{"id":140637,"url":"https://alion.io/job/clearest-health-senior-software-engineer","title":"Senior Software Engineer","company":{"id":19703,"name":"Clearest Health","domain":"clearesthealth.com","url":"https://alion.io/company/clearest-health","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Work at a Startup","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["New York, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":150000,"max":250000,"currency":"USD","period":"year","gross":null,"usd_annual":250000},"salary_estimate":null,"experience_years_min":4,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"Amazon CloudWatch","optional":false},{"name":"Amazon ECS","optional":false},{"name":"Amazon S3","optional":false},{"name":"AWS","optional":false},{"name":"AWS Fargate","optional":false},{"name":"AWS Lambda","optional":false},{"name":"Claude","optional":false},{"name":"Claude Code","optional":false},{"name":"Cloudflare","optional":false},{"name":"Cursor","optional":false},{"name":"DynamoDB","optional":false},{"name":"GitHub","optional":false},{"name":"Go","optional":false},{"name":"GPT-4","optional":false},{"name":"Hallucination","optional":false},{"name":"HIPAA","optional":false},{"name":"LLM","optional":false},{"name":"Metabase","optional":false},{"name":"Node JS","optional":false},{"name":"PostgreSQL","optional":false},{"name":"Prompt Engineering","optional":false},{"name":"RAG","optional":false},{"name":"React.js","optional":false},{"name":"Rest API","optional":false},{"name":"TypeScript","optional":false},{"name":"Vercel","optional":false},{"name":"JavaScript","optional":true},{"name":"Mantine","optional":true},{"name":"Radix UI","optional":true},{"name":"React Router","optional":true},{"name":"shadcn/ui","optional":true},{"name":"Tailwind CSS","optional":true}],"status":"live","first_seen_at":"2026-08-27T20:25:48Z","employer_posted_date":"2026-10-12","last_verified_at":"2026-10-17T17:57:24Z","board_verified":true,"closed_at":null,"days_open":51,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":51},"description":"Why This Role Exists\nThis role reports directly to the CEO and is intended to promote to CTO. We move fast: ex-founders and operators can join us within a single day of meeting. If you're looking for that level of urgency, ownership, and trust, you'll feel at home here.\nI previously built LLM systems at Amazon and wanted to find a market where I was the only, not the best (thanks PT). And I found it. I infiltrated health insurance companies to learn how they work and saw the massive inefficiency in how doctors get paid for out-of-network care. Clearest Health exists to fix that with data and automation that didn't exist before.\nWhy Healthcare Payments\nHealthcare payments is one of the largest, most broken markets in the world. It's a $300B+ industry that runs on outdated systems and painful manual work. Providers lose billions every year, and fixing it requires LLMs that can scale where humans can't.\nI was looking for a market where we can compete at the service layer, use AI internally rather than vend it for immediate iteration loops, and generate revenue in a massive market. Well, this is it!\nWe've built the foundation and secured partnerships with the three largest law firms in the country. We're now preparing to deploy across 200 provider groups. The demand is here, the market is massive, and the opportunity to shape the future of healthcare payments is wide open.\nWhat You'll Do\nThis is a true ground-floor role: you'll be writing code that powers billions of dollars in cashflow for hospitals and physician groups, while shaping the product and culture of the company from day one.\nExpect your friends to ask why you're working so hard - and then ask if they can join. (intentional, non-AI em dash btw)\nWhat the First 90 Days Look Like\nFirst 30 days: Ship the LLM-frist, automated dispute-tracking pipeline that our top 3 law firm partners depend on. You'll own it end-to-end: data ingestion, status updates, and the provider-facing dashboard.\n\nFirst 60 days: Take over the eligibility engine and benchmark infrastructure backed by 1.8M verified IDR pricing records. Redesign the data pipeline to handle deployment across 200 provider groups.\n\nFirst 90 days: Lead architecture decisions across the platform. Begin building and managing the engineering team (on/offshore). You're operating as de facto CTO.\n\nRole Requirements\n4+ years of professional software engineering experience\nFull-stack experience with ownership of features end-to-end\nCulture-Fit Requirements\nCustomer-obsessed: care deeply about solving real problems for providers\n\nOpinionated but convincible: strong views, open to better ideas\n\nGreat taste: in design, code, and product judgment\n\nWicked fast iterations: bias toward action and rapid learning\n\nHigh trust, high loyalty: thrives in high-autonomy, high-accountability environments\n\nMission-driven: passionate about changing healthcare economics\n\nRole Guidelines\nMeasure twice, cut once: design features by presenting multiple options before building\n\nHigh ownership: run independently and own features end-to-end with minimal guidance\n\nComfort with speed: willing to take shortcuts when strategically directed\n\nSuper user: Cursor, Claude Code, Vercel, etc.\n\nTeam-builder: help manage and grow an on/offshore team as we scale\n\nGreenfield builder: design and build products from repo creation\n\nData-heavy expertise: skilled at building data-intensive applications\n\nBonus: background in life sciences, UX, or product design\n\nTechnical Stack\nFrontend\nReact + React Router for the provider-facing platform (claims management, analytics dashboards, dispute tracking)\nTailwind CSS + ShadCN/Mantine component library\nReal-time data visualization for revenue gap analysis and CPT code benchmarking\nBackend\nNode.js + TypeScript on Hono (runs on Lambda) for APIs and business logic\nGo for high-throughput I/O: data pipelines, batch processing, RPA automation\nLLM integration (Claude, GPT-4) for AI-generated dispute documentation and eligibility engines\nRAG architectures, prompt engineering, and hallucination detection for legally significant document generation\nInfrastructure\nAWS end-to-end: Lambda, ECS Fargate, S3, DynamoDB, PostgreSQL\nCloudflare Pages for static hosting\nAuth via Clerk (migrating to Auth.js)\nCloudWatch + Metabase for observability and analytics\nHIPAA-compliant architecture: encryption at rest/in transit, PHI access controls, audit logging\nPortfolio Submission: Please share any notable GitHub projects and technical content you’ve authored.\n\nCoding Challenge: Attached is a technical coding challenge, which includes specific grading criteria. Please review the README carefully: Coding Challenge - GitHub Repository. Please timbox this to 1 day tops.\n\nFinal Round Selection: We will review submissions and invite select candidates for a final behavioral and technical interview via Zoom.\n\nTrial Period: Two weeks at a minimum of 40 hours per week.\n\nFull-Time Offer: Upon successful completion, a full-time position with a competitive salary will be offered.","description_format":"text","description_chars":5028,"description_truncated":false,"requirements":{"experience_years_min":4,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Health insurance"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Primary Care & Medical Centers"],"lifecycle":[{"event":"open","at":"2026-08-27T20:25:48Z"}],"visa":[],"liveness":{"score":24,"band":"cold","label":"Long shot","p_open":1,"p_active":0.526,"p_room":0.45,"age_days":50,"expected_fill_days":26,"reasons":["conf:0","win:tail"],"computed_at":"2026-10-17T05:46:00Z"},"pay":{"stated_usd_annual":250000,"is_top_pay":true},"html_url":"https://alion.io/job/clearest-health-senior-software-engineer","json_url":"https://alion.io/job/clearest-health-senior-software-engineer.json","meta":{"generated_at":"2026-10-17T20:49:17Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":5056,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-18T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":19703},"rest":"https://alion.io/mcp/rest/get_company?id=19703"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fclearest-health-senior-software-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fclearest-health-senior-software-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fclearest-health-senior-software-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/clearest-health-senior-software-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fclearest-health-senior-software-engineer"}]}