Senior Software Engineer

NxT Level • New York, NY

4d • Hybrid

About The Position

Our client is hiring a Full-Stack Software Engineer to help scale its specialty medication access platform for independent specialty providers. This is a high-impact, high-ownership role for someone who wants exposure across the entire stack — from provider-facing features to complex healthcare integrations to AI-powered automation for prior authorizations, appeals, and medication access workflows. This is a strong fit for an engineer who wants to build an AI-native healthcare product that touches real patients, real providers, and real operational complexity.

Requirements

• 3+ years of experience as a full-stack software engineer
• Proven experience building and maintaining full-stack web applications
• Strong ability to move quickly and deliver high-quality outcomes in fast-growing, product-driven environments
• Experience across modern technologies such as Python, React, PostgreSQL, Redis, LangChain, or similar tools
• Strong product instincts and comfort owning problems end-to-end
• Strong written and verbal communication skills
• Ability to collaborate effectively with engineering, operations, provider success, and leadership
• Interest in AI-native products, healthcare workflows, and real-world operational automation
• NYC-based and able to work from the Flatiron office, with approximately one work-from-home day per week

Nice To Haves

• Experience in healthcare technology, health insurance, pharmacy, prior authorization, EMR integrations, or revenue cycle workflows
• Experience building AI-powered workflow automation products
• Experience with document parsing, voice AI, browser automation, or agentic systems
• Experience at an early-stage or fast-growing startup
• Experience building internal tools, provider-facing products, or operational workflow platforms

Responsibilities

• Build full-stack product features used by healthcare providers and internal teams
• Scale integrations that automate medication access workflows across providers, payers, pharmacies, and manufacturers
• Build AI-powered systems for prior authorizations, appeals, benefits verification, and related workflows
• Work across multiple AI modalities, including document parsing, voice, browser automation, and workflow automation
• Own projects from initial idea through architecture, implementation, launch, and measurable impact
• Partner closely with founders, engineers, operations, and provider success teams
• Build products that improve access to specialty medications for patients
• Help maintain a high technical bar across product, systems design, engineering quality, and company culture
• Contribute to the norms, practices, and standards of an early engineering team

Benefits

• Meaningful equity as an early engineer
• 100% premium coverage for health, dental, and vision insurance
• Opportunity to work in person with an ambitious team in Flatiron near Madison Square Park

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed