truth, and they arrive weeks after we've quoted the family. Build the loop that turns every wrong estimate into a better rule.
- The human-AI symbiosis. Decide where AI earns its place (reading messy responses, researching a plan we've never seen, proposing a new rule) and where deterministic logic is non-negotiable. Design who approves a rule change, and move our team from checking every patient by hand to handling only the true exceptions.
You might be a fit if- You've spent a few years where messy real-world rules meet software: forward-deployed engineering, BizOps or product ops at a healthtech, fintech, payments or insurance company, or a similar seat. You've taken tribal knowledge that lived in people's heads and turned it into a system that runs without you.
- You think in systems. Handed an ambiguous problem, you break it into inputs, rules, exceptions and failure modes, and you know which 20% of cases to solve first.
- You're a builder and a tinkerer. You love wrangling the data yourself, prototyping workflows, and shipping a working v1 before you ask for engineering time.
- You sweat the details. A quote that's $15 a month off is a broken promise to someone on a fixed income, and you treat it that way.
- You don't need to be an insurance expert. We taught ourselves and we'll teach you. What we can't teach is the relentlessness to read a raw eligibility response line by line until it makes sense.
Get this right and we do what US healthcare still can't: tell every family in America what their care will cost, and keep our word. Get it wrong and we've broken a promise before care begins. When you solve a hard problem, you will be rewarded with harder problems. Our promise is we will stretch your limits, and trust you to own unreasonably substantial outcomes.
What we value- Worthy of our parents: We don't leave the 20% behind, because that applies to someone's mother. Quality isn't a constraint we tolerate on the path to growth. Quality is the strategy.
- Collaboration must be an accelerant. Not everything will be collaborated on and that's fine. We assume good intent always and push the ball forward.
- Celebrate human. Humans are at the heart of everything we do: every product decision, every Hero we choose to hire, every person we bring onto the team. For us, empathy is fuel to move with urgency because we know every single day matters for those we serve. We look for missionaries not mercenaries.
- Enjoy the uphill. Wrestling problems this hard, in an industry this broken, is a privilege most people never get. We're excited for the summit but the joy is in the climb: figuring out how to take down the beast, one foot in front of the other. If the hard part isn't what's pulling you, this might be the wrong climb.
- Attack. Nothing is created in this world without an extraordinary amount of effort. In order to will the change we want to see in the world, we attack problems and play offense. We're here to win to ensure our customers get the world they deserve.
