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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Full Stack Software Engineer - **Company:** Alpaca Health - **Location:** San Francisco, CA, United States - **Experience:** Expert - **Salary:** $120,000.0 - $200,000.0 - **Contract:** Permanent contract - **Skills:** Artificial Intelligence, Business Logic, Data Integrity, Software Debugging, Programming Tools, Medical Software, Migration Manager, Software Engineering, AI Infrastructure, Large Language Models, State Machines, Technical Debt, Software Coding, Api Management - **Published:** June 29, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=11c028854cd6ab31 ## About the Role Do you have experience in Tooling?, * You think in systems, not features. When someone describes a workflow, you naturally start modeling states, transitions, invariants, and edge cases. You enjoy turning messy real-world processes into clean software abstractions. * You have strong product instincts. You care about the user experience as much as the implementation. You can sit with a provider, understand their pain points, and translate them into software that feels simple despite complex underlying logic. * You thrive in ambiguity. You don't need a fully written PRD to get started. You're comfortable taking a loosely defined problem, identifying the important questions, proposing solutions, and driving execution. * You operate with high ownership. You don't think of your job as writing tickets. You think of your job as making a problem disappear. If something is blocking the business, you'll figure out how to solve it regardless of where it falls on the org chart. * You are AI-native. You actively use AI in your day-to-day workflow and are constantly experimenting with new ways to increase leverage. You're excited about what software development, operations, and healthcare workflows look like when AI is a first-class primitive rather than an add-on. * You balance speed with judgment. You know when to move fast and when to invest in foundations. You can build quickly without leaving behind a trail of technical debt that someone else has to clean up later. * You enjoy learning complicated domains. Healthcare is full of exceptions, regulations, payer rules, credentialing requirements, and operational edge cases. Rather than finding that frustrating, you find it intellectually interesting. * You still love writing code. You're experienced enough to lead major technical decisions, but you haven't lost the desire to build. You want to spend your time creating products and systems, not managing process., * Experience building AI-powered products in production * Experience with LLM workflows, agents, evals, or developer tooling * Experience modeling complex operational or financial systems * Healthcare, EHR, insurance, or revenue cycle experience * Experience at an early-stage startup where you owned large parts of the product ## Description We're a tiny engineering team building something large. You'd be the person who owns the platform foundation - the data models, the money logic, the state machines, the API contracts, the AI infrastructure. Not "owns" in the sense of reviewing PRs. Owns in the sense of: you designed it, you built it, you stand behind it. One day you're designing a schema migration strategy. The next you're building an LLM pipeline for clinical documentation. The day after that you're debugging a billing edge case that only appears when Colorado Medicaid is the secondary payer. This isn't a job for someone who wants to specialize. It's a job for someone who gets uncomfortable when critical business logic lives in someone's head instead of in code., We're rethinking healthcare software from the ground up with AI built into the core experience. You'll help build products that assist with clinical documentation, treatment planning, reassessments, supervision, and administrative work, giving providers more time to focus on patient care., Healthcare is ultimately a complex flow of money. You'll own systems that determine how services are authorized, billed, adjudicated, and paid, ensuring providers get paid accurately and on time while maintaining trust in the platform., Starting a healthcare practice today is painfully manual. Build the tools that make credentialing, contracting, compliance, payroll, scheduling, and staffing feel effortless, allowing clinicians to focus on growing their practices instead of managing paperwork., * You've built in environments where mistakes matter. Whether in fintech, healthcare, insurance, logistics, or another operationally complex domain, you've worked on systems where data integrity, money movement, and business rules couldn't be treated as an afterthought. ## Related Videos - [The Algorithm That Nearly Killed Me: When Testing Isn't Enough](https://www.wearedevelopers.com/videos/2110-the-algorithm-that-nearly-killed-me-when-testing-isn-t-enough) - [Exploring 5 Key Applications of AI Abundance with Blockchain Assurance](https://www.wearedevelopers.com/videos/971-exploring-5-key-applications-of-ai-abundance-with-blockchain-assurance) - [Creating bots with Dialogflow CX](https://www.wearedevelopers.com/videos/587-creating-bots-with-dialogflow-cx) - [AI in High-Stakes Industries: Lessons Learned](https://www.wearedevelopers.com/videos/100253-ai-in-high-stakes-industries-lessons-learned) - [Where we're going we don't need JavaScript - Programming with Type Annotations](https://www.wearedevelopers.com/videos/455-where-we-re-going-we-don-t-need-javascript-programming-with-type-annotations) - [The AI-Native Engineering Org: What’s Real, What’s Hype, What’s Next](https://www.wearedevelopers.com/videos/100004-the-ai-native-engineering-org-what-s-real-what-s-hype-what-s-next) ## Related Articles - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [How to Become an AI Engineer](https://www.wearedevelopers.com/magazine/331-how-to-become-an-ai-engineer) - [What is Software Engineering in the Age of AI?](https://www.wearedevelopers.com/magazine/640-what-is-software-engineering-in-the-age-of-ai) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [MLOps And AI Driven Development](https://www.wearedevelopers.com/magazine/82-mlops-and-ai-driven-development) - [MLOps – What’s the deal behind it?](https://www.wearedevelopers.com/magazine/125-mlops-what-s-the-deal-behind-it)