Building the clinical AI layer for healthcare payments.

Founding Engineer, Backend & Infra

San FranciscoOn-site$160K - $200K3+ years
Healthcare payments still run on manual reviews, and getting claims paid accurately means navigating a tangle of clinical nuances. As a founding engineer, you will construct the core backend systems and infrastructure that translate clinical data into automated payment logic. Expect to own foundational architecture, wire up the data pipelines, and build the DevOps groundwork from zero. This is raw, foundational system design where your code directly dictates how clinical AI processes financial claims.

What they're looking for

  • 3+ years of software engineering experience, with deep proficiency in Python.
  • Proven ability to design and ship backend systems and infrastructure from the ground up.
  • Comfortable building DevOps and SRE foundations in ambiguous, early-stage environments.
  • Strong interest in operating at the intersection of AI, healthcare, and financial services.
  • Based in San Francisco and ready to work on-site alongside a small, focused team.

Tech stack

Python

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This role is one we're recruiting for on behalf of a client company; the client's identity is kept confidential at this stage. A Fluency recruiter will follow up with details.

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