The role and why it matters
You will set the technical direction for the biller-workflow platform used across the company's practice-management and revenue-cycle products. This is a staff-level, full-stack role with an approximately 60/40 backend-to-frontend split. You will lead a generational rebuild of high-traffic workflows for claims, appointments, payments, posting, and other billing operations while keeping mature production systems reliable for enterprise customers.
What you'll do
• Define frontend and backend architecture, shared component conventions, API contracts, data-layer patterns, and observability practices across multiple engineering teams.
• Lead multi-month, multi-team platform rebuilds and migrations, shipping incremental improvements without breaking existing users.
• Build data-dense, high-performance interfaces for complex tables, virtualized rendering, keyboard-driven workflows, bulk actions, and activity timelines.
• Design performant APIs and PostgreSQL query patterns for filtering, grouping, pagination, and bulk operations over large datasets.
• Diagnose and improve React rendering performance, query performance, replica-lag handling, and claim-submission pipeline health.
• Embed AI into production workflows where it removes meaningful operational friction, including claim comparison, submission-error reasoning, and rule suggestions.
• Drive architecture reviews, deep code reviews, technical standards, and mentorship that raise the engineering bar across teams.
• Work closely with clinicians, billing operators, product, and design partners through rapid feedback loops.
Requirements
What we're looking for
• 8 or more years of experience building large-scale full-stack applications, with prior senior or staff-level technical leadership.
• Deep expertise in TypeScript, React, Python, FastAPI, and PostgreSQL.
• Direct experience working with billing or claims data, such as EOBs, denial codes, appointments, payments, posting, or related enterprise workflows.
• A record of leading large, multi-team platform rebuilds or migrations and delivering them incrementally in production.
• Org-wide frontend architecture leadership, including adoption of a design system, shared component library, or common frontend platform across a large engineering organization.
• Strong API and data-layer design skills for complex filtering, grouping, pagination, and large-scale query performance.
• Ability to align engineering leadership and multiple teams around a shared technical direction through clear written and verbal communication.
• A computer science degree or equivalent engineering background.
• Comfort operating in a fast-paced, high-growth environment with daily deployments and high ownership.
Bonus points
• Healthcare billing, revenue-cycle management, insurance, fintech, or another regulated-industry SaaS background.
• Experience shipping LLM-powered features into production workflows.
• Experience with EDI X12 or other healthcare-data standards.
Benefits
Compensation, location, and benefits
• $210K-$275K base salary, with flexibility for exceptional candidates.
• Competitive equity, with the expected grant described by the hiring team as approximately $500K-$900K over four years.
• Full-time hybrid work from Mountain View, San Francisco, Los Angeles, or New York City.
• Existing visa transfers, including eligible OPT and H-1B transfers, may be supported.
• Meaningful technical influence at a high-growth company whose platform is already used at significant healthcare scale.
