Senior Platform Engineer

FORT; San Francisco (CA); On-site; USD 180,000 - 240,000; Full time

Job summary

FORT is seeking a Senior Software Engineer to design, build, and own the healthcare integrations platform at the heart of our product. You will lead the automatic claims infrastructure, ingest activity data, determine what is billable, generate claims, and dispatch them to insurance companies.

You will work on integrations across EHRs, eligibility providers, and billing systems, shaping architecture, choosing build-vs-buy options, and partnering with operations to translate real-world workflows

Qualifications

• 2–7 years of software engineering experience.
• Experience building third-party platform integrations in production.
• Strong distributed systems fundamentals, including API design, queues, idempotency, reconciliation, and reliable data processing.
• Strong programming experience with Python and TypeScript.
• Experience with FastAPI, PostgreSQL, and Next.js.
• Experience in an early-stage startup environment (Seed–Series B).

Responsibilities

• Design, build, and own the automatic claims integration platform.
• Build production integrations with EHRs, insurance providers, clinical partners, eligibility services, and billing infrastructure.
• Design distributed systems capable of reliably processing complex healthcare data and workflows.
• Build robust APIs, queues, reconciliation processes, and idempotent workflows.
• Model messy and semi-structured healthcare data into clean, reliable internal representations.
• Work closely with operations teams to understand workflows and translate business requirements into platform capabilities.
• Own integrations end-to-end rather than simply building individual connectors.
• Manage technical vendor relationships and make build-vs-buy decisions for healthcare integration tooling.
• Improve the reliability, scalability, and maintainability of the integrations platform.
• Take significant ownership over architecture and engineering decisions as the company scales.

Skills

Python

TypeScript

API design

Distributed systems

Data pipelines

Tools

FastAPI

PostgreSQL

Next.js

Job description

Senior Software Engineer – Healthcare Integrations Platform

We're partnering with a fast-growing healthcare technology company that is building the infrastructure powering the next generation of healthcare operations.

As healthcare organisations increasingly rely on complex networks of EHRs, insurance providers, eligibility services, billing platforms, and clinical partners, connecting these systems reliably has become a major engineering challenge. This company is building the platform that turns fragmented healthcare data and workflows into reliable, automated infrastructure.

They are looking for a Senior Software Engineer to join their engineering team and take ownership of the integrations platform that sits at the heart of their product — including claims, billing, EHR, eligibility, and clinical integrations.

Why Join?

• Own a critical part of the platform – You'll have end-to-end ownership of the infrastructure responsible for ingesting healthcare activity, determining what's billable, generating claims, and dispatching them to insurance companies.
• Solve genuinely complex engineering problems – You'll work on distributed systems where reliability, idempotency, reconciliation, data modelling, and fault tolerance matter in production.
• High ownership at an early-stage company – This isn't a role where you'll simply implement tickets or build individual connectors. You'll make architectural decisions, evaluate build-vs-buy opportunities, manage technical integrations, and determine how the platform evolves.
• Work at the intersection of healthcare and technology – You'll solve difficult problems across EHRs, insurance eligibility, claims, billing, coding, and healthcare data infrastructure.
• Build infrastructure for an AI-driven product – You'll transform messy, semi-structured healthcare data into clean internal representations that can be used across the product, including by AI systems.

The Role

As a Senior Software Engineer, you'll design, build, and own the company's healthcare integrations platform.

A major focus will be the automatic claims infrastructure — ingesting activity data, determining what can be billed, generating claims, and reliably dispatching them to insurance companies.

You'll also own integrations across EHRs, clinical partners, eligibility providers, and billing infrastructure.

This is a highly autonomous engineering position. You'll work closely with operations and other stakeholders to understand real-world healthcare workflows, translate those requirements into scalable software, and decide when the company should build technology internally versus working with external vendors.

What You'll Be Doing

• Design, build, and own the automatic claims integration platform.
• Build production integrations with EHRs, insurance providers, clinical partners, eligibility services, and billing infrastructure.
• Design distributed systems capable of reliably processing complex healthcare data and workflows.
• Build robust APIs, queues, reconciliation processes, and idempotent workflows.
• Model messy and semi-structured healthcare data into clean, reliable internal representations.
• Work closely with operations teams to understand workflows and translate business requirements into platform capabilities.
• Own integrations end-to-end rather than simply building individual connectors.
• Manage technical vendor relationships and make build-vs-buy decisions for healthcare integration tooling.
• Improve the reliability, scalability, and maintainability of the integrations platform.
• Take significant ownership over architecture and engineering decisions as the company scales.

What We're Looking For

• 2–7 years of software engineering experience, ideally building and owning production integrations or data platforms.
• Experience building third-party platform integrations in production, such as EHRs, payment systems, billing platforms, or complex data pipelines.
• Strong distributed systems fundamentals, including API design, queues, idempotency, reconciliation, and reliable data processing.
• Strong programming experience with Python and TypeScript.
• Experience with technologies such as FastAPI, PostgreSQL, and Next.js.
• Experience in an early-stage startup environment (Seed–Series B). Big Tech experience can also be relevant when combined with startup experience.
• Ability to operate autonomously, work cross-functionally, manage external vendors, and turn operational requirements into scalable engineering solutions.

Particularly Valuable

Experience within healthcare revenue cycle workflows would be highly valuable, including:

• Billing and coding
• Eligibility verification
• Denials management
• Medicare billing or coding
• Post-acute or home-based care
• EHR integrations

Languages: Python, TypeScript

Frontend: Next.js

Location & Package

Working Model: Remote initially, with relocation to San Francisco required by Q1 2027