Staff Back-End Engineer: Claims Engine
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Before you apply
Salary$150k – $225k
LocationUSA, United States - Remote
Work moderemote
Typefull-time
SeniorityLead
Experience8+ yrs
DepartmentEngineering
EquityIncluded
Company size8+ people
PostedJul 27, 2026 · 3mo ago
Verified live1d ago
May no longer be actively hiring
Posted by the company on Jul 27, 202663% of this company's open roles have been listed for 90+ days
At a glanceSummarised by Seekless from the posting.
8+ years building, owning, and maintaining backend services
2+ years writing Go
Strong SQL skills, particularly PostgreSQL
Experience with Redis and BigQuery (or similar analytical databases)
Experience designing and building RESTful or gRPC APIs
Experience with thorough testing strategies
Docker/Kubernetes
Google Cloud Platform
gRPC/Protobuf experience
Health insurance or claims processing experience
Experience with 270/271 transactions or healthcare EDI
Terraform/Terraform Cloud
Python proficiency
Incident management and response experience
Start-up experience
Skills
Go
SQL
PostgreSQL
Redis
BigQuery
RESTful API
gRPC
Docker
Kubernetes
Google Cloud Platform
gRPC/Protobuf
Terraform
Terraform Cloud
Python
Cursor
Linear
GitHub
Notion
Whimsical
Slack
Google Workspace
Zoom
Sentry
Benefits
Bonus
Equity
Unlimited PTO
Home office stipend
401(k)
Medical insurance
Dental insurance
Vision insurance
About Helm Health
Helm is a Series A start-up transforming health insurance with “Dynamic Copay” – a new insurance plan that lets members see simple, upfront prices for all medical care before making decisions. Our team is building the infrastructure to power these plans for health insurance payors. With Helm, our clients offer simpler health plans to their members, helping them navigate to higher-value care.
Our team has specialized in Dynamic Copay solutions since 2020, and Helm is the only independent platform in the market. We have grown rapidly since our launch, working with clients from local health plans to the nation’s largest health insurers. The market is forming around us, making it an exciting time to join!
Role Overview
We’re seeking a Staff Backend Engineer to join our Claims Engine team. You’ll work across three critical areas: our 270/271 Benefit Estimate API, claims adjudication integrations, and claims processing pipelines. This role sits at the core of how we process and price healthcare claims, and you’ll own services that are essential to our product and our clients’ operations.
Responsibilities
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Build and maintain services that power 270/271 benefit estimate requests and responses.
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Develop and support performant, large-scale claims adjudication integrations.
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Own and improve claims processing pipelines for accuracy, reliability, and throughput.
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Write and maintain documentation for API contracts, data flows, and integration specifications.
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Write performant queries and manage data across PostgreSQL, Redis, and BigQuery.
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Collaborate with product and other engineering teams to translate complex healthcare workflows into reliable backend services.
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Participate in code reviews, architecture discussions, and incident response.
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Contribute to the on-call rotation for production systems.
Requirements
•
8+ years building, owning, and maintaining backend services
•
2+ years writing Go
•
Strong SQL skills, particularly PostgreSQL
•
Experience with Redis and BigQuery (or similar analytical databases)
•
Experience designing and building RESTful or gRPC APIs
•
Experience with thorough testing strategies
•
Docker/Kubernetes
•
Google Cloud Platform
Preferred Qualifications
•
gRPC/Protobuf experience
•
Health insurance or claims processing experience
•
Experience with 270/271 transactions or healthcare EDI
•
Terraform/Terraform Cloud
•
Python proficiency
•
Incident management and response experience
•
Start-up experience
Characteristics
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Self-directed and comfortable owning a domain end-to-end
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Mission-driven — motivated by making healthcare simpler and more transparent
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Willing to ask questions and admit what you don’t know
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Detail-oriented — claims processing demands precision, and you hold yourself to that standard
Internal Tools/Technology
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Cursor / Linear / GitHub / Notion / Whimsical
•
Slack / Google Workspace / Zoom
•
Incident.io / Sentry
•
Claude, ChatGPT, Gemini — we are an AI-forward engineering team
•
macOS / Linux
Compensation
The target base salary range for this position is $150,000 - $225,000 and is part of a competitive total rewards package including equity and benefits. Individual pay may vary from the target range and is determined by several factors, including experience, skills, location, internal pay equity, and other relevant business considerations.
Benefits/Offerings
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Bonus + equity
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Unlimited PTO (mandatory 12 days)
•
Computer + home office stipend
•
401(k) + matching
•
Medical, dental, and vision insurance
•
Autonomy and tons of room for career growth
Occasional Travel
We meet quarterly as a company.
Please note that this is a fully remote opportunity.