Staff Software Engineer (Payer) (AI)

TL;DR

Staff Software Engineer (Payer) (AI/Healthcare): Building intelligent systems for clinical quality and risk detection using LLMs to improve mental healthcare access with an accent on AI-powered clinical feedback and risk detection in healthcare claims. Focus on designing evaluation frameworks for trustworthy AI and scaling technical foundations for the Payers & Outcomes group.

Location: Remote (Must be based in the US; mentions New York, San Francisco, and Seattle)

Salary: $224,000 - $280,000 base salary plus equity

Company

Mental healthcare platform automating insurance administration and providing practice tools for over 70,000 providers to increase accessibility to care.

What you will do

• Architect LLM-powered systems to review clinical documentation at scale and deliver real-time provider feedback.
• Design ML/LLM systems to detect patterns of inappropriate billing, over-utilization, and low-quality care.
• Build systems to systematically measure and defend clinical quality standards across the provider network.
• Develop ML models to match patients with the most suitable providers based on complex needs.
• Champion trustworthy AI by building evaluation frameworks, optimization loops, and observability.
• Set technical standards and provide mentorship to scale the engineering group from 12 to 50 engineers.

Requirements

• Experience as an end-to-end product builder capable of handling both backend logic and frontend state management.
• Proven ability to turn ambiguous problems into shipped software and own outcomes.
• Expertise in making technical decisions that optimize for maintainability and scale.
• Strong mentorship skills and a habit of sharing knowledge across the team.
• Experience experimenting with LLMs and applying them to real-world workflows.
• Must be authorized to work in the US (E-Verify participant).

Culture & Benefits

• Comprehensive medical, dental, and vision insurance with HSA/FSA options.
• 401(k) plan and 16-week parental leave.
• Company-reimbursed therapy and a dedicated professional development budget.
• Generous time off including 13 holidays, a full week off in December, and flexible PTO.
• Mission-driven environment focused on solving the mental healthcare access crisis in America.

Hiring process

• Initial screening call with the recruiting team.
• Live coding interview conducted via Karat.
• Final rounds consisting of several technical and non-technical interviews with team members.