Senior Fullstack Engineer
Confirmed on the employer's own hiring board on Oct 15, 2026. First seen by Alion on Oct 14, 2026.
About the Role
Join a small engineering team building AI-enabled healthcare products and the platform behind them. You will own critical systems end to end, from data models and APIs to user-facing workflows, helping providers spend more time on patient care.
What You'll Do
Design and build AI-assisted workflows for clinical documentation, treatment planning, reassessments, and administrative tasks.
Develop revenue systems for authorizations, billing, payment adjudication, and provider payouts, with a focus on accuracy and reliability.
Build tools for provider operations, including credentialing, contracting, compliance, payroll, scheduling, and staffing.
Create patient and family experiences for intake, onboarding, scheduling, communication, progress tracking, and payments.
Automate operational workflows and establish platform foundations across data models, APIs, security, compliance, reliability, and AI infrastructure.
Own product engineering decisions across the stack, from database schemas through production user experiences.
What We're Looking For
Four to ten years of fullstack engineering experience, including experience in both startup and enterprise environments.
Strong proficiency in Python and experience with NoSQL databases such as MongoDB or Firebase.
Experience owning architecture or system design decisions in a product engineering role at a post-Series A company.
Background in healthtech, fintech, or another operationally complex field where data integrity and correctness are essential.
A bachelor's degree, strong attention to detail, and the ability to reason about system states, transitions, and edge cases.
Compensation & Benefits
Annual salary range: $160,000 to $200,000 USD. Visa sponsorship is not available.
Location
Hybrid in San Francisco, California, with three days per week in the office. New York is also listed as a work location.