[Remote] Founding Full Stack Engineer

Note: The job is a remote job and is open to candidates in USA. Solum Health builds software to automate insurance work for outpatient care. The Founding Full Stack Engineer will build AI-driven insurance workflows, ship features across frontend and backend systems, and deploy automations with customer teams.

Responsibilities

• You'll build the automations that handle insurance work for our customers, starting with outpatient facilities:
• **Insurance verification.** Confirm what a patient's plan covers and what they'll owe, quickly and accurately, without anyone waiting on hold
• **Prior authorization.** Gather the right documents, send the request to the insurer, and follow it until there's an answer
• **Coverage detection.** Find insurance a patient has but didn't mention, before the bill goes out
• That means AI agents that read documents, work through insurer websites, connect to the systems our customers already use, and know when to hand a case to a person
• You'll write and improve the prompts behind those agents, test them on real cases, and measure how accurate they are on live work
• You'll ship features across a Next.js frontend and a FastAPI backend, and use workflow tools like n8n where they're the right fit
• You'll also work directly with customer teams to deploy these automations inside their organizations

Skills

• 3+ years in AI/ML or full-stack engineering, with production systems you owned from first version to live use
• You already write most of your code with Claude Code, Codex, or similar coding agents, and you have a reliable way of reviewing and testing what they produce
• Production LLM experience: prompt design and versioning, evals, and A/B testing on real traffic
• Integration work with messy external systems: third-party APIs, webhooks, browser automation, and document or file processing
• Comfort working across frontend, backend, and AI systems
• Startup experience, especially at an early stage company where you shipped every week and owned outcomes, not tickets
• Experience in healthcare, health insurance, medical billing, or a related industry

Benefits

• Equity: 0.30% - 0.80%
• Remote work in New York, NY; Miami, FL; Phoenix, AZ; and Los Angeles, CA

Company Overview