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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Senior Backend Software Engineer - **Company:** Alpaca Health - **Location:** New York, NY, United States - **Experience:** Expert - **Salary:** $200,000.0 - $250,000.0 - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), Artificial Intelligence, Business Logic, Spreadsheets, Data Infrastructure, Data Integrity, Software Debugging, Programming Tools, Migration Manager, Software Engineering, Data Streaming, Time Tracking Software, AI Infrastructure, Large Language Models, State Machines, Technical Debt, Backend, Event Driven Architecture, Enterprise Integration, Hubspot, Software Coding, Api Management - **Published:** June 29, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=2a574de039c3f3e2 ## 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. What You'll Own Core Platform Integrations Healthcare runs on a fragmented ecosystem of vendors, clearinghouses, and systems. You'll build and maintain critical integrations with platforms like Candid, Silna, Availity, HubSpot, payroll providers, and state Medicaid systems, ensuring data flows reliably across the entire Alpaca platform. Revenue & Operations Infrastructure Own the backend systems that power billing, authorizations, eligibility, patient responsibility, payroll, and provider payouts. You'll design the engines that move millions of dollars through the platform while ensuring accuracy, auditability, and trust. Internal Systems & Automation Much of healthcare operations still happens through spreadsheets, PDFs, inboxes, and manual processes. You'll build software and AI-powered workflows that automate credentialing, authorizations, billing operations, compliance, and care coordination, allowing a small team to support thousands of providers. Data & Reporting Platform Build the data infrastructure that powers reporting across the company. You'll own the pipelines, models, and backend services that give providers visibility into their businesses and enable internal teams to make operational decisions with confidence. Payroll & Workforce Systems Design the systems that power provider compensation, payroll integrations, time tracking, PTO, and workforce operations. You'll help make getting paid feel seamless for clinicians while ensuring compliance and financial accuracy behind the scenes. Platform Foundations You'll also own the underlying systems that make everything possible: APIs, data models, event-driven architectures, security, compliance, reliability, and AI infrastructure. We expect engineers to think deeply about system design and build products that remain correct as Alpaca scales from hundreds to thousands of providers., * 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 - [AI in High-Stakes Industries: Lessons Learned](https://www.wearedevelopers.com/videos/100253-ai-in-high-stakes-industries-lessons-learned) - [Launching a marketplace on-time: A lesson in taking shortcuts using spreadsheets!](https://www.wearedevelopers.com/videos/477-launching-a-marketplace-on-time-a-lesson-in-taking-shortcuts-using-spreadsheets) - [Integrate your Cognitive Assistant with 3rd-party DBs and software](https://www.wearedevelopers.com/videos/249-integrate-your-cognitive-assistant-with-3rd-party-dbs-and-software) - [Developing the Backend with Stefan Lingler, CTO at Shpock](https://www.wearedevelopers.com/videos/100360-developing-the-backend-with-stefan-lingler-cto-at-shpock) - [Inside Bitpanda's Tech Stack: Scaling a European Fintech Leader - Markus Dorner](https://www.wearedevelopers.com/videos/1979-inside-bitpanda-s-tech-stack-scaling-a-european-fintech-leader-markus-dorner) - [From Global Capability Centers to AI-Powered Command Centers](https://www.wearedevelopers.com/videos/100096-from-global-capability-centers-to-ai-powered-command-centers) ## Related Articles - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [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) - [Dev Digest 120 - Apple and peers](https://www.wearedevelopers.com/magazine/455-dev-digest-120-apple-and-peers) - [What is Agentic Programming and Why Should Developers Care?](https://www.wearedevelopers.com/magazine/625-what-is-agentic-programming-and-why-should-developers-care)