Staff Back-End Engineer: Claims Engine

Helm Health

$150K — $225K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 4+ years building and maintaining backend services
  • 2+ years experience with Go programming
  • Strong SQL proficiency with PostgreSQL
  • Familiarity with Redis and BigQuery or similar databases
  • Experience in designing RESTful or gRPC APIs
  • Proficient with testing strategies for reliability
  • Knowledge of Docker/Kubernetes and Google Cloud Platform

Responsibilities

  • Build and maintain benefit estimate services for healthcare claims
  • Develop large-scale claims adjudication integrations
  • Improve claims processing pipelines for efficiency and accuracy
  • Document API contracts and data flows clearly
  • Write performant database queries and manage data effectively
  • Collaborate with cross-functional teams on healthcare workflows
  • Participate in code reviews and incident responses

Benefits

  • Bonus and equity options
  • Unlimited PTO with a mandatory minimum of 12 days
  • Stipend for home office equipment
  • 401(k) with matching contributions
  • Comprehensive medical, dental, and vision coverage
  • Autonomy in role with significant career growth potential
Full Job Description
Role Overview

We're seeking a Staff Backend Engineer to join our Claims Engine team. You'll work across three critical areas: our 270/271 Benefit Estimate API, claims adjudication integrations, and claims processing pipelines. This role sits at the core of how we process and price healthcare claims, and you'll own services that are essential to our product and our clients' operations.

Responsibilies

  • Build and maintain services that power 270/271 benefit estimate requests and responses.
  • Develop and support performant, large-scale claims adjudication integrations.
  • Own and improve claims processing pipelines for accuracy, reliability, and throughput.
  • Write and maintain documentation for API contracts, data flows, and integration specifications.
  • Write performant queries and manage data across PostgreSQL, Redis, and BigQuery.
  • Collaborate with product and other engineering teams to translate complex healthcare workflows into reliable backend services.
  • Participate in code reviews, architecture discussions, and incident response.
  • Contribute to the on-call rotation for production systems.


Requirements

  • 4+ years building, owning, and maintaining backend services
  • 2+ years writing Go
  • Strong SQL skills, particularly PostgreSQL
  • Experience with Redis and BigQuery (or similar analytical databases)
  • Experience designing and building RESTful or gRPC APIs
  • Experience with thorough testing strategies
  • Docker/Kubernetes
  • Google Cloud Platform


Preferred Qualifications

  • gRPC/Protobuf experience
  • Health insurance or claims processing experience
  • Experience with 270/271 transactions or healthcare EDI
  • Terraform/Terraform Cloud
  • Python proficiency
  • Incident management and response experience
  • Start-up experience


Characteristics

  • Self-directed and comfortable owning a domain end-to-end
  • Mission-driven - motivated by making healthcare simpler and more transparent
  • Willing to ask questions and admit what you don't know
  • Detail-oriented - claims processing demands precision, and you hold yourself to that standard


Internal Tools/Technology

  • Cursor / Linear / GitHub / Notion / Whimsical
  • Slack / Google Workspace / Zoom
  • Incident.io / Sentry
  • Claude, ChatGPT, Gemini - we are an AI-forward engineering team
  • macOS / Linux


Compensation

The target base salary range for this position is $150,000 - $225,000 and is part of a competitive total rewards package including equity and benefits. Individual pay may vary from the target range and is determined by several factors, including experience, skills, location, internal pay equity, and other relevant business considerations.

Benefits/Offerings

  • Bonus + equity
  • Unlimited PTO (mandatory 12 days)
  • Computer + home office stipend
  • 401(k) + matching
  • Medical, dental, and vision insurance
  • Autonomy and tons of room for career growth


Occasional Travel

We meet quarterly as a company.

Please note that this is a fully remote opportunity.

Similar Jobs

More Jobs at Helm Health

More Healthcare Jobs

Find similar Staff Back-End Engineer: Claims Engine jobs: