May 1, 2026

Staff Software Engineer

Senior • Remote

About Medallion:

At Medallion, we believe healthcare teams should focus on what truly matters—delivering exceptional patient care. That's why we've built a leading provider operations platform to eliminate the administrative bottlenecks that slow healthcare organizations down. By automating licensing, credentialing, payer enrollment, and compliance monitoring, Medallion empowers healthcare operations teams to streamline their workflows, improve provider satisfaction, and accelerate revenue generation, all while ensuring superior patient outcomes.

As one of the fastest-growing healthcare technology companies—ranked No. 3 on Inc. Magazine's 2024 Fastest-Growing Private Companies in the Pacific Region, No. 5 on LinkedIn's 2024 Top Startups in the US, a Glassdoor Best Place to Work in 2024 & 2025, and featured on The Today Show—Medallion is revolutionizing provider network management. Our CEO, Derek Lo, has been named one of the Top 50 Healthcare Technology CEOs of 2024 by The Healthcare Technology Report. Backed by $130M in funding from world-class investors like Sequoia Capital, Google Ventures, Optum Ventures, Salesforce Ventures, Acrew Capital, Washington Harbour, and NFDG, we're on a mission to transform healthcare at scale.

We prioritize candidate safety. Please be aware that official communication will only come from @medallion.co email addresses.

About the role

As a Staff Software Engineer, you will work closely with senior members of the team on a variety of high-impact projects, shipping production code during your very first week, getting steady exposure to a broad set of technologies, and rapidly taking on more responsibility. Expect to work with full autonomy, affect the company roadmap, and ship features that make a meaningful impact on the healthcare system. All on a supportive and experienced team of engineers, PMs, and designers.

This role reports to one of our Engineering Managers and base compensation for this role may land between $190,000-$240,0000. In addition to base salary, Medallion offers equity, and benefits as part of the total compensation package. Many factors are considered when determining pay including: market data, geographic location, skills, qualifications, experience, and level.

What you'll do

  • Work on meaningful projects with business impact from your very first day.
  • Scope and lead large projects, addressing ambiguity, creating plans, and ensuring technical excellence
  • Help develop the team roadmap, balancing key technical and product tradeoffs
  • Teach and mentor members of the engineering team, constantly modeling how great software should be developed
  • Work within our tech stack, which includes Python and Django on the backend, and React, JavaScript, and TypeScript on the frontend
  • Write a lot of code :)

Requirements:

  • Have 8+ years of experience as a software engineer
  • Experience mentoring and leading teams, ideally in a startup environment
  • Have worked in multiple functional areas – frontend, backend, platform, services, data, or cloud infrastructure.
  • Have a strong technical foundation
  • Strong ability to work cross functional to help define, build and deliver on product and tech objectives
  • Care deeply about both technical success and product success
  • Excellent communication skills

#LI-Remote

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If the candidate ultimately works outside of this primary location, the applicable minimum salary may differ.​ Salary will be determined based on factors such as the position, type of work performed, individual skills, job description, working hours, diligence, initiative, self-management, length of employment, availability, and the quantity and quality of work delivered, as well as other objective and non-discriminatory criteria relevant to State Street employees.​ In addition to salary, employees are eligible to be considered for discretionary annual performance-based awards.​​ We Offer: ​ Permanent contract from day one​ Additional holidays (Birthday Day Off, 3rd and 5th year anniversary Day Off)​ Gold Medical Package for employees and their families (partner and children)​ Premium life insurance package and private pension plan​ Wide range of soft skills training, technical workshops, language classes and development programs​ Opportunities to volunteer your time to company-driven initiatives, employee networks or organizations of your choice​ Variety of well-being programs​ Additional benefits available depending on the seniority of the role About State Street Across the globe, institutional investors rely on us to help them manage risk, respond to challenges, and drive performance and profitability. We keep our clients at the heart of everything we do, and smart, engaged employees are essential to our continued success. We are committed to fostering an environment where every employee feels valued and empowered to reach their full potential. As an essential partner in our shared success, you’ll benefit from inclusive development opportunities, flexible work-life support, paid volunteer days, and vibrant employee networks that keep you connected to what matters most. Join us in shaping the future. As an Equal Opportunity Employer, we consider all qualified applicants for all positions without regard to race, creed, color, religion, national origin, ancestry, ethnicity, age, disability, genetic information, sex, sexual orientation, gender identity or expression, citizenship, marital status, domestic partnership or civil union status, familial status, military and veteran status, and other characteristics protected by applicable law. Discover more information on jobs at StateStreet.com/careers Read our CEO Statement Benefits Medical Care and Insurance We provide a range of medical plans that cover you and your dependents. You can also take advantage of our employee and family life insurance, accidental death and dismemberment coverage. Well-Being Programs State Street's BeWell helps employees proactively manage their well-being. Our Employee Assistance Program (EAP) provides personal and confidential assistance for a broad range of issues. Financial Well-Being Depending on where you work, you will be eligible for regionally specific savings and/or retirement plans. We also provide resources and host local events to educate employees on achieving financial well-being. Holidays and Time Off We provide our employees with a highly competitive holiday and paid vacation allowance, with considerations for local requirements. We also offer our employees two paid days off to volunteer their time to company-driven initiatives or organizations of their choice.​​​​​​​ Supporting Families We are committed to supporting all employees and the ones they care about.  Some of our programs include paid parental leaves, back-to-work support, adoption assistance or flex work arrangements. Other Benefits Among others benefits, you may have access to group savings, discounts at sport clubs and cinemas, and our new employee referral bonus program.

Technology

Kalepa

Staff Backend Engineer - Submission Processing (Europe)

Senior

Remote

Warsaw, Poland

100,000 - 185,000 USD/yr

🏢 Summary: Staff Software Engineer role focused on building and scaling LLM-based backend systems for insurance submission processing using AI and cloud technologies. The position involves owning end-to-end technical decisions, designing scalable architectures, and processing large volumes of unstructured data for high-stakes insurance workflows. The role offers significant ownership, competitive compensation, equity, and collaboration with a distributed engineering team. 🗂️ Requirements: 8+ years of software engineering experience, Strong system design, debugging, and problem-solving skills, Experience deploying LLMs in production at scale, Experience with AWS and serverless technologies, Experience with asynchronous workflows and cloud environments, Proficiency in Python or strong object-oriented programming background, Experience with relational databases, Ability to own projects end-to-end with minimal oversight, Strong proactive communication skills 📃 Skills: Python, AWS, Lambda, EC2, PostgreSQL, LLM, SQL, Serverless, Cloud, Backend, AI 🏢 Description: About Kalepa: Insurance is a $7T global industry built on professional labor: underwriting, claims, pricing, operations, and distribution. Kalepa is building AI that can perform that work. We create professional-grade AI systems for insurers: software that can read, reason, decide, and act inside real workflows and operate over long-time horizons. Kalepa begins by augmenting professionals with the tools to succeed at their jobs. That earns us the right to learn from real decisions, capture decision traces, and automate what can be automated successfully over time. Our products are already in production with leading insurers, driving measurable outcomes and expanding across functions. The opportunity is far broader than any single workflow: to build the AI operating system for decision-making across insurance. For people who want to work on AI that matters, in a sector where correctness, trust, and real-world impact count, Kalepa is just getting started. Kalepa is backed by leading investors such as IA Ventures and Inspired Capital, and our team brings experience from Facebook, Palantir, Google, Amazon, McKinsey, Mastercard, and Uber. Our Values (This is important): Many organizations have a dusty list of corporate values that no one ever follows. Kalepa is not one of those companies. Our values are designed to unlock the potential of our employees. Success at Kalepa is bred from five core principles: Hustle and Determination - We hire people who take full ownership of their craft and relentlessly pursue excellence with speed and determination. We choose the hard problems and do not give up. This is the foundation of how we work and how we win. Deliver Customer Impact - We're obsessed with customer impact. Every feature, every line of code, every decision is measured against one question: does this help insurers make better decisions? If it doesn't drive speed, accuracy, or profitability for our customers, we don't build it. Meritocracy - We're building something exceptional, and that requires exceptional people and ideas. We have a high bar but we reward excellence with rapid growth. If you're the best at what you do, you'll thrive here. Transparency - We value honest, transparent communication over politics. We challenge ideas, not people. We say what needs to be said, even when it's hard. This is how we solve problems fast and find the truth. Experiment Relentlessly - Many of the problems we face have never been solved before. We tackle them by testing quickly, measuring rigorously, and iterating until we find the path forward. Speed of learning is our advantage. In addition to our NY office, we have remote employees speaking 10+ languages across the globe. But we invest in bringing our people together both for regional meetups and global offsites (2021 - Playa Del Carmen | 2022 - Rome | 2023 - Buenos Aires | 2024 - Lisbon | 2025 - Cartagena). Kalepa’s culture isn’t for everyone, and that’s ok. But for the people who are a fit, they can’t imagine working elsewhere. About the role: Salary range: $100k – $185k USD* We are looking for engineers who enjoy going deep on hard problems and owning end-to-end outcomes. As a Staff engineer on the Submission Processing team, you’ll work at the intersection of AI and backend engineering and have major ownership and agency: design the systems, make architectural calls under ambiguity, and play a key role in setting the technical direction for the team. You’ll be working on building and scaling LLM-based systems that process billions of highly unstructured data points on a daily basis, extract precise information, and surface insights that insurers rely on for high-stakes decisions. This is a problem the industry hasn't solved effectively yet, and you'll be working on cutting-edge challenges that require creativity and ambition. We're a small team where individual contributions have an outsized impact on both our technology and our business. You'll be right at home if you: Have 8+ years of software engineering experience. Embody hustle and grit, you're excellent at your craft and relentless in pursuing it. Take full ownership of your work and drive projects to completion with minimal oversight. Communicate proactively, surfacing blockers, asking the right questions, keeping stakeholders in the loop. Thrive on experimentation: you're comfortable testing ideas, measuring results, and iterating quickly on problems no one has solved before. Have strong fundamentals in system design, debugging, and problem-solving. Have worked with LLMs in production and understand what it takes to deploy them at scale. Have experience with AWS and serverless technologies (Lambda, EC2), asynchronous workflows, and cloud environments. Know Python (our main stack), though we’re open to strong candidates from other OO backgrounds Are comfortable with relational databases, ideally PostgreSQL. Are excited by problems others are struggling with. Bonus: experience with document pipelines and processing large amounts of data What you’ll get: Competitive salary (based on experience level*). Significant equity options package. Work with an ambitious, smart, global, and fun team to transform a $7T global industry. 20 days of PTO a year. Global team offsites (2021 - Playa del Carmen, 2022 - Rome, 2023 - Buenos Aires, 2024 - Lisbon, 2025 - Cartagena) Healthy living/gym stipend. Mobile phone bill stipend. Continuing education credits. * The salary range listed is an estimate and will vary based on a variety of factors. Final compensation will be determined during the offer stage based on relevant experience, performance during the interview process, and geographic location, and may therefore differ from the posted range.

Technology

Remodevs

Senior Fullstack Engineer (AI-assisted coding)

Senior

Remote

Warsaw, Poland

8,000 - 12,000 USD

🏢 Summary: Senior Software Engineer role focused on designing and building AI-powered backend systems that automate healthcare operations while supporting human workflows. The position involves hands-on system architecture, workflow orchestration, distributed systems, and AI process automation in a regulated environment. Remote-first work with required overlap with US Central Time. 🗂️ Requirements: 6+ years of experience building and maintaining production software systems, Strong experience designing and owning complex backend systems, Strong backend engineering skills, Experience with asynchronous, event-driven, or workflow-based distributed systems, Ability to work with 4–5 hour daily overlap with US team, Experience with AI or LLM-based systems and process automation, Strong spoken and written English communication skills, Ability to solve unclear problems with incomplete information, Self-motivated with strong ownership and responsibility 📃 Skills: TypeScript, Node.js, AI, LLM, Claude, Backend, APIs, HIPAA 🏢 Description: Please Note: Overlap with Central US Time required (until 20-21:00 CEST) We are a health technology company that helps older people and their families apply for important eldercare benefits, including Medicaid, Medicare, and VA programs. We work with healthcare, government systems, and people’s daily lives, so accuracy, reliability, and trust are very important. As the number of patients grows from hundreds to thousands, manual work is no longer enough. We are building AI-powered systems to automate routine tasks while keeping people involved for quality checks, difficult cases, and patient safety. Our goal is to make healthcare operations more scalable without losing the human connection. The Role We are looking for a Senior Software Engineer to lead the design and development of systems that combine AI automation with human workflows. This is an important role close to the core business. It is a fully hands-on position with no management duties or direct reports. You will not only build features, but also design systems, define best practices, and guide technical decisions as we grow. You should feel comfortable solving unclear problems, working closely with operations and product teams, and making smart decisions in a regulated environment. This role is a good fit for someone who enjoys system design, building reliable infrastructure, and taking ownership of their work. What You’ll Work On Designing workflow and orchestration systems for complex operations. Creating AI automations that handle routine tasks safely and send difficult cases to humans. Building systems where AI supports human work before, during, and after tasks. Managing long-running workflows that can last days or weeks. Connecting with external systems such as EVV platforms, insurers, government portals, and older messaging tools. Designing confidence scoring, auditing, and rollback systems for AI processes. Improving system reliability, monitoring, and error handling in production. Responsibilities Lead the technical design and development of scalable backend systems. Make and document architecture decisions with clear trade-offs. Create patterns for collaboration between AI systems and human workers. Work closely with operations teams to understand real-world issues and edge cases. Make sure systems are observable, auditable, and safe to run at scale. Identify technical risks early and suggest solutions. Maintain high standards for code quality, testing, and system design. Share knowledge and help improve the team’s technical standards through reviews and collaboration. What We’re Looking For Required 6+ years of experience building and maintaining production software systems. Strong experience designing and owning complex backend systems. Strong backend engineering skills (we use TypeScript and Node.js, but other languages are welcome). Experience with asynchronous, event-driven, or workflow-based distributed systems. Ability to work with a daily 4–5 hour overlap with the US team (until 20:00 or 21:00 Polish time). Comfortable working with unclear problems and incomplete information. Strong spoken and written English communication skills. Self-motivated with a strong sense of ownership and responsibility. Experience working with AI or LLM-based systems and process automation, such as using Anthropic’s API (Claude) or similar tools in business workflows. Nice to Have Experience in healthtech or other regulated industries. Knowledge of HIPAA and healthcare data privacy and security rules. Experience building systems with strict compliance or audit requirements. Experience with human review workflows. Experience integrating with unstable or legacy third-party APIs. Master’s or PhD in Computer Science, Engineering, or a related field. How We Work Remote-first company. Small, experienced teams with high trust and independence. Strong focus on system accuracy, reliability, and long-term maintenance. Practical and thoughtful use of AI, both for internal development and within our product. Direct connection to real users and operational impact.

Healthcare

Remodevs

Senior Fullstack Engineer (AI-assisted coding)

Senior

Remote

Warsaw, Poland

8,000 - 12,000 USD

🏢 Summary: Senior Software Engineer role focused on designing and building scalable backend systems that combine AI automation with human workflows in a regulated healthtech environment. The position involves hands-on system design, workflow orchestration, and development of reliable, auditable AI-powered processes integrated with external platforms. The engineer will lead technical decisions and ensure production-grade reliability, safety, and scalability. 🗂️ Requirements: 6+ years building and maintaining production software systems, Strong experience designing and owning complex backend systems, Strong backend engineering experience, Experience with asynchronous or event-driven distributed systems, Experience with workflow-based systems, Experience integrating AI or LLM-based systems into business workflows, Ability to design scalable, reliable, and auditable systems, Experience working with external or legacy APIs, Ability to overlap 4–5 hours with US time zone, Strong English communication skills 📃 Skills: TypeScript, Node.js, AI, LLM, Anthropic, Claude, APIs, DistributedSystems, EventDriven, Workflows, Backend, Architecture, Monitoring, Testing 🏢 Description: Please Note: Overlap with Central US Time required (until 20-21:00 CEST) We are a health technology company that helps older people and their families apply for important eldercare benefits, including Medicaid, Medicare, and VA programs. We work with healthcare, government systems, and people’s daily lives, so accuracy, reliability, and trust are very important. As the number of patients grows from hundreds to thousands, manual work is no longer enough. We are building AI-powered systems to automate routine tasks while keeping people involved for quality checks, difficult cases, and patient safety. Our goal is to make healthcare operations more scalable without losing the human connection. The Role We are looking for a Senior Software Engineer to lead the design and development of systems that combine AI automation with human workflows. This is an important role close to the core business. It is a fully hands-on position with no management duties or direct reports. You will not only build features, but also design systems, define best practices, and guide technical decisions as we grow. You should feel comfortable solving unclear problems, working closely with operations and product teams, and making smart decisions in a regulated environment. This role is a good fit for someone who enjoys system design, building reliable infrastructure, and taking ownership of their work. What You’ll Work On Designing workflow and orchestration systems for complex operations. Creating AI automations that handle routine tasks safely and send difficult cases to humans. Building systems where AI supports human work before, during, and after tasks. Managing long-running workflows that can last days or weeks. Connecting with external systems such as EVV platforms, insurers, government portals, and older messaging tools. Designing confidence scoring, auditing, and rollback systems for AI processes. Improving system reliability, monitoring, and error handling in production. Responsibilities Lead the technical design and development of scalable backend systems. Make and document architecture decisions with clear trade-offs. Create patterns for collaboration between AI systems and human workers. Work closely with operations teams to understand real-world issues and edge cases. Make sure systems are observable, auditable, and safe to run at scale. Identify technical risks early and suggest solutions. Maintain high standards for code quality, testing, and system design. Share knowledge and help improve the team’s technical standards through reviews and collaboration. What We’re Looking For Required 6+ years of experience building and maintaining production software systems. Strong experience designing and owning complex backend systems. Strong backend engineering skills (we use TypeScript and Node.js, but other languages are welcome). Experience with asynchronous, event-driven, or workflow-based distributed systems. Ability to work with a daily 4–5 hour overlap with the US team (until 20:00 or 21:00 Polish time). Comfortable working with unclear problems and incomplete information. Strong spoken and written English communication skills. Self-motivated with a strong sense of ownership and responsibility. Experience working with AI or LLM-based systems and process automation, such as using Anthropic’s API (Claude) or similar tools in business workflows. Nice to Have Experience in healthtech or other regulated industries. Knowledge of HIPAA and healthcare data privacy and security rules. Experience building systems with strict compliance or audit requirements. Experience with human review workflows. Experience integrating with unstable or legacy third-party APIs. Master’s or PhD in Computer Science, Engineering, or a related field. How We Work Remote-first company. Small, experienced teams with high trust and independence. Strong focus on system accuracy, reliability, and long-term maintenance. Practical and thoughtful use of AI, both for internal development and within our product. Direct connection to real users and operational impact.