Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
We're hiring for a Staff and Senior Backend Engineer to join our expanding Right Payer Solutions product team across Subrogate and COB product lines.
Our Culture @ Machinify
We embrace complex challenges with curiosity — a genuine interest in understanding the hard problems at hand and how to move the needle forward. Our engineers empower each other to take action, learn deeply about our customers' needs, and unlock innovation with a strong sense of product ownership. We build with our users in mind, thoughtfully shipping outcomes, not just features. The technology we build shapes real healthcare decisions, demanding a high bar for engineering excellence — what we ship carries real weight. We pressure-test new AI tools, shape how they're used, and set the example for what disciplined, AI-driven engineering looks like: fast, but always under structured human oversight.
The Role
We're hiring a Staff / Senior Backend Engineer to join our expanding engineering team spanning the Subrogation and Coordination of Benefits (COB) product lines. This is a joint posting for both lines — you'll join one of them, matched on your background and team need.
You'll set technical direction for backend development and use your deep programming expertise to design, build, and operate scalable, reliable cloud-native services and distributed systems that run at scale on AWS, GCP, or Azure. You'll work alongside AI coding agents as a core part of how you deliver — directing and reviewing their output while holding the bar on quality. The ideal candidate has strong experience in application design, system architecture, and cloud development, plus a proven ability to drive adoption of new languages, tools, and agentic development practices across a team.
You'll join a highly visible engineering team trusted to solve complex, high-stakes problems using the best of AI, data, and software systems. Partnering cross-functionally, you'll influence product direction, work directly with customers, and own systems that positively impact millions of lives — where your technical decisions truly matter.
We develop in Rust; strong Java, Go, or Scala engineers are a great fit and we'll help you adopt Rust effectively. This is hands-on product engineering — building and owning production services and features, not a DevOps, Platform, or SRE role.
Click here to learn more about our COB (Coordination of Benefits) & Subrogation product lines.
Does this sound like the right opportunity for you? Let’s connect!
What You’ll Do
- Set the architecture and technical direction for backend systems on your product line
- Ship cloud-native services that power accurate, high-stakes payment-integrity decisions
- Turn ambiguous product intent into concrete, well-sequenced backend design
- Own your services in production — reliability, observability, and performance at scale
- Raise the engineering bar and grow the team's programming maturity as we scale Rust
- Set the standard for AI-driven delivery, keeping delivery fast and under human oversight
- Simplify labor-intensive workflows by applying ML techniques to large volumes of data
- Balance new customer value with technical-debt cleanup to keep the product sustainable
- Partner with PM, ML/DS, QA and UX to shape product direction and outcomes
- Mentor engineers and act as the backend voice in cross-team planning
- Work directly with customers on systems that impact millions of lives
What You Bring
- 10+ years of backend engineering for Staff, 6+ years for Senior (full-stack experience a plus)
- Strong application design and system architecture across complex backend systems
- Proven ability to author technical design documents that satisfy engineers and product partners alike
- Substantial production experience in Rust, Java, Go, or Scala; Rust highly desired
- Proven experience designing, building, and operating distributed systems at scale
- Hands-on with containers and orchestration (Docker, Kubernetes) in production
- Ownership of CI/CD pipelines for your own services — building them, not just consuming them
- Production experience on at least one major cloud — AWS, GCP, or Azure
- Strong SQL and relational database skills; comfort across NoSQL and caching layers
- Hands-on experience with agentic engineering tools and workflows in production
- Proven ability to read complex code and own and continually improve code quality
- Strong cross-functional collaboration with engineering, PM, ML/DS, and leadership
- A pragmatic default and strong systems instinct — you find root causes, not symptoms
- Comfort with complexity and curiosity to define the path forward, not wait for one
- BS or MS in Computer Science, or equivalent experience
Nice to have
- Technical leadership on Rust best practices — idioms, safety, and performance — as the team scales adoption across greenfield projects
- Healthcare, payer, or insurance domain experience; claims or payment-integrity workflows
- Experience shipping ML/AI-driven features in production and earning the business's trust in them
What We Offer
- Work from anywhere in the US! Machinify is digital-first.
- Top Medical/Dental/Vision offerings
- FSA/HSA
- Tuition reimbursement
- Competitive salary, 401(k) with company match
- Unlimited PTO
- Additional health and wellness benefits and perks
- Flexible and trusting environment where you’ll feel empowered to do your best work
The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range. Salary is one component of the total compensation package, which includes meaningful equity, excellent healthcare, flexible time off, and other benefits and perks.
Pay range: $200,000 - $250,000
Skills Required
- 10+ years of experience in programming
- Expert Rust developer
- Experience with Java, TypeScript, JavaScript, and Scala
- BS or MS in Computer Science or equivalent experience
Machinify Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Machinify and has not been reviewed or approved by Machinify.
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Healthcare Strength — Health coverage is described as employer-paid for employees with additional support for dependents, alongside dental, vision, mental health, and FSA/HSA options. Listings consistently depict comprehensive medical benefits.
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Leave & Time Off Breadth — Policies include unlimited PTO, paid holidays and sick time, and a weekly no‑meetings day. These elements indicate broad time‑off access alongside flexible scheduling.
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Parental & Family Support — Inclusive paid parental leave is stated at 14 weeks for birth and non‑birth parents. Family benefits are prominently featured across public materials.
Machinify Insights
What We Do
Machinify is an AI start-up in the Healthcare space. Our software platform leverages the latest advances in machine learning, large language models, data analytics, and cloud processing to solve previously intractable problems in the healthcare industry impacting millions of lives.
Why Work With Us
We are a heavily cross-functional, collaborative diverse team working together to solve big problems that matter. If you are looking for an exciting environment where you'll be challenged to do the best work of your career, consider joining us!
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