You will design, build, and operate resilient integrations and backend services that enable seamless, reliable, and scalable data exchange across Form Health’s platform, with a particular focus on Revenue Cycle Management (RCM) systems that support eligibility, billing, and reimbursement.
Own the technical design and ongoing operation of real-time insurance eligibility verification integrations across multiple payers.
Investigate and resolve eligibility discrepancies, improving data accuracy while reducing operational burden for care and billing teams.
Design and maintain integrations with EMR systems, powering core clinical workflows such as patient data synchronization, scheduling, and chart updates.
Own and optimize Candid billing integrations and related RCM workflows, ensuring accurate and timely claim creation, submission, reconciliation, and issue resolution.
Build and operate ETL pipelines that exchange data with benefits, billing, and external partners.
Serve as a technical owner and subject matter expert for insurance, billing, and integration-related systems.
Build and evolve backend services and internal clinical tools—with a focus on backend systems (approximately 80%) and supporting frontend work (approximately 20%)—using Ruby on Rails, Sidekiq, Node.js (AWS Lambda), GraphQL, and React.
Deliver improvements through small-batch development, iterative releases, and incremental delivery.
Implement feature flags, progressive rollouts, and safe deployment practices to mitigate risk while enabling rapid learning.
Improve platform infrastructure, GraphQL APIs (Apollo Server), and data models (PostgreSQL, Snowflake) with a focus on reliability, performance, and maintainability.
Contribute to architectural decisions that balance simplicity, scalability, and thoughtful build-vs-buy tradeoffs.
Write clear, maintainable code and documentation that supports shared ownership and long-term system sustainability.
Partner closely with engineering, product, operations, and clinical teams to translate complex requirements into pragmatic, incremental solutions.
Collaborate directly with external partners to understand technical constraints, troubleshoot issues, and improve integration reliability.
Promote engineering excellence through code reviews, pairing, technical mentorship, and knowledge sharing.
Help evolve team processes and tooling to improve quality, observability, and delivery velocity through automation, testing, and monitoring.
Support rapid iteration of internal tools that scale operations and improve patient and clinician experiences.

Requirements

7+ years of professional software engineering experience, or equivalent depth through impactful work
Owning and operating business-critical integrations or backend systems
Experience with healthcare systems, insurance, billing, or Revenue Cycle Management (RCM)
Translating requirements into reliable, scalable solutions
Comfortable in fast-moving or high-growth environments where priorities evolve
Shipping incrementally using feature flags, safe rollouts, and strong operational discipline
Working closely with product and non-engineering stakeholders to deliver meaningful outcomes
Leading by influence, technical judgment, and example

Benefits

Competitive salary and equity in a high growth start-up
Comprehensive health benefits (medical, dental, vision)
401k
Flexible work schedules and paid time off
Paid parental leave

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Ruby on RailsNode.jsGraphQLReactPostgreSQLSnowflakeETL pipelinesreal-time insurance eligibility verificationbackend servicesincremental delivery

Soft Skills

technical ownershipcollaborationproblem-solvingmentorshipcommunicationadaptabilityleadershipoperational disciplinetranslating requirementsengineering excellence