Staff Engineer (Fullstack)
About Alaffia & Our Mission
Every year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We're here to change that paradigm.
Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire lifecycle of claims. With Alaffia, health plans can cut wasted spending more effectively than ever - and provide their members the most affordable care.
We're a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone.
(*This position requires current authorization to work in the United States. Unfortunately, we are not in a position to sponsor work visas at this time.)
About the Role
We're looking for a Staff Engineer to solve complex, cross-team technical challenges, set architectural direction, and act as a force multiplier across our engineering org. You'll translate strategic goals into technical roadmaps, lead execution, and champion AI-augmented development practices.
What You'll Do
Architect and own delivery of complex, high-impact systems spanning multiple teams
Set technical direction and coding/design standards across the org
Drive AI coding tool adoption (Claude Code, Copilot, Cursor) - establish best practices and measure productivity gains
Mentor senior engineers and influence technical decisions without formal authority
Partner cross-functionally with product and business leaders on technical strategy
Own testing strategy, system health, and build-vs-buy decisions for critical infrastructure
What We're Looking For
10+ years of software engineering experience, with a track record of leading complex, high-impact projects at scale
Expert-level TypeScript, Python, GraphQL, and PostgreSQL
Strong system design and cloud infrastructure experience (AWS preferred), including CI/CD and containerization (Docker, Kubernetes)
Demonstrated success adopting AI coding assistants to improve team productivity
Excellent communication skills and experience mentoring senior engineers
Healthcare tech/regulatory experience (HIPAA, HITRUST) a plus
Preferred
Healthcare SaaS experience; familiarity with medical billing, claims, or clinical workflows
Experience shipping user-facing AI products or AI/ML model deployment
Open source contributions or technical publications
Our Culture
Alaffia was born out of our founders' personal connection to the inefficiency of the U.S. healthcare system. We are deeply mission-driven, with an abiding belief that technology can help create a better future for everyone - and we're looking for others who share our passion for change to join the team.
What Else Do You Get?
Competitive compensation package (cash + equity)
Medical, Dental and Vision benefits
Flexible, paid vacation policy
Work in a flat organizational structure - direct access to Leadership