Staff Software Engineer

Neon Health•San Francisco, CA

About The Position

Join the team making life-saving drugs accessible. The crisis: Sarah delayed cancer treatment for weeks facing $30,000 monthly costs. Marcus's autoimmune condition worsened while battling insurance denials. Over 50% of critical prescriptions are abandoned due to: Cost barriers: Patients with high copays are 5x more likely to abandon treatment. Insurance maze: Complex prior authorizations block access. Logistical challenges: Coordinating medical visits for treatments. Our solution: Neon's technology eliminates these obstacles by automating patient access workflows for pharma companies: automating authorizations, streamlining benefits verification, and unlocking financial assistance. Join our mission: We want to live in a world where every patient can navigate the healthcare system with ease, especially when it matters most. Help us ensure that access to medicine is determined by clinical need—not bureaucracy or financial constraint. When Neon succeeds, patients access life-saving treatments without bankrupting their families, while we build an AI automation powerhouse serving healthcare's biggest enterprises.

Requirements

Proficiency with Node, Typescript, and Python.
Good understanding of system design concepts - distributed systems, reliability/performance tradeoffs
Experience in API design, implementation, and documentation
Experience using AI coding tools (Cursor, Github Copilot, Claude, etc)
Proficiency with version control (Git)
10x mindset - you’ll be among the first engineering hires!
Good time management and planning skills
4-7 years of experience (or equivalent) as a software engineer.
Experience working on projects touching many parts of a large codebase.
You’ve worked at a scaling startup, leading projects that required you to: define requirements, effectively self-direct and set priorities, and touch many areas of a large code base.
You don’t need to be an expert in any one area of software engineering, but you do need to have experience across many areas of eng. You must know enough to be dangerous in many areas. e.g.) self-deployed K8s clusters, micro-services, etc.
You’ve led engineering projects from start to finish. This could be a large open source project, or building a feature in a past role.
We are a team of ambitious builders who are out to win against our competitors. We want to make a big dent in the universe. And to do that, we need to sprint to capture the market before us.
You want to feel a sense of ownership for your work. And you want to have a meaningful chunk of equity — because you know that you can make an outsized contribution towards increasing the value of that equity.
Applicants must be currently authorized to work in the United States on a full-time basis. Visa sponsorship is not available for this position.

Nice To Haves

Experience working with CI/CD systems and good DevOps skills
Excellent documentation and testing habits
Nice if you have worked on distributed architectures in the past, but not a strict requirement.

Responsibilities

Leads project teams, provides direction, and keeps stakeholders informed.
Determines key milestones and provides updates and check-ins to relevant teams and partners.
Define priorities
Suggest good solutions
Excel at implementation
Pick up concepts quickly, pattern match on past problems.
Obsessed with speed and quality, and help embed that quality into the rest of the team.
Self-directed, and do not need help organizing / prioritizing your time.