Senior Staff Software Engineer

Posted Yesterday
Be an Early Applicant
San Francisco, CA, USA
Hybrid
260K-300K Annually
Senior level
Fintech • Healthtech • Payments
Unlocking incremental revenue & cash flow for hospitals, while delivering a high-quality, empathetic patient experience.
The Role
The Senior Staff Software Engineer will architect PayZen's core systems, drive AI-native development, and ensure compliance while enhancing engineering practices.
Summary Generated by Built In
About PayZen

PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.

About the Role

We are looking for a Senior Staff Software Engineer to serve as the primary technical architect for PayZen's engineering organization. At this level, your impact is measured by the success of entire business lines and the long-term sustainability of our technology stack. You are not just solving today's problems — you are anticipating the engineering and compliance challenges we will face two to three years from now and building the foundation to meet them.

This is a premier individual contributor role at the highest level of technical leadership. You are expected to remain hands-on — contributing to critical implementations, reviewing code and system designs at the most consequential decision points, and setting the technical standard others calibrate against. You own the consequences of your architectural decisions, not just the recommendations.

You will drive AI-native development across the organization — not just for your own productivity, but to systematically redefine how the entire engineering team delivers value.

You will report to the SVP of Engineering. This role is based in our San Francisco headquarters, with in-office days on Mondays, Tuesdays, and Thursdays.

What You'll Do

Define Technical Strategy

Own the multi-year architectural roadmap for PayZen's core systems — transaction processing, data infrastructure, identity, and integrations. Make high-conviction bets that keep the platform resilient, scalable, secure, and compliant at billions in healthcare payments volume. You own the consequences, not just the recommendations.

Architect Cross-Functional Solutions

Resolve technical conflicts across teams that don't report to you — synthesizing competing priorities, making trade-off calls transparently, and building lasting alignment. Ensure engineering investments compound our data advantage across the healthcare financial lifecycle.

Own Platform and Shared Infrastructure

Consolidate redundant solutions into shared platforms that raise the capability ceiling for every team. Design the libraries, APIs, and services others build on. Prevent fragmentation before it becomes irreversible debt.

Architect for Compliance and Security

Build HIPAA-compliant, PCI-DSS-ready, SOC 2-auditable systems by default — not by retrofit. Identify regulatory exposure at the architecture layer and embed compliance requirements into org-wide engineering standards.

Drive Step-Change System Improvements

Deliver architecture improvements with measurable impact on developer velocity, reliability, and product capability in. Stay hands-on: prototype what you advocate for, write the reference code that sets patterns, and engage at the lowest level when it matters.

Create Technical Clarity

Author the definitive RFCs, design docs, and ADRs for PayZen's most consequential initiatives. Frame trade-offs clearly, surface second-order consequences, and drive decisions to resolution even under incomplete alignment. Set the documentation standard for the org.

Raise the Engineering Bar

You are the calibration point. Conduct reviews that model the rigor expected at every level of the ladder. Develop best practices that become defaults. Sponsor emerging leaders and provide direct feedback that accelerates their trajectory.

Lead AI-Native Engineering

Drive adoption of LLMs, agentic workflows, and automated reasoning across engineering. Make build-vs-integrate decisions, define guardrails for a regulated environment, and measure outcomes in cycle-time and quality — not just tooling uptake.

What You'll Bring
  • 10+ years of software engineering experience in production systems at meaningful scale

  • 4+ years operating at the Staff Engineer level or above, with demonstrated impact beyond a single team's scope

  • Deep expertise in designing and maintaining complex distributed systems — including async/sync design patterns, fault tolerance, and horizontal scaling — with a track record of delivering through major migrations and scaling events.

  • Working knowledge of application security principles and secure-by-design architectural patterns

  • Hands-on proficiency in at least one of: Java, Go, Python, TypeScript, or equivalent — you write and review code, not just documents

  • Strong command of relational and non-relational database architecture, including distributed transaction management and data-path latency trade-offs

  • Demonstrated ability to influence executive and cross-functional stakeholders through written communication — RFCs, design documents, and strategic technical narratives

  • Based in the San Francisco Bay Area

Top Skills

Go
Java
Non-Relational Databases
Python
Relational Databases
Typescript
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The Company
HQ: San Francisco, CA
111 Employees
Year Founded: 2019

What We Do

PayZen's embedded, AI-powered patient financing solutions drive a significant revenue lift for healthcare providers while improving patient affordability and satisfaction. Our platform automatically engages patients who need flexible payment options and offers them interest-free payment plans for up to 60 months tailored to their unique ability to pay. At the same time, we can pre-fund providers without recourse, eliminating bad debt and bringing A/R days to zero. Providers get a much higher patient payment rate and accelerated cash. Patients get affordable access to care and an intuitive payment experience. While we got our start in patient financing, PayZen's vision is broader than breaking large balances into monthly payments. We are building an integrated, data-driven platform that automates manual processes to holistically address the affordability needs of patients, resulting in an overall increase in revenue for providers. We have an amazing team, a big market and top tier investors. More importantly, our mission is our motivator: we are hyper-focused on making a dent in America's healthcare affordability crisis, improving the lives of patients and providers alike.

Why Work With Us

At PayZen, we are building an efficient and effective team of “A-players” with a big goal: transform access to healthcare. That requires intentionality around how we show up to work everyday. We’ve defined a set of values and a playbook called, The PayZen Way to keep us aligned, focused, and moving forward together.

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