Senior Healthcare Platform Engineer

ABOUT US Mira Mace pairs Medicare beneficiaries with a dedicated healthcare advocate who navigates appointments, insurance, and care coordination on their behalf. Our customers get the support of caring nurses while AI agents handle the tedious backend work — all covered by Medicare. We've felt the pain ourselves — the endless back-and-forth with insurance, surprise bills, and the lack of clarity when you just need answers. Too many people fall through the cracks, and we're determined to change that. Today, 24/7 personalized health assistance is only available to the rich or extremely sick. Our vision is for everyone to be able to afford a health assistant who knows your health history deeply, navigates the healthcare system on your behalf, and propels you to become the healthiest version of yourself. Our founding team brings a mix of strong technical experience from companies like Google, Meta, Dropbox, and Amazon, along with serial startup experience ranging from early bootstrapped ventures to Series D scale-ups. We are backed by Foundation Capital, DefineVC and top Silicon Valley angel investors. WHAT WE'RE LOOKING FOR We're looking for an engineer who knows how healthcare systems actually work — and wants to own how our platform connects to all of them. Our platform exchanges data with the rest of healthcare: electronic health records, clinical partners, insurers and eligibility services, and the systems that get claims paid. Those integrations are how care reaches a customer and how the business gets paid for delivering it. You'd own that surface — the connections we run today, the ones we'll need as we grow, and the revenue cycle that sits on top of them. We're looking for someone who has spent real time building software in healthcare. You've built and operated integrations with healthcare software vendors, and kept them running once they were live — not consumed an API from a product team. You're comfortable with the billing process end to end, and you can hold a conversation about coverage, coding, claims, and denials without a translator. RESPONSIBILITIES Own billing and claims end to end. Build and operate the pipeline that turns delivered care into s ubmitted claims, then follows them through payment, denials, and rework. Make the revenue path observable, auditable, and boringly reliable. Own our healthcare integrations. Design, build, and run the connections to EHRs, clinical partners, eligibility and benefits services, and claims infrastructure — including the ugly parts: retries, idempotency, partial failures, backfills, and reconciliation. Model healthcare data correctly. Turn messy external payloads into a clean internal data model that the rest of the product — including our AI systems — can reason over safely. Build for failure. Third-party systems go down, change behavior without notice, and return data that contradicts their own docs. Build the monitoring, alerting, and reconciliation that catches this before a user does.