Senior Software Engineer, Full Stack | Healthcare RCM
We’re partnering with a fast-growing, Series B healthcare technology company building a modern operating platform for specialty healthcare practices.
The platform sits at the intersection of clinical care and practice operations, helping healthcare organizations streamline patient workflows, integrate fragmented clinical and financial data, automate administrative processes, and improve how providers get paid.
We’re looking for a Senior Software Engineer with deep Revenue Cycle Management (RCM) experience who can own features across the full stack. You’ll work across frontend applications, backend services, healthcare integrations, and complex financial workflows.
What You’ll Do
Own and ship full-stack product features from design through production
Build modern frontend experiences using TypeScript and Vue or React
Design and develop APIs and backend services using Node.js and Express
Model complex clinical, operational, and financial data in MongoDB
Build workflows across the revenue cycle, from pre-visit clearance through payment
Integrate with EHRs and other healthcare systems using standards such as HL7 and FHIR
Design auditable workflows for financial events and transaction states
Build configurable rules engines and state machines capable of handling evolving healthcare use cases
Improve existing architecture and systems as the product and customer base scale
What We’re Looking For
5+ years of professional software engineering experience
3+ years working directly with healthcare Revenue Cycle Management
Strong TypeScript experience across the stack
Modern frontend experience with Vue, React, or similar
Backend development experience with Node.js and Express
Experience with MongoDB/Mongoose or comparable document-oriented databases
Strong understanding of database schema design, indexing, and query performance
Experience building or integrating healthcare systems using HL7, FHIR, EHR APIs, or similar
Experience designing systems that process financial events and manage complex transaction states
Experience building configurable state machines, workflow engines, or rules engines
Comfortable working in large existing codebases and improving systems incrementally
Strong product mindset and ability to take features from specification through production
Nice to Have
EDI/X12 experience, especially 270/271 and 835
Claims, eligibility, prior authorization, denial management, payment, or billing experience
Durable workflow orchestration using Temporal, Cadence, or AWS Step Functions
Monorepo experience with Turborepo, Nx, or similar
AWS, Azure, or GCP
Real-time or event-driven systems
Analytics/reporting built on transactional healthcare data
OpenAI API or other LLM/AI application experience
Ideal Background
You’ll likely come from a healthcare technology company where you’ve built software around claims, eligibility, billing, payments, prior authorization, patient financial workflows, or EHR integrations .
This is particularly well suited to engineers who enjoy solving messy healthcare problems where data, financial transactions, clinical workflows, and real-world operations don’t always fit neatly into predefined systems.