Founding Engineer

Posted Yesterday
Hiring Remotely in United States
Remote
100K-150K Annually
Mid level
Artificial Intelligence • Healthtech • Software • Automation
The Role
Build production software and scalable cloud systems for AI-powered insurance calls. Responsibilities include designing core LLM systems, refining prompts, developing privacy- and security-conscious solutions, orchestrating thousands of concurrent phone calls, integrating FHIR APIs, testing, debugging, and documenting software. The role also contributes to product direction, engineering practices, and company culture as a foundational team member.
Summary Generated by Built In
Join us at Health Harbor

Over a third of all healthcare costs stems from overhead in insurance billing. For the first time, we’re able to automate that away with AI. Health Harbor is using LLMs to fully automate calling insurance for doctors. This saves an average practice 40 hours every month. Our mission is to simplify healthcare so doctors and their offices can spend less time figuring out logistics, and instead focus on the patients they care about.

We're backed by YCombinator and are already making revenue after just a few short months. We'd like to invite you to join us on our journey to make healthcare easier. We are looking for outstanding product-focused software engineers who are just as passionate about healthcare as we are. As an Engineer at Health Harbor, you'll have the chance to tackle difficult technical problems. From working on cutting edge generative AI to building a scalable system from the ground up, you’ll get to work on a fast moving project from day one. Also, as a foundational member of our early team, you'll be instrumental in shaping our company culture and long-term engineering practices.

https://healthharbor.co/

As a Software Engineer at Health Harbor, you will…

  • Write production-level software including system design, implementing end-to-end tests, bug fixing/debugging and documentation.

  • Take responsibility for core systems around the large language model, including refining and narrowing the scope of prompts.

  • Build novel solutions to leverage the strength of the large language model while being robust to privacy and security constraints.

  • Develop scalable cloud solutions to orchestrate thousands of concurrent phone calls

  • Integrate with the new FHIR API for interoperability with existing healthcare systems

You may be a good fit if...

  • You have 3-5 years of full-time in backend software engineering experience

  • You are passionate about healthcare and making things easier for doctors and their offices

  • You are a problem solver, someone that knows how to get things done

  • You are willing to take on the hardest challenges but also the work that’s not always fun to do

  • You have amazing engineering chops, but are also product- and user-focused

  • You have great communication and collaboration skills

  • Bonus:

    • Python/React experience

    • Familiarity with FHIR or other common API architectures in healthcare

    • Previous work with websockets or telephony APIs

    • Past experiences scaling a system to thousands of concurrent users

What We Offer

  • Competitive Salary & Meaningful Equity – we will stretch to get the right talent on board

  • ICHRA benefit — choose whichever insurance you’d like!

  • Unlimited PTO

  • 12 US Holidays

  • Monthly Bonding Offsites

Individuals seeking employment at Health Harbor are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation.

Skills Required

  • 3-5 years of full-time backend software engineering experience
  • Passion for healthcare and improving workflows for doctors and medical offices
  • Strong problem-solving skills and ability to get things done
  • Willingness to tackle difficult challenges and less enjoyable work
  • Strong engineering skills with a product- and user-focused approach
  • Excellent communication and collaboration skills
  • Python or React experience
  • Familiarity with FHIR or other healthcare API architectures
  • Experience with WebSockets or telephony APIs
  • Experience scaling systems to thousands of concurrent users
Am I A Good Fit?
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The Company
4 Employees
Year Founded: 2023

What We Do

Health Harbor is a healthcare technology company that uses large language models and generative AI to automate calls to health insurers on behalf of doctors and medical practices. Its system handles insurance-related administrative work, including benefits verification, prior authorizations, and claim-status inquiries. By reducing billing and logistics overhead—saving an average practice about 40 hours monthly—the company aims to let clinicians focus more on patient care.

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