Staff Software Engineer, Eligibility & Benefits

Parachute Health is transforming post-acute care as the leading digital ordering platform for medical equipment and supplies. We connect major health systems, health plans, and suppliers to help patients get the life-saving products they need at home. Since launching, we've connected 300,000+ clinicians and 3,000+ supplier locations across all 50 states and helped 15M+ patients. What started as a DME ePrescribing tool has become the order management platform of choice for home medical equipment.

Join our team and make a difference in patient care.

About the Role

Parachute Health is hiring a Staff Engineer to join our Eligibility & Benefits team. We build the systems that ensures every durable medical equipment (DME) order has verified coverage before it ships. In this role, you’ll tackle real-time payer eligibility checks and architect solutions to parse messy, inconsistent insurance data, directly cutting claim denials and eliminating manual overhead for DME providers.

Responsibilities

- Develop in an agile environment, including TDD and flexible pair programming.

- Work every day with Product and Design to scope features, weigh tradeoffs, and turn workflows into software that’s simple to use and holds up in production.

- Direct key technical decisions related to application and data model design.

- Maintain stable and performant application stacks.

- Ship quality code that moves the business. Deliver readable, well-tested, maintainable code tied to clear outcomes for clinicians, suppliers, and patients.

- Understanding of data structures, TDD, and software engineering design patterns and principles.

- Ability to lead a team in making technical decisions.

- Participate in an on-call rotation, ensuring timely resolution of critical system issues, and contributing to the continuous improvement of our system reliability and availability.

- Use AI developer tools to work smarter. Adopt and help evaluate AI coding assistants and automation that speed up delivery, catch defects earlier, and cut repetitive work.

- Own integrations with payers and clearinghouses, including retries, failure modes, and keeping data current.

- Design how payer and plan data gets mapped, measure how accurate it is against what suppliers actually bill, and get it better.

- Partner with Product, Ops, and supplier stakeholders, and write the technical narrative that gets the org aligned.

Requirements

- Minimum of 7 years of experience in a production environment with Ruby on Rails or other open source languages (e.g., Python, Golang, JavaScript)

- Staff-level engineering experience, including technical leadership, cross-functional collaboration, and mentoring engineers

- Revenue cycle experience in at least one of: eligibility and benefits, claims, billing, or prior authorization

- Must reside in the U.S.

Nice to Have

- Familiar with AWS services (EC2, ECS, S3, RDS, etc).

- Exposure to X12 EDI: 270/271, 837/835, 278

- Clearinghouses or revenue cycle vendors: Availity, Change Healthcare/Optum, Waystar, Stedi, Experian Health

Benefits

- Medical, Dental, and Vision Coverage: Comprehensive plans with options for low-to-no-cost premiums.

- Employer HSA Contribution: Company-funded contributions to your Health Savings Account.

- 401(k) Retirement Plan

- Equity Incentive Plan

- Annual Company-Wide Bonus: Opportunity for up to 15% bonus based on company performance.

- Remote-First Culture: We are remote-first with a dedicated NYC office and reimbursement options for co-working spaces.

- Flexible Vacation Policy

- Summer Fridays: 5 additional Fridays off during the summer (separate from PTO).

- Home Office and Wellness Stipend

- Monthly Internet Stipend

- Annual Learning and Development Stipend

Base Salary Band (based on experience and level)

$200,000 - $260,000

To ensure you’re leveled accurately, all new engineers participate in a 90-day review. This allows us to calibrate your initial interview results with