[Hiring] Senior Software Engineer @Astrana Health, Inc.

Role Description

Astrana Health builds the technology that lets physician groups deliver value-based care: the systems that enables physicians to deliver higher quality care and keeps its payers, and its partners in sync. Our engineers work on anything from eligibility, claims, and authorizations data, integrations with payer and provider systems, clinical integrations, provider-facing tools, and the data platform that ties them together.

The pace varies with the work. Some of it is fast iteration with real users. Some of it touches PHI, billing, or clinical decisions and has to be right the first time. We want engineers who can tell which kind of work is in front of them and adjust. We also expect engineers to work across the whole stack: database, backend, frontend, and the infrastructure that runs it.

As a Senior Engineer you own a product surface or a significant system end to end. We hand you problems rather than solutions. You take a fuzzy problem to a data model, an API, a UI, a rollout plan, and shipped software, and you bring the people around it with you: your PM, clinical and operations stakeholders, and the more junior engineers you mentor.

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

Qualifications

• 5+ years of professional software engineering experience, with a track record of delivering large, ambiguous features independently.
• Four-year undergraduate degree in Computer Science, Mathematics, Physics, or Engineering. Rare exceptions for outstanding experience.
• Full-stack experience. You are comfortable owning a feature from the database to the browser.
• Strong TypeScript, including on the backend.
• Strong SQL: you write and tune non-trivial queries, read query plans, and design schemas for data that will outlive the feature.
• Data and analytics savvy. You are comfortable exploring an unfamiliar dataset, validating it, and turning it into reports or metrics that non-engineers trust.
• Production experience with React.
• Docker and container-based development and deployment.
• Hands-on experience with at least one major public cloud (Azure, AWS, or GCP).
• Strong proficiency with AI development tools such as coding agents and assistants. You use them to move faster on the right work, review what they produce with the same rigor as any other code and know when a task is better done without them.

Requirements

• Database modeling and migration frameworks such as Drizzle, Prisma, SQLAlchemy, or Alembic.
• Depth in Azure, AWS, or GCP beyond the basics, including cloud IAM, roles, and least-privilege access design.
• Python.
• Experience building LLM-driven applications: tool use, retrieval-augmented generation, evaluation, and guardrails.
• Healthcare data experience: eligibility, claims, clinical data, HL7/FHIR, or payer/provider integrations.
• Experience operating systems that handle PHI under HIPAA.

Benefits

• Remote, US based position - with preference for candidates based in the greater Los Angeles area.