Senior Software Engineer (Backend)

Alaffia Health•New York, NY

About The Position

Alaffia is a healthtech startup focused on reducing improper payments and administrative waste in U.S. health plans through expert clinicians and AI-driven insights. We are seeking a Senior Backend Engineer to tackle significant technical challenges, influence architectural decisions, and enhance our engineering practices. This role involves owning complex backend systems, collaborating with cross-functional teams, and integrating AI-augmented development. The primary programming languages for this role will be Python or TypeScript, but strong backend fundamentals and adaptability are prioritized over specific language expertise.

Requirements

  • 5-7+ years of software engineering experience, with a track record of owning and delivering complex backend projects, including large-scale API development and backend data processing.
  • Hands-on experience with relational databases and data model design.
  • Solid system design fundamentals and cloud infrastructure experience (AWS preferred), including CI/CD and containerization (Docker, Kubernetes).
  • Comfort using AI coding assistants to improve productivity via automation.
  • Strong communication skills and willingness to collaborate and share knowledge with the team.

Nice To Haves

  • Healthcare SaaS experience; familiarity with medical billing, claims, or clinical workflows.
  • Experience shipping user-facing AI products or AI/ML model deployment.
  • GraphQL and PostgreSQL experience.
  • Experience with observability tooling such as Datadog.
  • Open source contributions or technical publications.

Responsibilities

  • Design, build, and own the delivery of backend systems for our claim review platform, including data-intensive, production-level applications.
  • Contribute to the technical direction and coding/design standards for the team.
  • Adopt and champion AI coding tools (Claude Code) in daily workflows.
  • Collaborate with and mentor other engineers, sharing knowledge and best practices.
  • Partner cross-functionally with product, data, DevOps, and business teams to scope and deliver technical solutions.
  • Contribute to testing strategy, system health, observability, and infrastructure decisions for the area of ownership.

Benefits

  • Competitive compensation package (cash + equity)
  • Medical, Dental, and Vision benefits
  • Flexible, paid vacation policy
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