Staff Engineer (Fullstack)

Alaffia Health•New York, NY

About The Position

Alaffia is a healthtech startup focused on reducing waste in the U.S. healthcare system by partnering with health plans to improve claims operations. We utilize expert clinicians and AI to provide deeper insights, smarter automation, and better outcomes throughout the claims lifecycle. This role is for a Staff Engineer who will tackle complex, cross-team technical challenges, define architectural direction, and enhance the productivity of the engineering organization. The engineer will translate strategic objectives into technical roadmaps, lead execution, and promote AI-augmented development practices.

Requirements

10+ years of software engineering experience, with a track record of leading complex, high-impact projects at scale
Expert-level TypeScript, Python, GraphQL, and PostgreSQL
Strong system design and cloud infrastructure experience (AWS preferred), including CI/CD and containerization (Docker, Kubernetes)
Demonstrated success adopting AI coding assistants to improve team productivity
Excellent communication skills and experience mentoring senior engineers

Nice To Haves

Healthcare tech/regulatory experience (HIPAA, HITRUST) a plus
Healthcare SaaS experience; familiarity with medical billing, claims, or clinical workflows
Experience shipping user-facing AI products or AI/ML model deployment
Open source contributions or technical publications

Responsibilities

Architect and own delivery of complex, high-impact systems spanning multiple teams
Set technical direction and coding/design standards across the org
Drive AI coding tool adoption (Claude Code, Copilot, Cursor) — establish best practices and measure productivity gains
Mentor senior engineers and influence technical decisions without formal authority
Partner cross-functionally with product and business leaders on technical strategy
Own testing strategy, system health, and build-vs-buy decisions for critical infrastructure