Staff Engineer (Fullstack)

Reposted 29 Days Ago
Be an Early Applicant
New York, NY, USA
Hybrid
220K-240K Annually
Expert/Leader
Artificial Intelligence • Healthtech • Insurance • Machine Learning • Payments
Claims operations at the speed of AI.
The Role
Lead architecture and delivery of large, cross-team full‑stack projects; define technical standards and strategy; drive scalability, reliability, and performance; champion AI-augmented development; mentor senior engineers and influence cross-functional decisions to achieve business outcomes.
Summary Generated by Built In

About Alaffia & Our Mission

Every year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We're here to change that paradigm.

Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire lifecycle of claims. With Alaffia, health plans can cut wasted spending more effectively than ever — and provide their members the most affordable care.

We're a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone.

(*This position requires current authorization to work in the United States. Unfortunately, we are not in a position to sponsor work visas at this time.)

About the Role

We're looking for a Staff Engineer to solve complex, cross-team technical challenges, set architectural direction, and act as a force multiplier across our engineering org. You'll translate strategic goals into technical roadmaps, lead execution, and champion AI-augmented development practices.

What You'll Do

  • Architect and own delivery of complex, high-impact systems spanning multiple teams

  • Set technical direction and coding/design standards across the org

  • Drive AI coding tool adoption (Claude Code, Copilot, Cursor) — establish best practices and measure productivity gains

  • Mentor senior engineers and influence technical decisions without formal authority

  • Partner cross-functionally with product and business leaders on technical strategy

  • Own testing strategy, system health, and build-vs-buy decisions for critical infrastructure

What We're Looking For

  • 10+ years of software engineering experience, with a track record of leading complex, high-impact projects at scale

  • Expert-level TypeScript, Python, GraphQL, and PostgreSQL

  • Strong system design and cloud infrastructure experience (AWS preferred), including CI/CD and containerization (Docker, Kubernetes)

  • Demonstrated success adopting AI coding assistants to improve team productivity

  • Excellent communication skills and experience mentoring senior engineers

  • Healthcare tech/regulatory experience (HIPAA, HITRUST) a plus

Preferred

  • Healthcare SaaS experience; familiarity with medical billing, claims, or clinical workflows

  • Experience shipping user-facing AI products or AI/ML model deployment

  • Open source contributions or technical publications

Our Culture

Alaffia was born out of our founders' personal connection to the inefficiency of the U.S. healthcare system. We are deeply mission-driven, with an abiding belief that technology can help create a better future for everyone — and we're looking for others who share our passion for change to join the team.

What Else Do You Get?

  • Competitive compensation package (cash + equity)

  • Medical, Dental and Vision benefits

  • Flexible, paid vacation policy

  • Work in a flat organizational structure — direct access to Leadership

Skills Required

  • 10+ years of software engineering experience
  • Proven track record delivering complex, high-impact projects for enterprise SaaS applications
  • Proven ability to define and execute technical vision and strategy at scale
  • Expert-level proficiency in TypeScript, Python, GraphQL, and PostgreSQL
  • Experience with AI coding assistants and demonstrated ability to improve team productivity through their adoption
  • Deep understanding of full-stack web development, system design, and cloud infrastructure
  • Experience with DevOps practices, CI/CD pipelines, and containerization (Docker, Kubernetes)
  • Strong project management skills with ability to break down complex projects into milestones
  • Excellent communication skills with ability to influence without formal authority
  • Experience mentoring senior engineers and driving technical standards
  • Authorization to work in the United States (employer will not sponsor visas)
  • AWS experience
  • Deep expertise in healthcare technology and regulatory compliance (HIPAA, HITRUST)
  • Experience building SaaS applications in the healthcare sector
  • Track record of building and deploying user-facing AI products
  • Experience with AI/ML model deployment and integration
  • Contributions to open source projects or technical publications
  • Experience with medical billing, healthcare administration, or clinical workflows

What the Team is Saying

Alaffia Health Compensation & Benefits Highlights

  • Healthcare Strength Health coverage is advertised as 100% employer-paid for employees, with contributions toward dependents and multiple plan options, strengthening overall total rewards. Medical, dental, and vision are consistently included as part of a comprehensive package.
  • Leave & Time Off Breadth Flexible, trust-based PTO and an unlimited paid vacation policy provide broad latitude for rest and time away. Feedback suggests these policies are positioned to support a modern, high-growth work model.
  • Parental & Family Support Paid parental leave is explicitly offered and described as generous for new parents. Dependents can be covered under medical, dental, and vision plans, extending support to families beyond the employee.

Alaffia Health Insights

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The Company
HQ: New York, NY
80 Employees
Year Founded: 2020

What We Do

Every year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We’re here to change that paradigm. Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire claims lifecycle. With Alaffia, health plans can cut wasted spending more effectively than ever and provide their members the most affordable care. We’re a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone.

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Alaffia Health Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

We have a recognize the varying needs of our employees and have designed a location-based policy, offering flexibility while ensuring that the hybrid work model supports both individual and company success.

Typical time on-site: 3 days a week
HQNew York City (SoHo) HQ

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