Founding Backend Software Engineer

Neon HealthSan Francisco, CA
Hybrid

About The Position

Join the team making life-saving drugs accessible. The crisis: Sarah delayed cancer treatment for weeks facing $30,000 monthly costs. Marcus's autoimmune condition worsened while battling insurance denials. Over 50% of critical prescriptions are abandoned due to: Cost barriers: Patients with high copays are 5x more likely to abandon treatment. Insurance maze: Complex prior authorizations block access. Logistical challenges: Coordinating medical visits for treatments. Our solution: Neon's technology eliminates these obstacles by automating patient access workflows for pharma companies: automating authorizations, streamlining benefits verification, and unlocking financial assistance. Join our mission: We want to live in a world where every patient can navigate the healthcare system with ease, especially when it matters most. Help us ensure that access to medicine is determined by clinical need—not bureaucracy or financial constraint. When Neon succeeds, patients access life-saving treatments without bankrupting their families, while we build an AI automation powerhouse serving healthcare's biggest enterprises.

Requirements

  • Proficiency with Node, Typescript, and Python
  • Good understanding of system design concepts - distributed systems, reliability/performance tradeoffs
  • Experience in API design, implementation, and documentation
  • Experience using AI coding tools (Cursor, Github Copilot, Claude, etc)
  • Proficiency with version control (Git)
  • 4+ years of experience as a software engineer
  • Experience working on projects touching many parts of a large codebase
  • Experience working at a scaling startup, leading projects that required you to: define requirements, effectively self-direct and set priorities, and touch many areas of a large code base
  • Experience across many areas of eng (e.g., self-deployed K8s clusters, micro-services, etc.)
  • Led engineering projects from start to finish (e.g., a large open source project, or building a feature in a past role)
  • Ambitious and effective
  • Ownership mentality

Nice To Haves

  • Experience working with CI/CD systems and good DevOps skills
  • Excellent documentation and testing habits
  • Worked on distributed architectures in the past

Responsibilities

  • Define priorities
  • Suggest good solutions
  • Excel at implementation
  • Pick up concepts quickly, pattern match on past problems
  • Obsessed with speed and quality, and help embed that quality into the rest of the team
  • Self-directed, and do not need help organizing / prioritizing your time

Benefits

  • Meaningful chunk of equity
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