Senior Software Engineer

Pine Park Health, Inc.; San Francisco (CA); On-site; USD 140,000 - 200,000; Full time

Job summary

Pine Park Health, Inc. is building a value-based primary care model delivering care at seniors’ residences across the Bay Area. We combine doctor visits with software that triages issues, reads patient data, and coordinates visits, labs, and referrals, to reduce urgent care and hospital visits.

We seek an experienced software engineer who can own end-to-end product problems, work with clinicians, and push frontline AI-enabled automation while maintaining high code quality and scalable systems.

Qualifications

• 8+ years of software engineering experience.
• Deep full-stack fluency with modern web technologies (React, Remix, Node, TypeScript, Postgres, Prisma).
• Experience building a personal AI development workflow and tooling.

Responsibilities

• Own business problems from definition to solution, including testing criteria and outcomes.
• Shadow doctors, nurses, medical staff and patients to identify bottlenecks and design workflows and software solutions.
• Collaborate across product, design, and engineering; leverage AI tools and manage AI agents.
• Review code with teammates to ensure architecture alignment and scalable quality.

Skills

Full-stack web development

AI development workflow

Tools

React

Remix

Node.js

TypeScript

PostgreSQL

Prisma

Job description

Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay healthy, and lead lives they love through a care model designed with everyone in mind — patients, families, community staff, providers, and payers.

Our approach brings healthcare directly to seniors' homes, offering prevention, screening, chronic condition management, lab work, and diagnostic testing in the comfort of their apartments. With weekly community visits, our teams provide consistent care while collaborating closely with facility staff to address comprehensive health needs. We've eliminated unnecessary barriers to urgent care through same/next-day appointments, helping seniors avoid emergency rooms and hospitalizations where they risk exposure to additional health concerns.

Today, over 185+ communities across Arizona, California, and Nevada trust Pine Park Health, and we're rapidly expanding our reach and impact.

If you're mission-driven and passionate about transforming senior healthcare, this is your opportunity to make a meaningful difference!

About The Role

Pine Park Health brings doctors and nurses to seniors where they live. We're backed by YC, First Round Capital, Gradient Ventures (Google), Averin Canvas, Foundation, Liquid 2, Box Group, and others, and we're based in the Bay Area.

Pine Park Has Three Stacked Parts

• First, it is a service business. We hire doctors and send them each week to see frail seniors in their apartments, so they don’t have to travel to clinics or hospitals for primary care.
• Second, because house calls are expensive, we build software to make them cheap enough to scale. The software reads patient data, triages issues, handles faxes, schedules visits, orders labs, manages referrals, checks in on patients, and runs follow-up.
• Third, we have a business model that makes the first two work. We partner with Medicare and Medicare Advantage so they give us a fixed budget per patient per year based on expected medical spending. If we keep patients healthier and their total spending comes in below that budget, we keep the difference.

That allows us to run a primary care practice that makes money by pulling cost out of the most expensive parts of the system, especially hospitals.

What This Looks Like Day-to-Day

• You’ll receive a key business problem to solve, with specific test criteria for whether that problem is solved. Then you’ll be responsible for owning that problem all the way through.
• That means spending time shadowing and interviewing doctors, nurses, medical assistants, and patients. It means documenting their work, understanding the key struggles and bottlenecks in it, and then suggesting ways software can help solve those problems. After that, you’ll need to design a solution that involves operations, including building new workflows, design, and of course engineering and code writing.
• Solving business problems requires a diverse set of skills: product, research, design, and engineering. So you’ll need to collaborate with other team members to fill in any gaps in your experience.
• You’ll also need to rely heavily on the AI tools the company provides, as well as the AI agents you manage, in order to perform some of the job duties where you have less experience.
• Finally, you’ll need to spend part of your time reviewing code for team members on the development and operations team who have less experience writing code. The goal is to make sure the quality of the code matches the architecture and that the code will not break at scale.
• Some examples for problems that you will solve:
• How do you build a scheduling system that accounts for a clinician's drive time, patient acuity?
• How to build software that reads and responds to faxes?
• How to build agents that can pick up phone calls and triage patient issue?
• How do you automate HCC risk adjustment coding in a way clinicians actually trust?
• How do you migrate a billing pipeline from one clearinghouse to another without dropping claims mid-flight? These are the kinds of problems on our board right now. Some of them have failed before. We're looking for someone who finds that more interesting than intimidating.

What We’re Looking For

• 8+ years of software engineering experience
• Deep full-stack fluency with modern web technologies (we use React, Remix, Node, TypeScript, Postgres, Prisma — depth of understanding matters more than framework-matching)
• You’ve built a personal AI development workflow — configured tooling, custom prompts, sharp instincts for where the models excel and where they'll confidently lead you wrong
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