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Alpaca Health

Full Stack Software Engineer

New York City, NY$120k–$200kfulltimemidAdded 1 month ago

About this role

Alpaca Health is seeking a Full Stack Software Engineer to own the platform foundation for a healthcare software company enabling clinicians to launch their own practices. You'll design and build critical systems spanning AI-powered workflows, billing infrastructure, provider operations, and patient experiences while working in a small, technical team with direct customer interaction.

What you'll do

  • Design and own data models, APIs, and core platform infrastructure supporting healthcare operations
  • Build AI-integrated clinical workflows for documentation, treatment planning, and administrative assistance
  • Develop revenue and payments systems handling authorization, billing, adjudication, and provider payouts
  • Create tools and automation for credentialing, compliance, scheduling, and business operations
  • Own end-to-end products from database schema through user experience
  • Build internal automation systems to streamline operational workflows across the platform

What they're looking for

  • Full-stack software development with demonstrated depth
  • Experience building systems in operationally complex domains (fintech, healthcare, insurance, logistics)
  • Systems thinking and data modeling expertise
  • Strong product intuition and user experience awareness
  • Comfort navigating ambiguity and driving solutions independently
  • LLM/AI integration experience
  • Healthcare domain knowledge (preferred)
  • SQL and database design proficiency

Benefits

  • 5 days in-office culture in New York City or San Francisco
  • Work with co-founders and experienced startup engineers
  • Direct customer interaction and technical decision-making authority
  • High ownership with minimal bureaucracy or management layers
  • Opportunity to impact healthcare access and provider entrepreneurship
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Alpaca Health

Alpaca Health builds a healthcare software platform that empowers clinicians to launch and operate their own practices, featuring AI-powered workflows, billing infrastructure, and patient management tools. The company is hiring Full Stack Software Engineers to design and develop core platform systems while working closely with customers.

View all jobs at Alpaca Health

Likely interview questions

  • Tell us about a time you owned a critical system in a domain where mistakes had real consequences (fintech, healthcare, insurance, etc.). How did you approach data integrity and testing?
  • Walk us through how you'd design the data models and state machines for a healthcare billing system that handles multiple payers with different rules and edge cases.
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