[Hiring] Senior Full-Stack Engineer @HLH Holdings LLC dba Highlight Health

Role Description

We are looking for a Senior Full-Stack Engineer to serve as the permanent technical lead and quality gate for our Claims Intelligence Platform build. The team consists of five strong domain experts who know healthcare claims deeply, building features in parallel using AI-assisted development tools. Your job is to ensure that every feature that ships is correct, secure, and architecturally sound.

• Own the application infrastructure: repricing validation suite, multi-tenant data isolation tests, and state machine coverage.
• Write certain core component logic by hand, ensuring it is deterministic, auditable, and correct.
• Review every pull request touching financial logic, data access patterns, or module boundaries.
• Triage and unblock the team when architectural decisions cannot be resolved at the workstream level.
• Take full technical authority with the CTO as your escalation path for decisions with broad business impact.

Qualifications

• 7–10 years in full-stack engineering, with meaningful time as the most senior engineer on a team.
• Technical depth in Python and PostgreSQL, understanding async patterns, database-level security, and migration discipline.
• Full-stack capability to review a React pull request and identify structural problems and data exposure risks.
• Understanding of the nuances of working with sensitive data (HIPAA, SOC 2, or PCI) and prioritizing audit trails and data access controls.
• Comfortable governing teams using AI-assisted tools like Cursor and Claude Code to maintain high quality at a fast pace.
• Healthcare or fintech background is a genuine advantage.

Requirements

• Experience with the following technical stack:
• Backend: Python 3.12, FastAPI, async SQLAlchemy 2.0, Alembic migrations.
• Database: Azure Database for PostgreSQL — HIPAA-eligible, zone-redundant, row-level security enforced at both application and database layers.
• Infrastructure: Azure Container Apps (dev / staging / prod), Azure Service Bus for async job processing, Azure DevOps CI/CD, Azure Blob Storage.
• Frontend: React 18 / Vite SPA for the internal application; Next.js for the external client portal.
• AI and OCR: Anthropic Claude via Azure AI Foundry for document extraction; Azure Document Intelligence for OCR processing.
• Quality: pytest, Ruff linting, automated module boundary enforcement in CI.

Benefits

• Inclusive workplace that brings together highly skilled leadership and employees from all walks of life.
• Opportunity to own the quality standard and build something that genuinely matters.