[Remote] Staff Software Engineer — Full-Stack, Founding Team

Note: The job is a remote job and is open to candidates in USA. Annuity Health, LLC is a profitable healthcare revenue cycle management company focused on building a new technology platform from scratch. The Staff Software Engineer will be responsible for creating a greenfield platform, developing agent-driven workflows, and automating processes to enhance operational efficiency.ResponsibilitiesBuild a greenfield platform end to end — data pipelines, services, and product surfaces — and put it in the hands of the teams running revenue cycle work every dayBuild agent-driven workflows and automation that take real work off those teams’ plates, plus the analytics that show exactly where provider revenue is going and whyBuild safe automation at scale, with the evals to prove it. Automation that touches provider revenue has to be measurably reliable, not just good in a demoTurn ambiguous, high-value operational problems into working softwareWrite the specs, patterns, and agent context that make the whole team faster, not just yourselfHelp interview the next wave of engineers and shape how this team worksWork directly with the CTO; the distance between you and company-level decisions is one conversationSkills7+ years building and shipping production full-stack softwareDeep fundamentals: system design, testing discipline, and the code-review judgment to evaluate large volumes of generated codeAgentic coding tools are already your default — you can show your workflow and explain how it makes you measurably fasterA builder's disposition toward ambiguity: you'd rather define the problem and own the outcome than execute a spec someone else wroteHealthcare, RCM, or EDI experience (835/837 transactions, payer workflows, denial management)Hands-on Azure and/or Databricks experienceExperience with data-intensive systems — pipelines, large-scale file ingestion, event-driven processingBenefitsBonusEligibility for a long-term incentive opportunity we’ll discuss during the processHealthDentalVisionHSA and FSA AccountsVoluntary InsurancePaid HolidaysPTO401(k)Company OverviewAnnuity Health is dedicated to servicing healthcare providers. It was founded in 1973, and is headquartered in Westmont, Illinois, USA, with a workforce of 501-1000 employees. Its website is http://www.annuityhealth.com.