Senior Software Engineer

Pine Park Health•San Francisco, CA

3h•Hybrid

About The Position

Pine Park Health is seeking a Senior Software Engineer to join our engineering team in the Bay Area (Hybrid). If you're excited about building software that directly powers healthcare delivery, owning complex problems end-to-end, and working in an AI-native environment where your judgment and experience are the multiplier that makes output production-grade, you're in the right place! Pine Park has three stacked parts: First, we're a service business hiring doctors and nurses to see frail seniors in their apartments. Second, because house calls are expensive, we build software to make them cheap enough to scale—reading patient data, triaging issues, handling faxes, scheduling visits, ordering labs, managing referrals, and running follow-up. Third, we partner with Medicare and Medicare Advantage plans under total cost of care arrangements, allowing us to run a primary care practice that makes money by pulling cost out of hospitals. This role is 60% product and 40% engineering. You'll own business problems from discovery through delivery, spending time shadowing clinicians and care teams, understanding bottlenecks, designing solutions, and building the software that powers our clinical operations. We use AI coding tools as a core part of how we work, and we need engineers with enough experience to know whether what's being produced is actually good, will hold up in production, and delivers real value. Key highlights of this opportunity: Own projects end-to-end: no ticket queues, no handoffs—you talk directly to the people who use your software Solve problems without obvious solutions, from scheduling systems accounting for drive time and patient acuity to automating HCC risk adjustment coding clinicians actually trust Shape the codebase and set technical standards through your code reviews, architectural decisions, and judgment Work in an AI-native team where Cursor, Claude Code, and other AI tools are central to how we build

Requirements

8+ years of software engineering experience building and maintaining production systems
Deep full-stack fluency with modern web technologies (we use React, Remix, Node, TypeScript, Postgres, Prisma—depth of understanding matters more than framework-matching)
Engineering intuition to read unfamiliar code, spot hidden assumptions, and predict where it will break
Personal AI development workflow that pays dividends—configured tooling, custom prompts, sharp instincts for where models excel and where they'll confidently lead you wrong
Full ownership mindset: you scope the problem, manage the work, write the code, instrument the outcome, and close the loop (we don't have dedicated PMs on engineering projects—that's not a gap, it's how we prefer to work)
Comfort communicating directly with non-technical stakeholders in ambiguous situations

Nice To Haves

You've been a founding engineer, tech lead, or staff engineer—someone who set technical direction, made architectural calls without a playbook, and owned the consequences (this matters most to us)
Startup experience where wearing many hats wasn't a novelty but a necessity—you've context-switched between product thinking, infrastructure, and stakeholder communication in the same week
Healthcare technology, EHR integrations, or HIPAA-regulated environments
Value-based care, Medicare, or clinical workflow automation experience
Systems where correctness really mattered—finance, healthcare, infrastructure
Mobile development (iOS/Android or React Native)
Security engineering
Product or design—if you've worn that hat before and liked it, this is a place where that matters

Responsibilities

Receive key business problems with specific success criteria and own them all the way through discovery, design, development, and validation
Shadow and interview doctors, nurses, medical assistants, care coordinators, and patients to understand workflows, bottlenecks, and pain points before writing code
Design solutions that combine operations, new workflows, design, and engineering to address root causes rather than symptoms
Use AI coding tools to move fast, then apply your judgment to ensure everything produced is production-ready, architecturally sound, and won't break at scale
Collaborate with team members across product, research, design, and engineering to fill gaps and deliver holistic solutions
Review code for team members with less experience, ensuring quality matches architecture and code scales appropriately
Communicate directly with clinicians, operations staff, and business stakeholders, pushing back when you see better approaches
Solve complex problems including: scheduling systems accounting for clinician drive time and patient acuity, software that reads and responds to faxes, agents that pick up phone calls and triage patient issues, HCC risk adjustment coding automation, billing pipeline migrations without dropping claims mid-flight

Benefits

Equity in a Y Combinator-backed Series B company with clear growth trajectory
Comprehensive medical, vision, and dental insurance for you and your dependents
Flexible spending accounts for health and dependent care expenses
401(k) retirement plan to help secure your financial future
Generous paid time off:
Paid sick leave
8 weeks of paid parental leave for growing families
Monthly wellness allowance to support your physical and mental health
Professional development funding to advance your technical expertise and career goals
Team building through regular social events and offsites