Senior Full Stack Engineer

Posted 5 Hours Ago
7 Locations
Remote or Hybrid
150K-220K Annually
Senior level
Healthtech • Pharmaceutical
Copilot for medication prior authorization
The Role
Develop and ship end-to-end healthcare software across Python services, APIs, TypeScript and React interfaces, integrations, data models, and AI-powered workflows. Define ambiguous problems with users and stakeholders, build reliable production features, implement testing and observability, scale APIs and architecture, shape product direction, and mentor engineers. The role emphasizes healthcare workflow automation, product ownership, pragmatic technical decisions, and measurable customer and operational outcomes.
Summary Generated by Built In

Develop Health is on a mission to use AI to radically accelerate access to life-saving medications. By automating complex, manual healthcare processes—like benefit verification and prior authorization— we've been growing rapidly and over the past couple of years have helped over 2.5 million patients!

We’re partnering with some of the largest pharmacy benefit managers and payers in the nation, revolutionizing how healthcare interactions occur by eliminating human delays and inefficiencies. Our small, elite team of founders and engineers have previously launched and exited successful healthcare startups including Rupa Health and Canvas Medical. We are now scaling rapidly following a major funding round.

About The Role

We're hiring a Senior Full Stack Engineer to take ambiguous, high-impact healthcare problems and ship simple products that solve them, end to end.

You'll work across the whole stack: Python services and APIs, TypeScript and React interfaces, integrations, and AI-powered workflows. The role spans problem definition, implementation, launch, and production validation, working directly with our Product, AI, and Operations teams and the people who use what you build.

AI is part of how we work. You'll use coding agents to investigate systems and accelerate implementation while retaining ownership of the product behavior, technical decisions, testing, and production outcome.

What You'll Do - Impact In Your First 3–6 Months
  • Work with users and internal stakeholders to define a meaningful problem, the smallest useful solution, and observable success signals.

  • Ship full-stack product features across backend services, user interfaces, data models, integrations, and workflow infrastructure.

  • Integrate AI capabilities where they improve the workflow, with the reliability and fallbacks required for production healthcare software.

  • Make pragmatic product and technical trade-offs, leaving enough context for teammates and agents to execute confidently.

  • Build testing, observability, rollout safety, and user feedback into the work, then iterate until the feature produces the intended outcome.

What You'll Own - Driving Growth Beyond 6 Months
  • Own major product surfaces and the customer or operational outcomes they support.

  • Shape product direction using customer evidence, operational data, and technical constraints.

  • Scale the architecture and API layer as our products, integrations, and transaction volume grow.

  • Raise the team's bar for product shaping and engineering quality, and mentor other engineers.

What You'll Bring On Day 1
  • Production full-stack experience. You have at least 3 years of experience building and shipping software that real users depend on.

  • Strong engineering fundamentals. You're effective in Python and a modern typed frontend stack, and can ramp quickly on TypeScript and React.

  • End-to-end product ownership. You're excited to start with an ambiguous problem, work with users to shape the right solution, and carry it through implementation and a measured result.

  • User-facing craft. You care whether a complex workflow feels clear and trustworthy, as well as whether the system is technically sound.

  • AI-native execution. Coding agents materially change how you investigate and build, and you verify their output rather than delegating judgment.

  • Clear communication. You work precisely with engineers, product partners, operators, and customers.

What You'll Need To Learn Quickly
  • How benefit verification and prior authorization work across providers, pharmacies, payers, and pharmacy benefit managers.

  • Where medication-access workflows break and how those failures affect patients, clinical teams, and operations.

  • How our product, workflow, and AI systems interact within healthcare data and reliability constraints.

  • How customers and internal teams evaluate success across turnaround time, accuracy, approval outcomes, and operational effort.

Bonus Points
  • Experience building AI-powered or automation-heavy products in production.

  • Experience with healthcare, clinical workflows, EHRs, payers, pharmacies, or another regulated domain.

  • Early-stage startup experience or evidence that you thrive with high ownership and limited structure.

  • Experience building workflow products, data-heavy interfaces, or third-party integrations.

What We Offer
  • Competitive base salary plus meaningful early-stage equity.

  • Health, dental, and vision coverage; flexible PTO.

  • A high-end workstation and tooling budget, including the AI tools that help you do your best work.

  • Direct ownership of products that improve access to medication for hundreds of thousands of patients every month.

If you're excited to combine product judgment, full-stack engineering, and AI-native execution to improve access to care, we'd love to hear from you!

Skills Required

  • At least 3 years of experience building and shipping production software used by real users
  • Production full-stack engineering experience
  • Strong engineering fundamentals and proficiency in Python
  • Experience with a modern typed frontend stack and ability to ramp quickly on TypeScript and React
  • Ability to own ambiguous problems end to end, from problem definition through implementation and measured results
  • Strong user-facing product judgment and attention to clear, trustworthy workflows
  • Experience using coding agents while verifying their output and retaining technical ownership
  • Clear communication with engineers, product partners, operators, and customers
  • Experience building AI-powered or automation-heavy products in production
  • Experience with healthcare, clinical workflows, EHRs, payers, pharmacies, or another regulated domain
  • Early-stage startup experience or ability to thrive with high ownership and limited structure
  • Experience building workflow products, data-heavy interfaces, or third-party integrations
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The Company
HQ: San Francisco, California
12 Employees
Year Founded: 2023

What We Do

Develop Health, co-founded by Mel van Londen and Ben Easton, is dedicated to transforming the medication prior authorization process. Their product reduces form completion time by over 80% and increases approval rates. With over 10 years of experience in healthcare, the founding team has impacted 200k+ patients and 6k+ providers, holding notable roles at Canvas Medical, IDEO, and Rupa Health.

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