Software Engineer (Contract

Sandbar Health How It Works How We're Different Who It's For

For employers For brokers For providers Careers

Contact See the app

• Engineering

• Remote (US preferred, open to international)
• Contract
• part-time to start
• Founding engineer
• 0→1
• $90–160/hour

Sandbar Health is building a new health plan and concierge care platform that makes healthcare an enjoyable consumer experience.

For too long, insurance and provider incentives have been misaligned, and no policy or market structure has solved that for the American public. We're changing it by designing an integrated health assurance system that does better when members stay healthy and invests in their long term health. The result will feel less like the healthcare people know today and more like the delightful consumer experience we expect from every other industry.

To achieve our mission, we're building a level-funded health plan for employers, paired with primary care clinics and a full-stack technology platform that serves as the front door to healthcare.

We're a seed-stage startup funded entirely by Route 66 Ventures as their flagship bet on improving US healthcare, and we're building out our core team now. It's a chance to get in on the ground floor of a company positioned to radically change how healthcare works, and to accelerate your career alongside excellent founders, operators, and investors with deep experience across healthcare and technology.

You would work alongside the founders to take the product from 0 to 1. We're looking for experienced engineers to work in a founding engineer capacity to create a delightful product built on top of scalable, compliant systems.

We are staffing the role through various contractors of different specialties (See below). To launch our product, we need front end, back end, systems and compliance, and applied AI expertise. If you have a multidisciplinary skillset that covers several of these categories, we'd love to talk, but we are also open to hire for a single specialty.

• Own a product area end to end. Take a meaningful slice of the product from idea to production and keep owning it — design it, build it, ship it, and improve it in the real world, working directly with the founders.
• Build things people actually want to use. Create member and broker experiences that remove friction from the healthcare system, on top of services and infrastructure that stay scalable, secure, performant, and compliant.
• Make the hard calls under constraints. Move fast without sacrificing correctness, and weigh user experience against technical and regulatory limits — the stakes are higher when you're handling patient data.
• Set the foundation. Establish the architecture, patterns, and engineering habits an early team will build on for years.
• Ship and stand behind it. Own the reliability, debugging, and iteration of what you put into production.

We keep process light and run on trust, high agency, and craftsmanship. We'd rather you own outcomes than wait to be told what to do.

• Member app that serves as the front door to everything healthcare related
• Concierge AI agents to guide members through their healthcare experience (Scheduling, triage, preventive health and wellness, understanding benefits, etc.)
• Member experience: integrating the physical concierge primary care experience with a delightful digital experience
• Systems architecture and HIPAA compliance:
  Integrating our electronic medical record, clinical workflows, and core insurance platform into the member app
• AI broker tooling that delivers a best in class experience for the broker workflow, attracting them to work with Sandbar
• Building out our core insurance platform

We're staffing this across the four areas named above. Tell us which fits you best, and if you're more of a full-stack engineer who can cover several, even better.

You'd build the member-facing experience: the app and web interfaces that patients and members use day to day. We're looking for strong skills in a modern frontend framework (React/Type Script or similar), a good eye for…