Senior Software Engineer

NxT Level

$125K — $150K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3+ years of experience as a full-stack software engineer
  • Proven experience building and maintaining full-stack web applications
  • Strong ability to deliver high-quality outcomes in product-driven environments
  • Familiarity with modern technologies like Python, React, PostgreSQL, and Redis
  • Strong product instincts and ownership over problems
  • Excellent written and verbal communication skills
  • Ability to collaborate with diverse teams in a fast-paced setting

Responsibilities

  • Build full-stack product features used by healthcare providers and internal teams
  • Scale automation integrations for medication access workflows
  • Develop AI-powered systems for prior authorizations and related tasks
  • Work across various AI modalities like document parsing and workflow automation
  • Own projects from ideation through implementation and impact measurement
  • Partner with teams including founders, engineers, and operations
  • Create products that enhance patient access to specialty medications

Benefits

  • Meaningful equity as an early engineer
  • 100% premium coverage for health, dental, and vision insurance
  • Opportunity to work in person with a dedicated team in the Flatiron area
  • High-impact role in a well-funded AI healthtech startup
Full Job Description
Full-Stack Software Engineer

Location: New York City
Work Style: In-office, with ~1 WFH day per week
Employment Type: Full-time
Focus: AI, Healthcare, Medication Access, Full-Stack Engineering

About the Role

Our client is hiring a Full-Stack Software Engineer to help scale its specialty medication access platform for independent specialty providers.

This is a high-impact, high-ownership role for someone who wants exposure across the entire stack - from provider-facing features to complex healthcare integrations to AI-powered automation for prior authorizations, appeals, and medication access workflows.

This is a strong fit for an engineer who wants to build an AI-native healthcare product that touches real patients, real providers, and real operational complexity.

What You'll Do
  • Build full-stack product features used by healthcare providers and internal teams
  • Scale integrations that automate medication access workflows across providers, payers, pharmacies, and manufacturers
  • Build AI-powered systems for prior authorizations, appeals, benefits verification, and related workflows
  • Work across multiple AI modalities, including document parsing, voice, browser automation, and workflow automation
  • Own projects from initial idea through architecture, implementation, launch, and measurable impact
  • Partner closely with founders, engineers, operations, and provider success teams
  • Build products that improve access to specialty medications for patients
  • Help maintain a high technical bar across product, systems design, engineering quality, and company culture
  • Contribute to the norms, practices, and standards of an early engineering team

What We're Looking For
  • 3+ years of experience as a full-stack software engineer
  • Proven experience building and maintaining full-stack web applications
  • Strong ability to move quickly and deliver high-quality outcomes in fast-growing, product-driven environments
  • Experience across modern technologies such as Python, React, PostgreSQL, Redis, LangChain, or similar tools
  • Strong product instincts and comfort owning problems end-to-end
  • Strong written and verbal communication skills
  • Ability to collaborate effectively with engineering, operations, provider success, and leadership
  • Interest in AI-native products, healthcare workflows, and real-world operational automation
  • NYC-based and able to work from the Flatiron office, with approximately one work-from-home day per week

Bonus Experience
  • Experience in healthcare technology, health insurance, pharmacy, prior authorization, EMR integrations, or revenue cycle workflows
  • Experience building AI-powered workflow automation products
  • Experience with document parsing, voice AI, browser automation, or agentic systems
  • Experience at an early-stage or fast-growing startup
  • Experience building internal tools, provider-facing products, or operational workflow platforms

Why This Opportunity
  • Join an early-stage, well-funded AI healthcare company backed by top-tier investors
  • Work on one of the largest and most painful problems in healthcare: specialty medication access
  • Build technology that directly impacts providers, patients, and access to life-changing therapies
  • Get broad exposure across the full stack, AI systems, integrations, and healthcare operations
  • Work closely with founders and a talent-dense engineering team
  • Own meaningful projects from inception to outcome
  • Help define engineering culture, technical standards, and product direction as an early team member
  • Receive meaningful equity and participate directly in the company's upside

Benefits
  • Meaningful equity as an early engineer
  • 100% premium coverage for health, dental, and vision insurance
  • Opportunity to work in person with an ambitious team in Flatiron near Madison Square Park
  • High-impact role at a fast-growing, well-funded AI healthtech startup

Similar Jobs

More Jobs at NxT Level

  • Senior Software Engineer
    $125K — $150K *
    New York, NY 10025 (New York County)
    Healthcare
    In-Person
  • Senior AI Engineer - Clinical Reasoning
    $150K — $180K *
    New York, NY 10025 (New York County)
    Healthcare
    In-Person
  • VP of Finance
    $160K — $200K *
    Seattle, WA 98115 (King County)
    Finance & Insurance
    In-Person
  • Plant Manager
    $85K — $100K *
    Crystal Lake, IL 60014 (Mchenry County)
    Manufacturing & Automotive
    In-Person
  • VP of Finance
    $160K — $200K *
    Seattle, WA 98115 (King County)
    Finance & Insurance
    In-Person

More Healthcare Jobs

Find similar Senior Software Engineer jobs: