Full Stack Engineer

About the role

The role spans frontend, backend, and infrastructure to ship production full-stack products. You solve messy real-world constraints and build foundational systems that affect mission-critical operations. You own the complete lifecycle of features from discovery through implementation and maintenance, ensuring that each component works reliably in production. The position requires you to translate ambiguous operational requirements into concrete technical solutions while maintaining a high standard of code quality. You collaborate closely with cross-functional partners to understand workflows and turn them into automated, resilient software. A significant part of your work involves debugging intricate issues in live systems and improving the performance and scalability of existing platforms. You are expected to communicate technical tradeoffs clearly to both technical and non-technical stakeholders.

Key facts

What you'll do

Build production full-stack products by writing backend, frontend, and infrastructure code that directly supports Claim Health operations.

Translate real-life workflow complexity into automated processes that drive reliable financial and operational outcomes for the business.

Design and maintain foundational systems that prioritize reliability, handle edge cases, and ensure long-term quality for patient and stakeholder needs.

Take ownership of ambiguous, real-world constraints and operate systems with high responsibility and independence.

Deconstruct complex business problems into technical requirements and implement solutions that are scalable and maintainable.

Work across the full stack to deliver features that are robust, secure, and performant in a production environment.

Collaborate with product and operations teams to turn intricate workflows into durable software systems.

Write tests, fix bugs, and continuously improve the performance and observability of existing services.

Ensure that deployed systems meet stringent reliability standards and can scale under growing operational demands.

Contribute to code reviews and technical discussions that shape the architecture and direction of the platform.

Requirements

Bring at least 3 years of experience building full-stack products in production environments to the role.

Demonstrate strong backend fundamentals that ensure system reliability and the ability to handle complex operational workloads.

Be comfortable working across frontend, backend, and infrastructure without siloed thinking.

Show a proven ability to deconstruct real-life workflow complexity into automated software solutions.

Maintain a bias for solving root problems rather than applying temporary patches to symptoms.

Possess the ability to work effectively with ambiguity and take high ownership of projects and outcomes.

Adhere to strict standards of craftsmanship, attention to detail, and respect for operational constraints.

Communicate clearly and professionally in both written and verbal formats with team members and stakeholders.

Nice to have

Background in agent automation, orchestration, or integration platforms is valued by the team.

Experience deploying AI-powered systems in production environments is considered a strong advantage.

Prior exposure to healthcare, finance, or operationally complex domains is appreciated for context and speed.

Practical notes

This role operates in New York City with in-person engagement on the platform shaping Claim Health operations.

The team maintains a bias toward speed, small-group ownership, and high standards with low ego.

Typical interview steps

Hiring for engineering roles usually starts with a recruiter screen, followed by one or two technical rounds. Candidates often solve a coding problem, discuss past projects, and answer system design questions. Some loops include a take-home task. Final rounds typically cover team fit and give candidates a chance to ask questions. Interviewers look for how you break down an unfamiliar problem, not just whether you reach the answer. Practicing a few problems aloud and reviewing your own past projects are the best preparation.

Good to know

Engineers in this role work across the full stack to deliver reliable systems. The work focuses on solving hard problems in healthcare operations rather than toy scenarios. The team values craftsmanship, respect for complex constraints, and a culture that allows for laughter. Foundational systems, clear ownership, and fast feedback loops define the environment.

Questions to ask

Good questions to ask the employer in the interview: what does success look like in the first six months, how is the team structured, what is the current biggest challenge, and how are decisions made. Asking about growth paths and the review process is also well received. Employers expect questions, and good ones show preparation.

Career growth

Engineering careers usually progress from individual contributor to senior, staff, and principal levels. Some engineers move into management and lead teams of five to twenty people. Others stay on the technical track. Growth follows demonstrated impact, not tenure alone. A typical engineering ladder has clear levels with defined expectations for scope, quality, and mentorship. Moving up usually requires owning outcomes end to end rather than completing assigned tickets.