Staff Software Engineer
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Job Description
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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