Staff Engineer, RCM

Brightside Health

2d•Remote

About The Position

We are looking for an experienced Staff Engineer to lead technical work on our Enterprise team, reporting to the Engineering Manager, Enterprise. You'll own the systems behind eligibility, claims, billing, and payer integrations — work that directly determines whether patients understand their coverage and whether Brightside gets paid. You'll partner closely with Product, RCM Operations, and Clinical Operations to turn ambiguous, regulated problems into durable software. We're looking for someone who runs toward ownership and leaves every codebase, teammate, and process better than they found it.

Requirements

Significant experience shipping production software, typically gained over 10+ years or through equivalent high-impact experience.
Strong fluency with Ruby on Rails and modern TypeScript.
Solid relational database experience, including schema design, query performance, data modeling, and safe migrations.
Experience integrating with external APIs in production, including retries, idempotency, rate limits, partial failures, observability, and vendor quirks.
A track record of operating autonomously on ambiguous, cross-functional problems.
Strong product judgment: you can reason about user needs, operational workflows, edge cases, and tradeoffs.
Strong data instincts: you can use metrics, logs, database queries, dashboards, and product analytics to understand what is happening and whether a change helped.
Demonstrated ability to raise the bar of a team through code review, design review, mentorship, technical writing, or pattern-setting.
Excellent written communication, including design docs, RFCs, incident write-ups, rollout plans, and clear decision records.
Comfort working in regulated or high-trust systems where correctness, privacy, and auditability matter.

Nice To Haves

Experience with healthcare revenue cycle management, claims, eligibility, billing, insurance, payer integrations, or patient financial workflows.
Familiarity with healthcare transaction patterns such as eligibility checks, claim submission, remittance, clearinghouses, denials, or prior authorization.
Experience with modularized monoliths, Packwerk, CQRS, event-driven systems, or service boundaries inside larger applications.
Experience building internal tools for operations-heavy teams.
Experience designing AI-assisted workflows, especially where human review, auditability, and safety matter.
Familiarity with HIPAA, PHI handling, SOC 2, or other regulated-industry constraints.

Responsibilities

Identify the highest-leverage problems in eligibility, claims, billing, or payer workflows.
Connect technical work to patient, operational, and business outcomes.
Use data to understand where systems are failing and whether your changes worked.
Build tools that help non-engineering teams move faster and make better decisions.
Simplify complex workflows without ignoring the realities of healthcare, insurance, and revenue cycle operations.
Help other engineers make better technical decisions.
Create clarity where there was ambiguity.
Ship work that is reliable, observable, and maintainable.