About Alaffia & Our Mission

Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we’re committed to changing that paradigm. We’ve assembled a team of clinicians, AI engineers, and product experts to build advanced AI solutions that will directly bend the cost curve for all patients across the healthcare ecosystem. Collectively, we’re building best-in-class AI software to provide our customers with co-pilot tools, AI agents, and other cutting-edge solutions to reduce administrative burden and reduce healthcare costs. 

We’re a high-growth, venture-backed startup based in NYC and are actively scaling our company.

About the Role & What You'll Be Doing

Alaffia’s core value is derived from our health insurance payments data. Development operations and infrastructure is the bedrock part of our platform, and we’re looking for a talented engineer who loves crafting scalable deployment pipelines, configuring auto-scaling server clusters, and architecting networks.

Our internal team, healthcare providers, and insurers use our system daily to accomplish their work. We’re looking for someone who relishes the challenges of implementing CI/CD pipelines to orchestrate a myriad of build tasks, automating infrastructure deployments through programmable templates and maximizing Infra-as-Code, hardening Virtual Private Network access through robust authentication and the latest encryption ciphers, and working with the Engineering team to develop a library of utilities and tools that empower our team to operate masterfully. In this role you’ll have the opportunity to build the bedrock of a healthcare payments platform with real social and economic impact. You’ll be making a dent in the struggles of our nation’s healthcare payments system from your first day.

Key Skills & Qualifications

Code Fluency

• Write code that captures the essential nature of the solution and is appropriately flexible, reusable, efficient, and adaptable to changing requirements.

• Provide high quality code review feedback and adopt approaches to foster effective and collaborative code review culture.

• Strong awareness of the technologies used by the team and the ecosystem around these technologies and able to introduce new ideas to solve business and technical problems.

• Responsible for successful delivery of their projects, including planning, risk management, design, development, testing, rollout, and maintenance.

• Identify ways to simplify application code/infrastructure and improve developer efficiency as measured by cycle time, ramp-up time, or other similar measurements.

• Experience with enterprise codebases and the ability to onboard into an established product.

• Preemptively identify and resolve technical risks before they jeopardize the project. Resolve cross-team dependencies earlier to ensure the successful execution of the project.

• Avoid re-inventing the wheel by leveraging other Alaffia Health solutions or off-the-shelf solutions with the possible trade-off in mind.

Software Design

• Responsible for designing the software or systems in the owned area and ensuring that they meet their design objectives.

• Give quality feedback on designs written by other members of the team, asking probing, insightful questions that solidify choices and surface erroneous assumptions.

• Effectively and quickly debug cross-module issues, and may intuit where bugs might lie due to deep knowledge of the libraries, platforms, and systems that the software relies on.

Architecture Design

• Create coherent designs with multiple components interacting across API or system boundaries; bugs do not creep in at the boundaries between components due to mismatches in expectations of what is technically feasible.

• Capable of rolling out a component or major feature (and deprecating an existing system or feature) reliably - including appropriate monitoring, paging, etc are in place, and that failure domains are understood and characterized appropriately, avoid introducing toil and future maintenance work by proactively avoiding scaling issues and providing adequate documentation before large scale rollout. For early stage products, roll out with an eye toward achieving learning goals untainted by poor quality and know when to make appropriate tradeoffs for “failing fast”.

• Design clear success metrics and achieve those metrics consistently post-launch through the lifetime of the system or feature. For early stage products, those success metrics may be oriented around learning goals rather than usage goals, given the inherent unpredictability of achieving product/market fit.

Business Acumen

• Engage in listening sessions to increase learning to guide work/priorities

• Have a working knowledge of Alaffia Health’s strategy and organization structure to work effectively across the org and able to help other engineers to effectively collaborate effectively

Key Skills & Qualifications

• Collaborating cross functionally with UX, product, AI and business team to craft a feature-rich, modern web application

• Designing, developing, and deploying fullstack application using Typescript, GraphQL, PostgreSQL, React and Next.js in a production environment. Preferred experience:

• Experience building SasS in the healthcare sector

• 5+ years industry experience with large scale system

• Building and deploying user facing AI products

• Experience with DevOps and cloud provider, such as AWS, Azure, and GCP

• Hands on experience with Postgres databases and data model design.

• Implementing robust testing suites to verify the correctness of new and existing features using testing frameworks

• Developing observability frameworks that include logging and user activity metrics to integrate with Datadog and other observability tooling

• Leading and engaging in architectural decisions that enable scalability, maintainability and extensibility to support business growth and user needs

• Autonomous learning, self-leadership, and the ability to own system components while collaborating with other SME’s

• Excellent communication and collaboration skills, with the ability to articulate complex technical concepts to non-technical stakeholders.

Our Culture

At Alaffia, we fundamentally believe that the whole is more valuable than the sum of its individual parts. Further to that point, we believe a diverse team of individuals with various backgrounds, ideologies, and types of training generates the most value. Our people are entrepreneurial by nature, problem solvers, and are passionate about what they do — both inside and outside of the office.

What Else Do You Get?

• Competitive compensation package (cash + equity)

• Medical, Dental and Vision benefits

• Flexible, paid vacation policy

• Work in a flat organizational structure — direct access to Leadership