Senior Platform Engineer - Healthcare Integrations (Remote)

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

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