At Carrum Health, we have built a unique marketplace for specialty care with unparalleled patient experience

Since 2014, we have been rewiring a fundamentally broken healthcare system. By connecting large employers directly with the nation's top-tier providers, our platform replaces a flawed fee-for-service model with one that actually works. If you are passionate about solving complex economic problems, driving systemic change in our healthcare system, and thriving in a people-first culture, we want you on our team. As a high-growth health tech company, we are seeking high-performing, exceptional talent to scale our platform and ensure that anyone in the country facing a specialty procedure has access to the life-changing Carrum benefit. 

Our marketplace creates massive value for all stakeholders:

• For Employers (Demand): Predictable, transparent pricing that slashes specialty care costs by up to 45% and eliminates waste

• For Providers (Supply): Ability to gain market share while reducing administrative burden, empowering top-tier doctors to focus completely on delivering optimal care.

• For Members (Users): A life-changing benefit with dedicated concierges, VIP access to the nation's best specialists, and little-to-no out-of-pocket costs.

The Data Operations team owns the end-to-end data supply chain at Carrum Health: ingesting eligibility and claims data from dozens of insurance carriers and data providers, processing it into reliable datasets that power member experiences, clinical outcomes, and business reporting, and delivering it to partners and internal teams on time and with high fidelity.

Today, much of that work is operational. Every new client launch, every data provider switch, every recurring claims load consumes engineering time. We are hiring a Senior Software Engineer, Data Platform to systematically eliminate that. The mission is to build a real data platform: production services, well-defined contracts, infrastructure as code, observability as code, that turns carrier-specific work into configuration against a sound foundation.

We are AWS-native (ECS Fargate, Batch, S3, RDS, Athena, Lambda, Step Functions, EventBridge, Transfer Family) with dbt as our transformation backbone and Datadog for observability. We are also an AI-forward engineering culture. Every engineer uses AI tooling every day. AWS Bedrock (Claude) is in active production use today for job monitoring and failure summarization. A meaningful part of this role's mandate is extending that foundation: building AI-assisted ingestion, classification, and transformation systems that turn carrier-specific work into something closer to configuration.

This is a full time position, and spans multiple levels. The salary range for this role is $180,000 - $250,000 depending on level of experience and geographic location.

What You'll Do

• Own and extend the data pipeline platform: The core data pipeline is a Ruby/Rake/Bash orchestration system with 230+ active carrier integrations. Your job is to drive its evolution: adding automation, testing, structured observability, and configuration-driven abstractions that reduce the cost of every new integration. Long-term we are moving toward Python and Spark-based compute; you will help shape that path.

• Build production platform services: Write the Python and SQL for batch jobs, Lambda functions, and data services that ingest, transform, validate, and route data. The output is software with tests, contracts, monitoring, and on-call ownership, not a collection of scripts.

• Build platform tooling that creates leverage: Some of the highest-value work here is building tools for the team: code generators for eligibility automation, integration testing infrastructure, classification Lambdas, data-fix utilities, scaffolding for new data models. You think in systems, not one-offs.

• Treat infrastructure as a first-class engineering discipline: Design and extend Terraform modules. Build environment promotion, secret management, IAM patterns, and deployment pipelines. Migrate operational config from runbooks into Terraform-managed resources. The platform's reliability is a function of its infrastructure design.

• Build observability into the platform: Structured JSON logging, Datadog monitors and log pipelines, SLOs, data quality checks (including statistical anomaly detection like EWMA control charts), and automated alerting, designed in at the architectural level, not bolted on after.

• Lean into AI as a force multiplier: Bedrock (Claude) is in production today, used for job failure analysis and summarization. Our engineering culture is built around multi-agent AI workflows: every engineer uses AI tooling daily and we have a full agentic development setup in active use. Extend this foundation into ingestion tooling, data classification, and transformation assistance. We want someone who is hands-on with this technology, not just curious.

• Eliminate operational toil through software, not heroics: The team today carries meaningful operational load: recurring eligibility and claims loads, SFTP setup, PGP key management, data provider switches, launch automation. You will take on some of this work in your first months, not as a tax, but as the curriculum. You will learn exactly where the system is fragile and use that knowledge to drive what you build next. The explicit goal is to make this class of work disappear.

• Drive platform modernization: Evaluate and integrate Databricks as a near-term roadmap item. Drive the architectural decisions that come with it: storage layout, compute model, governance, and migration path.

• Raise the engineering bar: Define patterns for testing, code review, CI/CD, deployment, and incident response. Document architectural decisions. Write code the next engineer wants to extend.

• Partner across the organization: Work with analytics engineers, data scientists, software engineers, and client-facing teams. Translate ambiguous requirements into well-scoped platform capabilities.

• Learn the domain: Develop fluency in healthcare data: medical claims, insurance eligibility, HIPAA, and build a platform that is operationally and clinically correct.

What We're Looking For

Required

• 5+ years of professional software engineering experience, with a track record of owning production systems end to end.

• Strong Python and SQL. The batch jobs and Lambda functions that do the real work here are Python. SQL is Trino/Athena dialect via dbt. You write clean, tested, well-structured code in both.

• Production-grade software engineering practices. Strict testing discipline requiring comprehensive automated test coverage (unit, integration, contract) on all new code. CI/CD comfort (GitHub Actions, CircleCI, or comparable). A commitment to shipping code that holds up under load and over time.

• Deep AWS experience. ECS, Batch, Lambda, S3, RDS, Athena, Step Functions, EventBridge, Transfer Family, IAM, Secrets Manager, and CloudWatch. You have operated and debugged production systems on this stack.

• Terraform fluency. Not "I've used Terraform" — you have designed or extended Terraform modules that other engineers built on. You understand environment promotion, secret management, and IAM patterns.

• dbt proficiency. Modeling, testing, documentation, and the discipline to deprecate what shouldn't exist.

• A platform engineering mindset. You think in terms of systems, contracts, and reusable abstractions rather than one-off solutions. You can point to tooling or platform work you have built that created leverage for engineers beyond yourself.

• Strong debugging and incident response instincts. When something breaks repeatedly, you fix the system that allows it to break, not just the symptom.

• High bias for action and self-unblocking. A proven track record of driving stalled tasks to resolution through proactive cross-team communication rather than waiting for direction.

• Daily AI usage in your engineering workflow. This is not a nice-to-have. We expect you to use AI tools every day to ship code, design systems, debug, and document. You hold full responsibility for understanding and defending your code submissions.

• Maintain rigorous technical documentation. Own your features from start to finish: centralize project decisions, technical notes, and action-oriented blocker histories (naming specific dates and next steps) in Jira. Write Technical Design Documents before implementation begins on large projects.

Strongly Preferred

• LLM/RAG experience. Bedrock (Claude) is in production. We are actively building AI-assisted ingestion and classification tooling. Experience with LLM APIs, RAG architectures, vector stores (pgvector, FAISS), or agentic frameworks (LangChain, LlamaIndex) is a meaningful advantage.

• Experience with Databricks or comparable lakehouse platforms (Delta Lake, Spark, Iceberg), directly relevant to our near-term roadmap.

• PostgreSQL depth: data modeling, indexing, query performance, and understanding of how application-layer data flows into the warehouse.

• Experience with streaming or CDC architectures (Kafka, Kinesis, Flink, Debezium, or similar), real-time data delivery is a current need.

• Experience in healthcare, insurance, or another highly regulated industry. Familiarity with claims data formats (837P/I), eligibility files (834/820), HIPAA compliance, and the operational realities of working with insurance carriers.

• Familiarity with SFTP-based data exchange, PGP encryption, and integrating with external data providers.

• Experience with data quality frameworks (dbt tests, Great Expectations, Monte Carlo) and proactive observability with Datadog or comparable tooling.

• Comfort reading and navigating Ruby/Rake. Our current data pipeline is Ruby-based. You don't need to be a Ruby engineer, but you need to be able to read it, debug it, and extend it while we migrate toward Python.

Why This Role Is Interesting

• The problems here are real and consequential. When an eligibility file fails to load, a member may not be able to access their surgery. When a claims export is delayed, a client relationship is at risk. The stakes are high, the domain is complex, and the platform leverage available is enormous.

• You are joining at an inflection point. The team has built up enough operational depth to know exactly where the system is fragile. We have a clear picture of what to automate next, and a culture already built around AI-accelerated execution. Bedrock is in production. Databricks is on the roadmap. A multi-agent engineering workflow is how we work every day.

• There is substantive platform-building work to be done, and unusual leverage available from doing it well.

Why you’ll love working with us...

• We’re a hard-working, humble, and compassionate group motivated to solve the hard problems in healthcare today. You’ll work with talented, experienced co-workers from companies like Booz & Company, Teladoc, Hinge Health, Accolade, Angi, and Optum. 

• We champion a collaborative environment where team members can be autonomous, receive support and healthy feedback, and bring their authentic selves to work.

• We carve out time to celebrate our successes and have fun. We’re a remote-first company with employees all over the United States. We offer holistic employee support with flexible working hours, generous time off, paid parental leave, opportunities to connect virtually and in-person, and more.

• We embrace our team’s diversity of thought, experience, and interests and know that doing so makes us stronger as a company. Carrum has an active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee alongside several employee resource groups (ERGs) that support parents, women, and various underrepresented groups. 

• You’ll feel proud that the work you do each day directly impacts people’s lives in big and meaningful ways.

• Carrum is remote-first, but we believe the best work often happens in person. This role may include occasional travel for team offsites, client events, or company gatherings.

Other benefits:

• Stock option plan and performance bonus for eligible employees

• Flexible schedules and remote work

• Chicago and San Francisco offices available as an option

• Flexible PTO, within reason

• Summer Fridays (sign off @ 1pm local time)

• 15+ paid holidays, including Juneteenth, World Mental Health Day, and Carrum Health Day

• Annual holiday shutdown in December

• Paid parental leave

• Health, vision, and dental insurance

• Employee Assistance Programs (EAP)

• 401K retirement plan

About Carrum

Carrum Health’s mission is to change how we pay for and deliver specialty care. We offer self-insured employers and plan sponsors a value-based specialty care platform that connects their members with a rigorously vetted network of specialty care providers. Carrum’s transparent, all-inclusive bundled pricing, award-winning technology, and dedicated care navigation team help lower costs for both members and employers while delivering a superior member experience. Carrum is independently validated to reduce unnecessary procedures by as much as 30%, lower readmissions by 80%, and save employers up to 45% per episode of surgical care. Learn more at carrumhealth.com.

Since launching in 2014, we’ve partnered with top-quality providers across the nation including Cleveland Clinic,  Johns Hopkins, Mayo Clinic, Stanford Health Care, and a growing network of 1,400+ COEs. We serve hundreds of self-insured employers including Fortune 50 companies, such as United Airlines, US Foods, and Prudential, and public sector clients such as the States of Maine, Nevada, Tennessee, and Self-Insured Schools of California. 

The impact of our platform has been validated by a landmark RAND Corporation study, honored with prestigious awards from institutions like Harvard Business School & Harvard Medical School, and featured as a Harvard Business School case study. 

As a recognized digital health leader, Carrum is frequently covered by national media, including Bloomberg, Fast Company, Fierce Healthcare, Fortune, Los Angeles Times, Reuters, TechCrunch, and U.S News & World Report. Backed by $96M from top-tier investors including OMERS, Tiger Global Management, Revelation Partners and Wildcat Ventures, we’re only scratching the surface of our opportunity. Come join us. 

Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience. 

A Note on Recruitment Safety: To protect yourself against recruitment fraud, please note that Carrum Health will only communicate via an @carrumhealth.com email address. We do not conduct interviews via text or messaging apps, nor do we ever request financial information or fees during the hiring process. All authentic job openings are posted at carrumhealth.com/careers. If you are unsure about the legitimacy of a communication, please verify it via talent@carrumhealth.com.