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Recruiting From Scratch

Senior Backend Engineer (Data Platform)

Recruiting From Scratch, San Francisco, California, United States, 94199

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Who is Recruiting from Scratch Recruiting from Scratch is a talent firm that focuses on placing the best candidates for our clients. Our team is 100% remote, and we work with companies across North America, South America, and Europe to help them build high-performing teams.

https://www.recruitingfromscratch.com/

The Client Our client is an early-stage healthcare startup rethinking health insurance to reduce friction for doctors and patients. They work closely with direct primary care providers and build backend systems that make insurance easier to use, more affordable, and more human.

Software Engineer (Data Platform) As a Software Engineer (Data Platform), you will join a

5-person engineering team , where backend systems and data pipelines directly power claims processing, provider payments, EHR integrations, and internal healthcare operations. Your work will sit at the core of the business, ensuring providers are paid accurately, patients receive seamless care, and internal teams can scale efficiently.

You will work cross-functionally with Operations, Engineering, and other stakeholders to translate complex healthcare workflows into reliable, production-grade systems. This role reports into engineering leadership and offers significant ownership in shaping the company’s data platform as it grows and launches new products.

Your work will have a direct, real-world impact on how healthcare is delivered and paid for.

What You’ll Do The engineering team builds backend and data systems that power modern health insurance. In this role, you will:

Design, build, and scale data pipelines and backend systems supporting claims, payments, and healthcare operations

Develop automations for provider notifications, patient support workflows, and internal operations

Own data flows across ingestion, transformation, validation, and persistence

Partner cross-functionally with Operations, Engineering, and business stakeholders to understand workflows and reduce manual overhead

Rapidly prototype solutions and refactor them into clean, maintainable production code

Contribute to the long-term evolution of the data platform as data volume and product scope increase

Example Projects You Might Work On

Building and scaling Python-based pipelines to generate and process insurance claims on behalf of providers

Developing EHR integrations to ingest, normalize, and validate healthcare data from multiple vendors

Designing provider payment and reimbursement workflows to ensure accurate, timely payouts

Automating patient support and internal operational workflows to reduce manual intervention

Refactoring existing backend systems to improve reliability, observability, and scalability

Basic Requirements

5+ years

of professional software engineering experience (4+ years considered for exceptional candidates)

Strong

Python

experience, including refactoring and maintaining production code

Experience designing and operating

data pipelines, ETLs, or backend systems

at scale

Experience working with

relational databases

such as PostgreSQL

Strong communication skills and ability to explain technical decisions to non-technical stakeholders

Comfort working in ambiguous, fast-moving startup environments

Preferred Requirements

Startup experience, especially at

10–50 person companies

Familiarity with

Flask, FastAPI, SQLAlchemy

Experience working with large or messy datasets

Healthcare or healthtech experience (claims, EHRs, vendor integrations)

Thoughtful experience using

AI tools

in regulated environments

What We Offer

Fully remote role (U.S.-based)

Competitive compensation:

$140,000–$220,000 base salary + stock options

Flexible / unlimited paid time off

Medical insurance

Multiple annual onsite events in NYC and key markets

Opportunity to build mission-critical infrastructure with real-world impact

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