Remote Staff Software Engineer - Billing AI & Payments

elationhealth; United States; Remote; USD 170,000 - 200,000; Full time

Job summary

Elation Health is seeking a Staff-level software engineer to lead the design and delivery of billing system software. You will own backend services, APIs, and AI-enabled workflows supporting insurers, patients, and other parties, with production responsibility and cross-team collaboration.

Remote role open to candidates in the United States, Canada, and New Zealand; compensation ranges reflect USD/CAD markets and the healthcare billing domain.

Qualifications

• 8+ years of professional software development experience at Staff level with technical leadership.
• Production experience building and operating backend services and APIs.
• Ability to work across the stack in more than one programming language.
• Experience with production alerting, observability, or instrumentation.
• Clear communication with both technical and non-technical partners.
• Interest in building with large language models and using AI tools.

Responsibilities

• Build services and features that track financial transactions, improve reimbursement, and handle billing edge cases.
• Develop AI-enabled workflows and assess when outputs need correction.
• Improve a mature application while supporting customers in production.
• Collaborate with product and design to scope, implement, and release improvements.
• Monitor production systems, respond to issues, and coordinate with support teams.
• Own larger features from planning through deployment, monitoring, and adoption review.

Skills

Technical leadership

Full-stack development

Observability

Communication

AI/ML interest

Tools

Python

PHP

MySQL

TypeScript

React

AWS

DevOps

LLMs / AI tools

Job description

Elation Health is seeking a Staff-level software engineer to lead the design and delivery of billing system software. You will own backend services, APIs, and AI-enabled workflows supporting insurers, patients, and other parties, with production responsibility and cross-team collaboration.

Remote role open to candidates in the United States, Canada, and New Zealand; compensation ranges reflect USD/CAD markets and the healthcare billing domain.