Principal Software Engineer

Overview

We re a well-funded, early-stage healthcare technology company building AI-powered solutions to improve access to care and simplify the complex world of medical billing and insurance. Our platform helps individuals navigate claims, coverage, and healthcare finances with unprecedented efficiency. We re backed by leading venture capital firms and experienced operators from the healthcare and technology sectors, and we re building a product that makes a real difference in people s lives.

We re hiring a Staff or Principal Software Engineer to build and own mission-critical data pipelines and integrations. You ll architect the systems that connect our platform to insurance companies, healthcare providers, financial institutions, and other external sources. Healthcare data is complex, fragmented, and inconsistent. This role is about building robust infrastructure that can reliably extract, transform, and orchestrate information from diverse sources—many of which weren t designed to share data easily.

Whether you re a backend engineer who s built distributed systems at scale or a software engineer who s built data products from the ground up, this role offers the opportunity to architect foundational infrastructure that powers our entire platform.

For Principal-level candidates, you ll provide technical leadership across the integrations team, driving architectural decisions and mentoring engineers while having the autonomy to focus on high-leverage technical challenges.

• Design and build mission-critical data pipelines and distributed systems that process healthcare and financial information from external sources
• Architect scalable integration frameworks that handle inconsistent data formats and fragmented systems
• Build data connectors and backend services for insurance portals, healthcare provider systems, financial platforms, and other third-party services
• Leverage automation and AI to extract and normalize data from sources with limited or no modern APIs
• Own reliability, performance, and security for production infrastructure and data pipelines
• Design fault-tolerant systems that maintain data integrity despite external failures and rate limits
• Collaborate with product and engineering teams to prioritize high-impact integrations and features
• (Principal) Provide technical leadership and mentorship while driving architectural decisions for the integrations team

• Building automated data extraction pipelines for insurance portals and provider systems
• Designing distributed orchestration systems that coordinate data flows across dozens of external services
• Creating ETL pipelines that normalize data across different sources and formats
• Developing backend services that expose clean APIs on top of messy external systems
• Building monitoring and observability tooling for critical data infrastructure
• Scaling integration infrastructure to support growing volumes and new data sources

Required:

• 8+ years of software engineering experience building backend systems, distributed systems, or data infrastructure at scale
• Proven track record building integrations with complex external systems or developing data products
• Experience owning reliability and performance for production systems that others depend on
• Strong problem-solving skills for working with messy, inconsistent real-world data
• Experience at high-growth startups or technology companies
• Clear communication and collaboration skills across technical and non-technical teams
• Comfortable with high autonomy and ambiguity
• Located and authorized to work in the United States
• Demonstrated ability to mentor engineers and provide technical leadership
• Track record driving technical strategy and architectural decisions
• Experience scaling infrastructure and engineering teams

Bonus:

• Experience with healthcare or financial services data
• Background building integrations for systems with limited documentation or legacy APIs
• Experience applying AI/ML to automate data extraction and transformation

Type Script, Node.js, Postgre

SQL, Graph

QL, AWS, modern orchestration and automation tools

• Competitive salary and meaningful equity
• Comprehensive health, dental, and vision insurance
• Mental health benefits and 401(k)
• Flexible PTO and remote work options
• Team events and opportunities for in-person collaboration
• Chance to work on challenging technical problems that improve healthcare for real people

Fully remote within the United States, or based in our New York City office (your choice).

We d love to hear from you if you are motivated by hard technical problems and want to build infrastructure that makes healthcare more accessible.