Staff Software Engineer, RCM

Natera

Staff Software Engineer tasked with revolutionizing Revenue Cycle Management through AI-driven workflows. Working with advanced Large Language Models in healthcare compliance and medical billing.

Posted 4/15/2026full-timeRemote • 🇺🇸 United StatesLead💰 $167,300 - $209,100 per yearWebsite

Tech Stack

Tools & technologies

AWSGrafanaGraphQLPythonReact

About the role

Key responsibilities & impact

Design and deploy production-grade FastAPI services that wrap LLM calls, maintain stateful agent loops, and expose secure REST/GraphQL endpoints.
Build and orchestrate intelligent agents capable of handling unstructured documents (EOBs, medical records) using vision-augmented NLP and multimodal LLMs.
Develop agentic RAG pipelines (chunking, embeddings, vector search) to surface critical codes and payer-specific rules in real-time.
Containerize and operate the stack on AWS ECS/Fargate. Own the IaC pipelines to ensure seamless, high-frequency deployments (dev → staging → prod) multiple times a day.
Instrument services with OpenTelemetry, Grafana, and Sentry. Create dashboards to forecast denial rates, claim risks, and turnaround times.
Extend our React-based UI to allow human operators to launch agents, replay conversations, and inspect evaluation traces.
Ensure every feature is architected to meet HIPAA, SOC 2, and Natera’s internal security benchmarks.

Requirements

What you’ll need

Expert-level Python developer with a focus on FastAPI for high-performance, asynchronous services.
Deep experience with LLM orchestration (LangGraph, CrewAI, or similar) and building agentic workflows.
Proficient in AI-augmented development using Claude Code, Gemini, and Cursor to accelerate delivery.
Solid experience with AWS (ECS/Fargate, Lambda, S3) and CI/CD best practices.
Direct experience in Revenue Cycle Management, medical billing, or healthcare tech.
Experience processing unstructured healthcare data and a solid grasp of multimodal AI (text + vision).
Ability to translate complex requirements from billing, compliance, and finance experts into resilient backend code.
A 'production-first' mentality—you don't just write code; you operate and monitor it.

Benefits

Comp & perks

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents.
Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits.
Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more.
We also offer a generous employee referral program!

ATS Keywords

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Hard Skills & Tools

PythonFastAPILLM orchestrationAI-augmented developmentAWSCI/CDmultimodal AIcontainerizationRAG pipelinesREST/GraphQL

Soft Skills

problem-solvingcommunicationcollaborationadaptabilityattention to detailcritical thinkingoperational mindsettranslating complex requirementsmonitoringresilience