Staff Software Engineer, Eligibility & Benefits

parachutehealth; United States; Remote; USD 200,000 - 260,000; Full time

Benefits offered by this job

Remote-First Culture

Medical, Dental & Vision coverage

401(k) Retirement Plan

Equity Incentive Plan

Annual company-wide bonus up to 15%

Job summary

Parachute Health is hiring a Staff Engineer to join the Eligibility & Benefits team. You will tackle real-time payer eligibility checks and architect solutions to parse medical data for DME orders, reducing denials and manual work.

You will lead technical decisions, design scalable data models, and own payer integrations while collaborating with Product, Ops, and suppliers to deliver measurable outcomes for clinicians and patients. This role is remote-first with an NYC office option.

Qualifications

• 7+ years of production experience in Ruby on Rails or similar open source languages
• Staff-level engineering experience with leadership and mentoring
• Revenue cycle experience in eligibility/benefits, claims, billing, or prior authorization
• Must reside in the U.S.

Responsibilities

• Develop in an agile environment with TDD and pair programming
• Collaborate with Product and Design to scope features and ensure production readiness
• Make and own technical decisions related to data model and application design
• Maintain stable, performant stacks and ship quality, well-tested code
• Lead the team in technical decisions and contribute to reliability improvements
• Participate in on-call rotations and drive system availability enhancements
• Leverage AI tooling to speed delivery and reduce manual work
• Own payer and clearinghouse integrations including retries and data freshness
• Map payer/plan data and measure accuracy against supplier billing
• Collaborate with stakeholders to align technical narratives with business goals

Skills

Staff-level engineering

Technical leadership

Cross-functional collaboration

Mentoring engineers

On-call rotation

Education

Bachelor's degree in Computer Science or equivalent

Tools

AWS

X12 EDI

Clearinghouses integration

Job description

Parachute Health is transforming post-acute care as the leading digital ordering platform for medical equipment and supplies. We connect major health systems, health plans, and suppliers to help patients get the life‑saving products they need at home. Since launching, we've connected 300,000+ clinicians and 3,000+ supplier locations across all 50 states and helped 15M+ patients. What started as a DME ePrescribing tool has become the order management platform of choice for home medical equipment.

Join our team and make a difference in patient care.

About the Role

Parachute Health is hiring a Staff Engineer to join our Eligibility & Benefits team. We build the systems that ensures every durable medical equipment (DME) order has verified coverage before it ships. In this role, you'll tackle real-time payer eligibility checks and architect solutions to parse messy, inconsistent insurance data, directly cutting claim denials and eliminating manual overhead for DME providers.

Responsibilities

• Develop in an agile environment, including TDD and flexible pair programming.
• Work every day with Product and Design to scope features, weigh tradeoffs, and turn workflows into software that's simple to use and holds up in production.
• Direct key technical decisions related to application and data model design.
• Maintain stable and performant application stacks.
• Ship quality code that moves the business. Deliver readable, well-tested, maintainable code tied to clear outcomes for clinicians, suppliers, and patients.
• Understanding of data structures, TDD, and software engineering design patterns and principles.
• Ability to lead a team in making technical decisions.
• Participate in an on‑call rotation, ensuring timely resolution of critical system issues, and contributing to the continuous improvement of our system reliability and availability.
• Use AI developer tools to work smarter. Adopt and help evaluate AI coding assistants and automation that speed up delivery, catch defects earlier, and cut repetitive work.
• Own integrations with payers and clearinghouses, including retries, failure modes, and keeping data current.
• Design how payer and plan data gets mapped, measure how accurate it is against what suppliers actually bill, and get it better.
• Partner with Product, Ops, and supplier stakeholders, and write the technical narrative that gets the org aligned.

Requirements

• Minimum of 7 years of experience in a production environment with Ruby on Rails or other open source languages (e.g., Python, Golang, JavaScript)
• Staff-level engineering experience, including technical leadership, cross-functional collaboration, and mentoring engineers
• Revenue cycle experience in at least one of: eligibility and benefits, claims, billing, or prior authorization
• Must reside in the U.S.

Nice to Have

• Familiar with AWS services (EC2, ECS, S3, RDS, etc).
• Exposure to X12 EDI: 270/271, 837/835, 278
• Clearinghouses or revenue cycle vendors: Availity, Change Healthcare/Optum, Waystar, Stedi, Experian Health

Benefits

• Medical, Dental, and Vision Coverage: Comprehensive plans with options for low-to-no-cost premiums.
• Employer HSA Contribution: Company-funded contributions to your Health Savings Account.
• 401(k) Retirement Plan
• Equity Incentive Plan
• Annual Company-Wide Bonus: Opportunity for up to 15% bonus based on company performance.
• Remote-First Culture: We are remote-first with a dedicated NYC office and reimbursement options for co-working spaces.
• Flexible Vacation Policy
• Summer Fridays: 5 additional Fridays off during the summer (separate from PTO).
• Home Office and Wellness Stipend
• Monthly Internet Stipend
• Annual Learning and Development Stipend
• Base Salary Band (based on experience and level)
• $200,000 - $260,000

California job applicants may access the Notice of Collection of Personal Information and Privacy Policy with information and rights required by the California Privacy Rights Act (CPRA) the link here .

We are proud to be an equal opportunity employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth related medical conditions and lactation), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, disability, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances.

This role is not eligible for employer visa sponsorship. Applicants must be legally authorized to work in the United States at the time of application and for the duration of employment.

The Company does not