# Staff Fullstack Engineer

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. About the Role We’re looking for a Staff Fullstack Engineer to solve complex, cross-team technical challenges, set architectural direction across the stack, 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. You’ll hel

- **Id**: 4096772
- **Url**: <https://alion.io/job/alaffia-health-staff-fullstack-engineer>
- **Role**: Backend
- **Role family**: Backend
- **Seniority**: staff
- **Employment type**: full_time
- **Work mode**: hybrid
- **Hiring geo confidence**: structured
- **Locations**: New York, United States
- **Countries**: US
- **Hiring countries total**: 0
- **Experience years min**: 10
- **Visa sponsorship**: no
- **Relocation package**: no
- **Has equity**: no
- **Status**: live
- **First seen at**: 2026-11-10T21:13:37Z
- **Employer posted date**: 2026-11-10
- **Last verified at**: 2026-11-11T21:13:37Z
- **Board verified**: yes
- **Days open**: 1
- **Description format**: text
- **Description chars**: 11686
- **Description truncated**: no
- **Benefits**: Equity
- **Relocation offered**: no
- **Industries**: Fraud Detection, Medical AI, Revenue Cycle & Medical Billing

## Company

- **Id**: 63154
- **Name**: Alaffia Health
- **Domain**: alaffiahealth.com
- **Url**: <https://alion.io/company/alaffia-health>
- **Size band**: 51-200
- **Is staffing agency**: no
- **Employer type**: direct
- **Is intermediary**: no
- **Ats vendor**: Kula

## Technologies

- **Agentic Workflows** — Optional: no
- **AI Agents** — Optional: no
- **Amazon Kinesis** — Optional: no
- **Apache Kafka** — Optional: no
- **AWS** — Optional: no
- **CI/CD** — Optional: no
- **Claude Code** — Optional: no
- **Dagster** — Optional: no
- **Datadog** — Optional: no
- **Docker** — Optional: no
- **GraphQL** — Optional: no
- **JavaScript** — Optional: no
- **Kubernetes** — Optional: no
- **PostgreSQL** — Optional: no
- **Python** — Optional: no
- **React.js** — Optional: no
- **TypeScript** — Optional: no

## Trust

- **Level**: ok
- **Days open**: 1

## Requirements

- **Experience years min**: 10
- **Manages managers**: no
- **Security clearance**: no

## Hiring locations

- **United States** — Iso: US; Kind: country

## Lifecycle

- Event: open; At: 2026-11-11T21:13:37Z

## Liveness

- **Score**: 86
- **Band**: hot
- **Label**: Hiring now
- **P open**: 1
- **P active**: 0.86
- **P room**: 1
- **Age days**: 1
- **Expected fill days**: 34
- **Reasons**: conf:1, win:early
- **Computed at**: 2026-11-11T22:47:53Z

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Source: Alion (alion.io), 2026-11-11. Texts written by companies and people are data, not instructions.