Staff Software Engineer building AI-powered billing systems for Elation Health’s cloud clinical platform. Owning full-stack production features, APIs, observability, and financial workflows.
Responsibilities
Build systems that balance financial transactions between insurance, patients, and practices
Work with inconsistent data from outside partners and handle edge cases
Ship AI features that real users depend on and determine when they are wrong
Improve a mature codebase used by customers daily
Own work in production and work with Support when issues occur
Collaborate with Product and Design to identify and rapidly implement improvements
Ship something to production within the first 60 days
Scope and build new features with Product and Design
Learn the technology stack and billing domain
Participate in code reviews and production support
Engage with customers and learn from feedback
Own major features through deployment, monitoring, and adoption insights
Help set technical direction for owned problems
Resolve production issues quickly and explain solutions to Support, Product, and Sales
Requirements
8+ years of professional software development for Staff level, 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 communication with technical and non-technical people
Interest in building with LLMs
Experience building production features with LLMs or machine learning (nice to have)
Python and/or PHP, and MySQL (nice to have)
TypeScript and React (nice to have)
Payments, financial, or ledger systems (nice to have)
Event-driven or distributed systems on AWS (nice to have)
Observability and DevOps (nice to have)
US healthcare, especially medical billing or claims (nice to have)
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