Staff Software Engineer, Eligibility & Benefits

Role overview

Provide staff-level engineering leadership for systems that verify insurance eligibility and benefits before durable medical equipment orders are fulfilled. The work includes real-time payer checks and the handling of inconsistent insurance and plan data, with the goal of reducing manual work and claim denials. You will shape application and data design while partnering with Product, Design, Operations, suppliers, and fellow engineers.

Responsibilities

- Build and maintain reliable, performant software using agile practices, test-driven development, and collaborative coding. - Guide application and data model decisions, write maintainable and well-tested code, and mentor engineers in technical decisions. - Own payer and clearinghouse integrations, including retries, failure handling, and keeping information current. - Map payer and plan data, measure its accuracy against supplier billing experience, and improve data quality. - Work with Product and Design to shape usable workflows and document technical tradeoffs for stakeholders. - Participate in on-call support for critical incidents and improve system reliability; evaluate AI coding tools and automation to reduce repetitive work and catch defects.

Requirements

- At least 7 years of production software engineering experience with Ruby on Rails or another open-source language such as Python, Go, or JavaScript. - Staff-level technical leadership, cross-functional collaboration, and experience mentoring engineers. - Revenue cycle experience in eligibility and benefits, claims, billing, or prior authorization. - Must reside in the United States and be authorized to work there; employer visa sponsorship is unavailable.

Nice to have

- Familiarity with AWS services, X12 EDI transactions, or healthcare clearinghouses and revenue-cycle vendors.

Benefits and work setup

- Remote-first setup, with an office and coworking reimbursement options. - Medical, dental, and vision coverage; employer HSA contributions; 401(k); equity; and a potential company-wide annual bonus. - Flexible vacation, additional summer Fridays, home office and wellness support, internet stipend, and annual learning stipend. - Stated base salary band: $200,000–$260,000, based on experience and level.