Senior Software Engineer

At Ortho Fi, we're not just another player in the orthodontic industry – we're the driving force that helps orthodontists launch more smiles while ensuring top-tier patient care. Our tech-savvy solutions are the secret sauce that empowers orthodontic practices across the United States. With a track record of supporting over 2,000 practices, and in partnership with Ortho Banc, we've unlocked access to quality, affordable orthodontic care for a whopping 3.2 million patients and counting!

Picture this:
Our cutting-edge Patient Acquisition software combined with our expert Revenue Cycle Management solutions propels practices to achieve jaw-dropping 13% year-over-year growth. Plus, when it comes to patient and insurance billing, our collection results leave competitors in the dust.

Behind our mission is a dynamic team of around 300 passionate individuals. Our headquarters is based in Denver, CO, with employees spread across several states. Join us in our quest to transform the orthodontic landscape – where innovation meets dedication, and starting more smiles are just the beginning.

Our purpose is to radically improve the way patients access and pay for quality elective care. Diversity, equity, and inclusion (DEI) ensures we can fulfill our purpose by creating a better, more equitable and inclusive workplace for our community members and healthcare experience for all.

By focusing on DEI, we are working towards our mission of connecting more patients with quality orthodontic and dental care and helping make treatment accessible to over 1 million patients a year by 2025. Equity is core to our mission to serve patients, and DEI is embedded in our core values, especially “seek diversity,” and “do what’s right.”

Ortho Fi is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

The Opportunity

This is a hybrid role and requires presence in our Denver Office twice a week (Local Candidates Only)

At Ortho Fi, we are looking for a talented, full stack Senior Software Engineer to drive technical execution and tackle complex challenges in our Insurance domain. This role requires a deep understanding of building scalable, modern applications while navigating the complexities of an industry with strict regulations, high data integrity requirements, and intricate workflows.

As a Senior Engineer, you will serve as a critical technical problem-solver— who takes extreme ownership of building scalable, highly reliable software systems in an agile environment. In this role, you will navigate the technical and regulatory complexities of insurance eligibility, claims processing, and remittance workflows. You will work closely with domain experts, product managers, and engineering peers to modernize legacy systems, design service-based architectures, and deliver high-impact software.

Success in this role is measured by your ability to evolve our core systems with a relentless focus on Business ROI and long-term technical health. Beyond writing exceptional code, you will champion the integration and adoption of AI tools, agentic workflows, and other efficiency drivers to fundamentally reshape how we develop software.

As a Senior Software Engineer your core responsibilities include:

• Design & System Evolution: Decompose complex business scenarios into clean, service-based architectures and distributed systems. Modernize legacy platforms with a focus on simplicity, maintainability, and long-term ROI.
• Domain Alignment: Translate complex orthodontic insurance rules (claims, eligibility, remittance) into clean, high-performing technical solutions.
• Epic Ownership: Own the delivery of Epics end-to-end, actively managing risks, dependencies, and team-level DORA KPIs while ensuring system performance and delivery reliability.
• AI-Assisted Engineering: Champion responsible, AI-assisted development. Actively integrate AI tools (e.g., Claude, Git Hub Copilot) to automate design, test…