This is a fully remote role within the United States.
We’re looking for a product-minded Design Engineer to bridge the gap between design intent and the experience we ultimately ship. You’ll evolve Pit Viper, Turquoise Health’s design system and component library, while working directly in product code to improve the usability, consistency, accessibility, and polish of our applications.
Pit Viper includes visual foundations, layouts, CSS patterns, and pv-components built with Vue. Those components can also be distributed as native Web Components, allowing us to reuse the system in lighter-weight, server-driven parts of the product powered by Django templates.
You’ll help determine what the right interactions should be, implement them in production, and identify when an individual product improvement should become a reusable system capability.
Success in this role means being able to demonstrate outcomes such as:
A recurring product pattern that previously required one-off implementations is now supported by a flexible, well-documented pv-component
A critical workflow is materially easier to understand because its interaction, hierarchy, responsive behavior, and edge states have been refined in code
Vue and HTMX-powered product surfaces can use the same components without creating fragmented user experiences
Accessibility, visual consistency, and interaction issues are caught and resolved before release rather than during post-launch cleanup
Product engineers can ship high-quality experiences more quickly because our design system gives them stronger defaults
Design, build, test, document, and maintain reusable pv-components within our internal design system (PitViper)
Create thoughtful component APIs, composition patterns, variants, interaction states, and extension points that serve emerging product needs
Ensure components work naturally within Vue applications while remaining useful as native Web Components in HTML and other server-rendered product surfaces
Partner closely with product designers and engineers throughout the development process, from early exploration through production implementation
Work directly in application code to refine layouts, interactions, responsive behavior, typography, spacing, focus management, transitions, and feedback states
Last-mile design delivery: implementation of details that are often missed between a design file and production, including loading, empty, error, success, disabled, hover, and keyboard-navigation states
Review product surfaces for visual, behavioral, and accessibility inconsistencies, then fix them at the appropriate level: within the feature, shared application code, or Pit Viper
Improve the documentation, testing, release processes, and contribution practices that make Pit Viper easier for other teams to adopt
5+ years building production web interfaces with HTML, CSS, and JavaScript or TypeScript
1+ years of direct, hands-on experience building or maintaining a design system, component library, or shared UI framework (not just consuming one)
Strong visual and interaction-design judgment. You can recognize why an interface feels unfinished and translate that observation into a concrete implementation
Production-level experience with Vue (or a comparable component framework — React/Svelte/Angular)
Demonstrable experience implementing accessibility standards (WCAG) in shipped components, not just design reviews
A portfolio, or work sample showing before/after component or interaction work (not just visual mockups)
Experience authoring and publishing native Web Components consumed outside their originating framework
Experience working across a mixed-framework stack — a JS framework alongside server-rendered templates (Django, Rails, HTMX, or similar)
Experience contributing to or maintaining a component library used by 10+ other engineers/teams
Familiarity with Storybook, Figma-to-code tooling, or similar design-system tooling
Experience in healthcare, fintech, or another data-dense enterprise product domain
Competitive pay with equity options
Stellar healthcare plan options, including Medical, Dental, and Vision, with FSA, DCFSA, and HSA options
Company-sponsored disability and life insurance
Unlimited PTO
401(k) with 4% matching
Fully remote work and flexible working hours
$750 work-from-home setup budget
Paid biannual in-person company summits
Quarterly $150 co-hanging stipend to meet with coworkers
Monthly $100 health and wellness benefit
Generous paid family leave
Annual $1,200 learning and development stipend
Turquoise Health is a Series C price transparency platform for finance leaders across healthcare. Backed by a16z, Oak HC/FT, Adams Street, Yosemite, Bessemer Venture Partners, and others, we power price transparency for 300+ enterprise organizations and are building the infrastructure for a more open, efficient healthcare marketplace. We're a remote-first, US-based team that values transparency, empathy, inclusivity, creativity, and ownership.
We operate on US business hours and work with clients entirely based in the US. For this role, we are seeking US-based candidates.
We strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply for any open roles of interest. Healthcare affects all people differently, but it significantly affects those in underserved communities. With a robust, diverse team, we are stronger and better equipped to change the future of healthcare for all.
Work AuthorizationThis role requires current authorization to work in the United States. Turquoise does not sponsor employment visas (H-1B, PERM, etc.) or assume sponsorship of existing visas for this position.
Disability Accommodation EmailTurquoise is committed to providing reasonable accommodations to applicants and employees with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. If you require assistance or an accommodation with the hiring process, please contact [email protected]
Skills Required
- 5+ years building production web interfaces with HTML, CSS, and JavaScript or TypeScript
- 1+ year of hands-on experience building or maintaining a design system, component library, or shared UI framework
- Strong visual and interaction-design judgment
- Production-level experience with Vue or a comparable component framework such as React, Svelte, or Angular
- Production experience implementing WCAG accessibility standards in shipped components
- Portfolio, GitHub, or work sample demonstrating component or interaction improvements
- Current authorization to work in the United States
- Experience authoring and publishing native Web Components
- Experience with mixed-framework stacks combining JavaScript frameworks and server-rendered templates such as Django, Rails, or HTMX
- Experience maintaining a component library used by 10 or more engineers or teams
- Familiarity with Storybook, Figma-to-code tooling, or similar design-system tooling
- Experience in healthcare, fintech, or another data-dense enterprise product domain
What We Do
Our solutions are created to eliminate the financial complexity of healthcare. People work here because they deeply care about making an impact within the healthcare revenue cycle. Our mission is to build a waste-free healthcare transaction—a cleaner, simpler interaction between providers, payers, and patients. We will leave the waste exhaust behind. We're here to replace ambiguity with clarity, fragmentation with standardization, and opacity with transparency. We believe the future is one where healthcare payments are predictable, explainable, and fast. Where a family can focus on healing instead of spreadsheets, and where "it depends" becomes the rare exception, not the operating system.
Why Work With Us
First things first is that we are a location agnostic company meaning you get paid the same salary no matter where you are based within the US. Aside from salary you're being paid to do impactful work with a kind, inclusive and empathetic team which we like to believe is unique as it gets.









