Staff Software Engineer

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., * 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

• 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.

• 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

To ensure you’re leveled accurately, all new engineers participate in a 90-day review. This allows us to calibrate your initial interview results with your actual work, ensuring your title and compensation align with your impact and our engineering rubric.

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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.