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The Senior Full-Stack Engineer will develop claims monitoring tools and backend services, collaborate with other engineers, and influence the product architecture in a health insurance startup.
About Helm Health
The Role
Team Context
Responsibilities
Requirements
Preferred Qualifications
Characteristics
Internal Tools/Technology
Compensation
Benefits/Offerings
Occasional Travel
Helm is a Series A start-up transforming health insurance with "Dynamic Copay" – a new insurance plan that allows members to 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!
The Role
We're seeking a Senior Full-Stack Engineer to build claims monitoring and management capabilities for health plan administrators. You'll be part of a newly forming Integration/Analytics team that will split off from our Frontend team in the coming months, giving you a chance to shape a product area from the ground up.
You'll initially report to our Principal Frontend Engineer and work alongside other full-stack engineers. As the Integration/Analytics team takes shape, you'll move under a dedicated team lead. This is a new product area — you'll have significant influence over architecture, UX patterns, and technical direction.
Responsibilities
- Design and build tools that give health plan administrators real-time visibility into claims status, processing outcomes, and exception handling
- Develop responsive, accessible frontend interfaces in React/Next.js
- Build and maintain backend services that power claims monitoring dashboards and management workflows
- Integrate with PostgreSQL, BigQuery, and Redis
- Work with product and design to define monitoring views, alerting workflows, and claims management actions.
- Collaborate with the Claims Engine team to ensure monitoring surfaces are accurate and provide timely data.
- Participate in code reviews and architecture discussions.
Requirements
- 4+ years building and maintaining modern TypeScript frontend applications
- First-hand experience architecting solutions in React or Next.js
- Experience with PostgreSQL and at least one analytical data store (BigQuery preferred)
- Comfort working across the stack — you'll own features end-to-end
- Docker/Kubernetes
- Google Cloud Platform
- Go experience (or similar strongly-typed compiled languages)
- Tailwind CSS
- Experience with web accessibility standards (WCAG 2.1 or higher)
- Data visualization or reporting product experience
- Redis experience
- SQL proficiency beyond basic queries
- Health insurance or claims processing experience
- Terraform/Terraform Cloud
- Start-up experience
- Self-directed and able to take ambiguous product requirements and turn them into shipped software
- Mission-driven — motivated by making healthcare simpler and more transparent
- Willing to ask questions and admit what you don't know
- Strong product instincts — you think about what users need, not just what the spec says
- Strong communicator who can translate between technical and non-technical audiences, especially as you bridge product, design, and engineering
- Cursor / Linear / GitHub / Notion / Whimsical
- Slack / Google Workspace / Zoom
- Sentry
- Claude, ChatGPT, Gemini — we are an AI-forward engineering team
- macOS / Linux
The target base salary range for this position is $160,000 - $200,000 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
- Equity
- Unlimited PTO (mandatory 12 days)
- Computer + home office stipend
- 401(k) + matching
- Health and dental insurance
- Autonomy and tons of room for career growth
We meet quarterly as a company.
Please note that this is a fully remote opportunity.
What you need to know about the Seattle Tech Scene
Home to tech titans like Microsoft and Amazon, Seattle punches far above its weight in innovation. But its surrounding mountains, sprinkled with world-famous hiking trails and climbing routes, make the city a destination for outdoorsy types as well. Established as a logging town before shifting to shipbuilding and logistics, the Emerald City is now known for its contributions to aerospace, software, biotech and cloud computing. And its status as a thriving tech ecosystem is attracting out-of-town companies looking to establish new tech and engineering hubs.
Key Facts About Seattle Tech
- Number of Tech Workers: 287,000; 13% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Amazon, Microsoft, Meta, Google
- Key Industries: Artificial intelligence, cloud computing, software, biotechnology, game development
- Funding Landscape: $3.1 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Madrona, Fuse, Tola, Maveron
- Research Centers and Universities: University of Washington, Seattle University, Seattle Pacific University, Allen Institute for Brain Science, Bill & Melinda Gates Foundation, Seattle Children’s Research Institute
