Staff Software Engineer

Elation Health is hiring a Staff Software Engineer for its billing team. The role involves designing, building, and operating systems that simplify healthcare billing, improve reimbursement, and use AI to automate work, while collaborating with Product, Design, Support, and customers.

Responsibilities:

• Building systems that balance financial transactions between insurance, patients, and the practice. We’re building complex solutions that maximize reimbursement for practices and get them paid more while removing complexity for them
• Working with inconsistent data from outside partners and handling the edge cases well
• Shipping AI features that real users depend on, and figuring out how to tell when they're wrong
• Improving a mature codebase while customers are using it every day
• Owning your work in production and working with Support when something breaks
• Collaborating with product and design to identify improvements and make them rapidly
• Ship something to production
• Scope and build a new feature with Product and Design
• Learn our stack and enough of the billing domain to be functional
• Join code reviews and production support
• Engage with customers and learn from their feedback
• You own big features; collaborating with design and product stakeholders all the way through deployment, monitoring, and collecting insights on adoption
• You help set technical direction for your team on problems that you own
• Support teams, product owners, and sales representatives know you as someone who gets production issues resolved quickly and can speak to the solutions natively

Requirements:

• You like owning a problem from start to finish
• You think about how things will fail before they ship
• You can identify when a problem needs a proper fix versus when a simple bandaid will do
• You can explain technical trade-offs to non-engineers
• And you already use AI tools in your own work
• 5+ years of professional software development (8+ for Staff, including technical leadership)
• Production experience building and running backend services and APIs
• Comfortable working across the stack and in more than one language
• Experience with alerting/observability/instrumentation for real production solutions
• Clear communicator with technical and non-technical people
• Interest in building with LLMs
• Experience building production features with LLMs or machine learning
• A data-driven mentality
• Python and/or PHP, and MySQL
• TypeScript and React
• Payments, financial, or ledger systems
• Event-driven or distributed systems on AWS
• Observability and DevOps
• US healthcare, especially medical billing or claims