About Alaffia & Our Mission

Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we’re on a mission to change that. We’ve assembled a team of clinicians, AI/ML engineers, and product experts to build advanced AI that finally bends the cost curve for all patients across our ecosystem. Collectively, we’re building best-in-class AI software to provide our customers with co-pilot tools, AI agents, and other cutting-edge solutions to reduce administrative burden and reduce healthcare costs. We’re a high-growth, venture-backed startup based in NYC and are actively scaling our company.

About the Role & What You’ll Be Doing

As an Alaffia Health Senior Backend Engineer (TypeScript Services), you'll become an integral part of our forward-thinking backend API development team. In this role, you'll contribute to the evolution of automated healthcare payment processing, collaborating with passionate engineers dedicated to delivering cutting-edge software solutions. Reporting directly to the Head of Engineering, you'll have the opportunity to shape the future of our platform while making a meaningful impact on the efficiency and accuracy of healthcare payments nationwide.

Your Responsibilities

• Write production-level backend services in TypeScript
• Use technologies like GraphQL and PostgreSQL to create flexible, performant APIs
• Build end-to-end services leveraging data science techniques
• Develop engineering solutions to identify improper charges and patterns of fraud, waste, and abuse in healthcare payments
• Engage in infrastructural and architectural decisions to support real-time updates and platform scalability
• Collaborate with backend and machine learning engineers to implement new APIs and services
• Work closely with the Auditing team to incorporate expertise into web app features and core technology development
• Architect and rearchitect new and existing patterns to support the evolving Alaffia ecosystem

What We’re Looking For

• 6-10 years of experience in a backend service development role
• Proficiency in TypeScript, JavaScript, NodeJS, and ExpressJS
• Experience with GraphQL and PostgreSQL
• Experience with Jest or Vitest
• Self-starter with experience leading small teams
• Deep database knowledge and data storage optimization knowledge using Postgres or similar
• Experience developing and deploying production-level APIs and Services
• Familiarity with CI/CD pipelines and DevOps teams
• Ability to translate application requirements into API specifications and data models
• Familiarity with logging technologies and debugging production applications
• Familiarity with AWS or similar cloud providers
• Architectural design experience and data model design experience
• Experience with Docker, Kubernetes, Helm, GitHub, CI/CD using GitHub Actions

Our Culture

At Alaffia, we fundamentally believe that the whole is more valuable than the sum of its individual parts. We also believe that a diverse team of individuals with various backgrounds, ideologies, and types of training generates the most value. Our people are entrepreneurial by nature, problem solvers, and passionate about what they do—both inside and outside of the office.

What Else Do You Get Working With Us?

Company stock options

Hybrid work environment - work from the office and home

Employer-sponsored Medical, Dental, and Vision benefits

Flexible, paid vacation policy

Work in a flat organizational structure — direct access to Leadership

*Please note: Alaffia Health does not provide employment sponsorships at this time.