8+ years of experience in building and shipping production systems across the full stack
Strong expertise in Ruby, React, TypeScript, and GraphQL
Experience designing backend services, APIs, and data models for high-scale applications
Ability to think beyond individual features and understand system interactions
Commitment to writing clean, maintainable code with thorough testing
Proven leadership in guiding technical initiatives and architectural decisions
Passion for improving healthcare through technology
Responsibilities
Lead the design and delivery of the new billing platform from architecture to launch
Document key technical decisions regarding data modeling and payment flows
Build across the stack using Ruby on Rails, GraphQL, React, and TypeScript
Ensure correctness in financial workflows through testing and observability
Conduct design reviews and mentor team engineers
Collaborate with Product and Design to translate complex requirements into actionable tasks
Benefits
Full-time, hybrid position based in NYC
Opportunity to shape the foundation of a new team
Access to a public roadmap that engages customers
Equity and annual bonus opportunities
Collaborative, remote-first work environment that values ownership and teamwork
Full Job Description
About the role
Billing is how our customers get paid, and it touches every part of Healthie: providers, patients, payments, reporting, and compliance. We're rebuilding it, and you'll be the technical lead.
You'll own the architecture for the new billing platform end to end: data models, backend services, GraphQL APIs, and the React/TypeScript experiences on top. You'll set the technical direction, make the calls on what to build and how, and work directly with Product and Design. This is a greenfield-scale build inside a production Rails monolith that 40,000+ providers already rely on.
What you'll do
Lead design and delivery of the new billing platform, from architecture through launch
Make and document the key technical decisions: data modeling, payment flows, reconciliation, and how the new system coexists with the current one
Build across the stack in Ruby on Rails, GraphQL, React, and TypeScript
Set the bar for correctness in financial workflows: testing, observability, auditability, and safe rollouts
Run design reviews and mentor engineers on the team
Partner with Product and Design to turn complex billing and payer requirements into clear, shippable scope
What makes this role different
Real ownership. You'll shape the foundation, not inherit a roadmap. Reports to the Director of Engineering / CTO. Brand new team, with room to grow.
High stakes, high leverage. Billing errors cost our customers revenue. Billing that works well is a reason providers choose Healthie.
API-first platform. Over 3 billion API calls a month, so your design decisions have to scale.
Public roadmap. Customers see what we're building and hold us to it.
About you
Proven & Technical: 8+ years of experience building and shipping production systems across the full stack. Strong expertise in modern web technologies such as Ruby, React, TypeScript, and GraphQL, along with experience designing backend services, APIs, and data models that support complex, high-scale applications.
Systems Thinker: You think beyond individual features and consider how systems interact across services, data layers, and user experiences. You are comfortable designing scalable architectures and solving complex technical problems that span multiple parts of the platform.
Quality Obsessed: You believe reliability and correctness are critical, especially in systems that power financial workflows. You write clean, maintainable code and ensure it is supported by thoughtful testing and observability.
Technical Leader: You naturally lead technical initiatives, guide architectural decisions, and help teams navigate complex engineering challenges. You raise the bar for engineering quality through design reviews, mentorship, and thoughtful collaboration.
Builder & Collaborator: You enjoy partnering closely with product managers, designers, and other engineers to translate complex requirements into well-designed systems and intuitive user experiences.
Mission-Driven: You're excited by the opportunity to improve healthcare through technology and help build infrastructure that enables providers to deliver better care while running sustainable practices.
Values-Aligned: You embody Healthie's values of Respect, Reliability, and Resilience, and thrive in a collaborative, remote-first environment where ownership, curiosity, and teamwork are valued.
Details, details
This is a full-time, hybrid position within our NYC office.
U.S. work authorization is required, Healthie does not provide sponsorship.
The salary for this position is a base between $240,000 - $280,000 plus equity, annual bonus, & benefits.
Interview Process
Quick chat with someone from our Talent team (15 minutes)
Interview with Cavan, CTO + Co-founder (30 minutes)
Complete our Pair Coding Interview (2, one hour sessions)
Meet with Micah, Director of Engineering (30 minutes)
Meet with Jonathan, VP of Engineering (20 minutes)
