
Senior Software Engineer
Alpaca Health6 months ago
Base Salary
$150k - $250k/yr
Responsibilities
- Design and own the core domain model for patients, providers, credentials, authorizations, sessions, claims, and payments.
- Implement testable and enforceable money invariants covering rate calculations, payout conditions, and payroll logic.
- Design lifecycle state machines with explicit states and valid transitions for patients, claims, authorizations, and credentials.
- Develop schema migration strategies and evolve production data models safely.
- Build reliable, auditable, and safe AI infrastructure for LLM-powered clinical workflows.
- Own access controls, audit logging, encryption, and the platform’s technical security posture for systems handling PHI.
- Deploy, monitor, and support production systems, including responding to incidents.
Requirements
- At least 4 years of experience in a domain where correctness matters, such as fintech, insurance, healthcare, or logistics.
- Ability to make difficult technical decisions and own systems from design through production.
- Experience designing data models, enforcing business rules, managing schema evolution, and building reliable production software.
- Experience shipping LLM features in production, including RAG, evaluations, or guardrails, is a bonus.
- Experience with event sourcing, ledger architectures, or healthcare/EHR systems is a bonus.
Benefits
- Full-time role based in NYC or requiring relocation to NYC.
- Five days per week in the office.
Categories
About Alpaca Health
Alpaca Health builds an all-in-one software and administrative platform for applied behavior analysis clinicians, helping BCBAs launch and run independent practices. Services include scheduling, data collection, intake, insurance credentialing and contracting, billing, and guaranteed payouts; it also operates a multi-state network of in-home and school-based ABA therapists. Founded in 2024 and headquartered in New York, it is privately held and raised seed funding in 2026.