Senior Software Engineer

Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay healthy, and lead lives they love through a care model designed with everyone in mind — patients, families, community staff, providers, and payers.

Our approach brings healthcare directly to seniors' homes, offering prevention, screening, chronic condition management, lab work, and diagnostic testing in the comfort of their apartments. With weekly community visits, our teams provide consistent care while collaborating closely with facility staff to address comprehensive health needs. We've eliminated unnecessary barriers to urgent care through same/next-day appointments, helping seniors avoid emergency rooms and hospitalizations where they risk exposure to additional health concerns.

Today, over 185+ communities across Arizona, California, and Nevada trust Pine Park Health, and we're rapidly expanding our reach and impact. Backed by leading investors including First Round Capital, Google's AI fund (Gradient Ventures), Canvas Ventures, Foundation Capital, Liquid 2, Box Group, Y Combinator, and Susa Ventures, we're positioned for continued growth. If you're mission-driven and passionate about transforming senior healthcare, this is your opportunity to make a meaningful difference!

Pine Park Health is seeking a Senior Software Engineer to join our engineering team in the Bay Area (Hybrid). If you're excited about building software that directly powers healthcare delivery, owning complex problems end-to-end, and working in an AI-native environment where your judgment and experience are the multiplier that makes output production-grade, you're in the right place!

Pine Park has three stacked parts: First, we're a service business hiring doctors and nurses to see frail seniors in their apartments. Second, because house calls are expensive, we build software to make them cheap enough to scale—reading patient data, triaging issues, handling faxes, scheduling visits, ordering labs, managing referrals, and running follow-up. Third, we partner with Medicare and Medicare Advantage plans under total cost of care arrangements, allowing us to run a primary care practice that makes money by pulling cost out of hospitals.

This role is 60% product and 40% engineering. You'll own business problems from discovery through delivery, spending time shadowing clinicians and care teams, understanding bottlenecks, designing solutions, and building the software that powers our clinical operations. We use AI coding tools as a core part of how we work, and we need engineers with enough experience to know whether what's being produced is actually good, will hold up in production, and delivers real value.

Key highlights of this opportunity:

• Own projects end-to-end: no ticket queues, no handoffs—you talk directly to the people who use your software
• Solve problems without obvious solutions, from scheduling systems accounting for drive time and patient acuity to automating HCC risk adjustment coding clinicians actually trust
• Shape the codebase and set technical standards through your code reviews, architectural decisions, and judgment
• Work in an AI-native team where Cursor, Claude Code, and other AI tools are central to how we build

• Receive key business problems with specific success criteria and own them all the way through discovery, design, development, and validation
• Shadow and interview doctors, nurses, medical assistants, care coordinators, and patients to understand workflows, bottlenecks, and pain points before writing code
• Design solutions that combine operations, new workflows, design, and engineering to address root causes rather than symptoms
• Use AI coding tools to move fast, then apply your judgment to ensure everything produced is production-ready, architecturally sound, and won't break at scale
• Collaborate with team members across product, research, design, and engineering to fill gaps and deliver holistic solutions
• Review code for team members with less experience, ensuring quality matches architecture and code scales appropriately
• Communicate directly with clinicians, operations staff, and business stakeholders, pushing back when you see better approaches
• Solve complex problems including: scheduling systems accounting for clinician drive time and patient acuity, software that reads and responds to faxes, agents that pick up phone calls and triage patient issues, HCC risk adjustment coding automation, billing pipeline migrations without dropping claims mid-flight

• 8+ years of software engineering experience building and maintaining production systems
• Deep full-stack fluency with modern web technologies (we use React, Remix, Node, TypeScript, Postgres, Prisma—depth of understanding matters more than framework-matching)
• Engineering intuition to read unfamiliar code, spot hidden assumptions, and predict where it will break
• Personal AI development workflow that pays dividends—configured tooling, custom prompts, sharp instincts for where models excel and where they'll confidently lead you wrong
• Full ownership mindset: you scope the problem, manage the work, write the code, instrument the outcome, and close the loop (we don't have dedicated PMs on engineering projects—that's not a gap, it's how we prefer to work)
• Comfort communicating directly with non-technical stakeholders in ambiguous situations

Especially strong fit if:

• You've been a founding engineer, tech lead, or staff engineer—someone who set technical direction, made architectural calls without a playbook, and owned the consequences (this matters most to us)
• Startup experience where wearing many hats wasn't a novelty but a necessity—you've context-switched between product thinking, infrastructure, and stakeholder communication in the same week
• Healthcare technology, EHR integrations, or HIPAA-regulated environments
• Value-based care, Medicare, or clinical workflow automation experience
• Systems where correctness really mattered—finance, healthcare, infrastructure

Bonus points if you also bring depth in:

• Mobile development (iOS/Android or React Native)
• Security engineering
• Product or design—if you've worn that hat before and liked it, this is a place where that matters

• We're a smart, mission-driven team with low egos, united by our commitment to transform senior healthcare through technology that makes a tangible difference in patients' lives.
• We tackle complex, meaningful engineering challenges that directly impact care delivery for seniors across 150+ communities—problems that require real judgment, not just code execution.
• We foster an ownership culture where engineers are empowered to make product decisions, set technical direction, and own outcomes end-to-end, with continuous learning opportunities and constructive feedback for your professional growth.
• Our AI-native team uses tools like Cursor and Claude Code as central to how we work—your experience and judgment are what make that output production-grade and prepare you for VP Eng, founding engineer, and CTO roles.
• Our flexible hybrid work model (Bay Area-based) gives you the autonomy to balance in-person collaboration with focused remote work that fits your life.
• We organize enjoyable social events to celebrate our achievements, acknowledge milestones, and simply unwind.

Tech Stack: React, Remix, TypeScript, Node.js, PostgreSQL, Prisma ORM, Google Cloud Platform. AI tools: Cursor, Claude Code. HIPAA-compliant development environment.

• Equity in a Y Combinator-backed Series B company with clear growth trajectory
• Comprehensive medical, vision, and dental insurance for you and your dependents
• Flexible spending accounts for health and dependent care expenses
• 401(k) retirement plan to help secure your financial future
• Generous paid time off:
• Paid sick leave
• 8 weeks of paid parental leave for growing families
• Monthly wellness allowance to support your physical and mental health
• Professional development funding to advance your technical expertise and career goals
• Team building through regular social events and offsites

The compensation package for this role includes competitive base salary, equity, and benefits. The final package for each successful candidate will depend on several job-related factors unique to each candidate, including education, training, skill set, years and depth of experience, business needs, internal peer equity, and alignment with geographic and market data. Our compensation structures are tailored to each geographic zone's unique market conditions to ensure all employees receive fair and competitive compensation. Your recruiter will share more about the benefits package during the hiring process.

Compensation Range: $190K - $215K

How to Apply

Send us a Cover Letter (required) about a system you built that you're proud of—not because it was technically clever, but because it held up over time, solved the right problem, and you made good tradeoff decisions along the way. Tell us how you'd approach it differently now. We care about your judgment, not your resume.

Pine Park Health is an equal opportunity employer. We aim to recruit, hire, develop, compensate, and promote regardless of race, religion, country of origin, gender, sexual orientation, age, marital status, veteran status, or disability.