Senior Software Engineer (Backend)

Onos HealthSan Francisco, CA
$180,000 - $240,000Hybrid

About The Position

Onos Health's mission is to ensure every healthcare dollar goes toward delivering the highest quality care. They are addressing the 30% of U.S. healthcare spending wasted due to ineffective care and administrative burden by building the largest AI-driven healthcare data platform. This platform enables payers to make faster, more accurate decisions across their populations, guiding members to the right care and making healthcare more affordable. Onos is well-funded by top healthcare investors and is working with the nation's largest health plans. This role offers a chance to join a category-defining company and help reimagine healthcare.

Requirements

  • 5+ years experience building software applications
  • Prior experience leading engineering teams as a tech lead or engineering manager
  • Strong product sense and system design skills with a track record of defining clear requirements, test scenarios, and acceptance criteria for complex systems
  • Customer obsessed and motivated to make an impact in the healthcare space
  • A hands-on technical leader who can architect robust and extensible systems, establish best practices with AI coding tools, and ship high quality production code

Nice To Haves

  • Worked with machine learning and large language models for end-user applications
  • Hands-on experience navigating healthcare data formats such as EDI X12, HL7, FHIR, and custom payer flat files

Responsibilities

  • Architect workflows that utilize AI/ML to process claims, medical records and other data types to evaluate the optimal care path for health plan members
  • Lead the integration and rollout of the Onos platform for new enterprise customers to provide actionable insights and recommendations to health plan administrators
  • Own end-to-end development of new features and functionality for the Onos platform, including requirements gathering, scoping, architecting, implementation and testing to deliver timely and high quality outcomes
  • Establish engineering best practices and technical foundations for future team growth
  • Shape our technical roadmap, make key architectural decisions, and influence the company's product and technical strategy

Benefits

  • Flexible hybrid arrangement: 2-3 days/week at San Francisco office (Financial District), remote-first culture
  • Unlimited vacation policy
  • Paid parental leave
  • Medical, dental, and vision insurance
  • Pre-tax commuter benefits
  • 401(k)
  • Significant equity as an early employee
  • Direct mentorship from experienced founders
  • Ground-floor opportunity to help build a team and culture
  • Regular team events and offsites
  • Company-provided equipment and home office setup
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