Staff Full Stack Engineer, New Billing

Healthie•New York, NY

11d•Hybrid

About The Position

This role is for engineers who are more than just ticket-shippers. As a Staff Software Engineer, Full Stack & Tech Lead — New Billing at Healthie, you will lead the architecture and development of systems that manage provider payments. Billing is central to Healthie’s platform, impacting providers, patients, payments, reporting, and compliance. This position will be instrumental in scaling this foundation as the company grows. You will serve as the technical leader for the new billing initiative, responsible for designing and constructing resilient full-stack systems within our Ruby on Rails monolith. Your responsibilities will encompass backend services, data models, GraphQL APIs, and frontend user experiences using React/TypeScript, enabling the delivery of complete features across the entire stack. At the Staff level, your role extends beyond system development to setting technical direction, influencing engineering decisions, and mentoring other engineers. You will collaborate closely with Product and Design teams to create a billing platform that is reliable, scalable, and prepared for the future of digital healthcare. Healthie utilizes AI for development acceleration. We seek team members who actively employ AI-powered development tools, embrace automation, and contribute to the adoption of modern, AI-assisted engineering practices to enhance velocity and quality.

Requirements

8+ years of experience building and shipping production systems across the full stack.
Strong expertise in modern web technologies such as Ruby, React, TypeScript, and GraphQL.
Experience designing backend services, APIs, and data models that support complex, high-scale applications.
Ability to think beyond individual features and consider how systems interact across services, data layers, and user experiences.
Comfortable designing scalable architectures and solving complex technical problems that span multiple parts of the platform.
Belief that reliability and correctness are critical, especially in systems that power financial workflows.
Ability to write clean, maintainable code supported by thoughtful testing and observability.
Natural ability to lead technical initiatives, guide architectural decisions, and help teams navigate complex engineering challenges.
Ability to raise the bar for engineering quality through design reviews, mentorship, and thoughtful collaboration.
Enjoy partnering closely with product managers, designers, and other engineers to translate complex requirements into well-designed systems and intuitive user experiences.
Excited by the opportunity to improve healthcare through technology and help build infrastructure that enables providers to deliver better care while running sustainable practices.
Embody Healthie’s values of Respect, Reliability, and Resilience.
Thrive in a collaborative, remote-first environment where ownership, curiosity, and teamwork are valued.
U.S. work authorization is required.

Responsibilities

Lead the architecture and development of systems that power how providers get paid.
Design and build resilient full-stack systems in our Ruby on Rails monolith.
Span backend services, data models, GraphQL APIs, and frontend experiences (React/TypeScript) to ship complete features across the stack.
Set technical direction, guide engineering decisions, and mentor other engineers.
Partner closely with Product and Design to deliver a billing platform that is reliable, scalable, and built for the future of digital healthcare.
Actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices.