
Staff Software Engineer, Billing & Payments
Required skills
- production systems
- high-scale applications
- complex technical problems
- financial workflows
- clean, maintainable code
- technical leadership
- architectural decisions
- complex requirements
- HIPAA
- security and compliance
Nice to have
- payment flows
- reconciliation
- safe rollouts
- payer requirements
Role summary
Healthie is seeking a Staff Software Engineer, Billing & Payments to lead the architecture and development of a new billing platform. This role requires 8+ years of full-stack experience with expertise in Ruby on Rails, React, TypeScript, and GraphQL, along with strong system design, data modeling, and API design skills. The ideal candidate is quality-obsessed, a technical leader, and a collaborative builder who can mentor engineers and partner with Product and Design. This is a hybrid position in NYC with a salary range of $240,000 - $280,000 plus equity, bonus, and benefits. The role involves working with sensitive financial and healthcare data, requiring adherence to HIPAA and security compliance.
Our Mission
Healthie is an AI-Native, ONC Certified EHR for modern outpatient healthcare.
Healthie is proud to power clinically excellent healthcare for over 40,000 providers who deliver clinically excellent healthcare - longitudinal and collaboratively, with patient and provider experiences at the center. Both healthcare and technology are undergoing unparalleled industry innovation, and it’s incredible to see the momentum - from consumers, from providers, and from reimbursement for this type of healthcare - grow exponentially.
We provide the powerful infrastructure every care delivery organization needs. On the surface this includes EHR, Scheduling, Engagement, Billing, Data, and much more. Underneath the iceberg are thousands of configurations, settings, widgets, automations, and limitless capabilities because we are an API-first platform. Our fully brandable platform makes it easy for clinics and organizations of any size to scale and never reach a limit.
Today, over 3 billion API calls are made to Healthie every month, as thousands of organizations who work with more than 21 million patients in total, rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from behavioral healthcare to complex chronic care management and personalized medicine.
We believe in the power of technology to improve access to healthcare and we’re building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We’re customer-obsessed, operate with lightning-fast processes and responses, and always share our product roadmap publicly- so customers can see what we’re building, and remain relentlessly focused on how care gets delivered.
Healthie is backed by leading investors, and while we've $42M raised to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. We know that building an ONC-Certified EHR is a lifetime’s body of work, and we are here to build for our customers forever.
Learn more at https://www.gethealthie.com/
About the role
Billing is how our customers get paid, and it touches every part of Healthie: providers, patients, payments, reporting, and compliance. We’re rebuilding it, and you’ll be the technical lead.
You’ll own the architecture for the new billing platform end to end: data models, backend services, GraphQL APIs, and the React/TypeScript experiences on top. You’ll set the technical direction, make the calls on what to build and how, and work directly with Product and Design. This is a greenfield-scale build inside a production Rails monolith that 40,000+ providers already rely on.
What you’ll do
What makes this role different
About you
Details, details
Interview Process
Learn more at gethealthie.com/careers.
Healthie is subject to HIPAA and other security and privacy frameworks, and this job entails training and conformance to expectations regarding security and compliance.
Healthie participates in e-verify.
Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day.
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