Senior Back-End Engineer: Dynamic Copay Engine
Confirmed on the employer's own hiring board on Sep 28, 2026. First seen by Alion on Mar 17, 2026.
About Helm Health
Helm is a Series A start-up transforming health insurance with "Dynamic Copay" - a new insurance plan that lets members see simple, upfront prices for all medical care before making decisions. Our team is building the infrastructure to power these plans for health insurance payors. With Helm, our clients offer simpler health plans to their members, helping them navigate to higher-value care.
Our team has specialized in Dynamic Copay solutions since 2020, and Helm is the only independent platform in the market. We have grown rapidly since our launch, working with clients from local health plans to the nation's largest health insurers. The market is forming around us, making it an exciting time to join!
Role Overview
We're seeking a Senior Backend Engineer to join our Dynamic Copay team. You'll work on our Dynamic Copay Engine - the core component that powers upfront pricing for health plan members. This is a high-impact role where you'll own critical services from day one, working at the intersection of claims processing and real-time pricing logic.
Team Context
The Dynamic Copay Engine works closely with our Claims Engine team, which owns our claims processing pipeline and adjudication integrations. You'll work closely with the team lead and other engineers to build, scale, and harden the systems that sit at the center of our product.
Responsibilities
- Own the development, testing, and production support of the Dynamic Copay Engine services
- Design and implement pricing logic, rules engines, and configuration systems that power upfront member pricing
- Build and maintain integrations with claims adjudication workflows
- Write performant queries and manage data across PostgreSQL, Redis, and BigQuery
- Collaborate with product and other engineering teams to translate business requirements into reliable, scalable backend services
- Participate in code reviews, architecture discussions, and incident response
- Contribute to the on-call rotation for production systems
Requirements
- 4+ years building, owning, and maintaining backend services
- 2+ years writing Go
- Strong SQL skills, particularly in PostgreSQL
- Experience with Redis and BigQuery (or similar analytical databases)
- Docker/Kubernetes
- Google Cloud Platform
Preferred Qualifications
- gRPC/Protobuf experience
- Experience with thorough testing strategies
- Health insurance or claims processing experience
- Terraform/Terraform Cloud
- Python proficiency
- Incident management and response experience
- Startup experience
Characteristics
- Self-directed and comfortable owning a domain end-to-end
- Mission-driven - motivated by making healthcare simpler and more transparent
- Willing to ask questions and admit what you don't know
- Comfortable working in a fast-moving codebase where requirements evolve quickly
Internal Tools/Technology
- Cursor / Linear / GitHub / Notion / Whimsical
- Slack / Google Workspace / Zoom
- Incident.io / Sentry
- Claude, ChatGPT, Gemini - we are an AI-forward engineering team
- macOS / Linux
Compensation
The target base salary range for this position is $150,000 - $225,000 and is part of a competitive total rewards package including equity and benefits. Individual pay may vary from the target range and is determined by several factors, including experience, skills, location, internal pay equity, and other relevant business considerations.
Benefits/Offerings
- Unlimited PTO (mandatory 12 days)
- Computer + home office stipend
- 401(k) + matching
- Medical, dental, and vision insurance
- Autonomy and tons of room for career growth
Occasional Travel
We meet quarterly as a company.
Please note that this is a fully remote opportunity.