Founding Backend Engineer

The US healthcare system is complex, error-prone, and financially draining. Medical bills and insurance coverage shouldn’t be this hard to navigate. At Medbill AI, we’re building the one solution every American can turn to for help.

Thanks to AI and new regulations, Medbill AI can fight claim denials, correct billing errors, negotiate bills, and make coverage easier to understand—saving people time, money, and stress. Our goal is simple: to be the #1 platform that empowers all Americans to take charge of their healthcare.

Founded by former Oscar Health leaders, we’re a seed-stage company with $17M in funding. We’re lucky to be backed by the founders and investors at Hugging Face, Rocket Money, Oscar Health, TrueBill, CaseText, Forerunner Ventures, RRE Ventures, and more. We are well-funded for the next few years.

• Collaborate with Product and Engineering teams to shape and execute our technical roadmap

• Design, develop, and deploy scalable backend services and APIs

• Tackle complex challenges in AI-driven systems and infrastructure

• TypeScript frontend & backend

• React Native, NextJS, NestJS, GraphQL

• Postgres with Gel/EdgeDB, Effect

• Temporal, Pulumi, Docker, AWS

Curious about what engineering looks like here at Medbill AI? Check the blog post from our Head of Engineering, Tom.

• Bring 5+ years of engineering experience building and shipping software.

• Are mission-driven – excited about tackling meaningful problems with real impact.

• Thrive in ambiguity – comfortable with autonomy in a fast-moving environment.

• Are big-picture thinker – designs pragmatic solutions for complex challenges.

• Are curious & tenacious – embraces cutting-edge technical problems with creativity.

• Are a strong communicator – clear and effective in both writing and speech.

• Have 10+ years of GPT4 experience - or, failing that, a sense of humor.

• Bonus - experience with healthcare data, complex integrations, web crawling, or AI-powered workflows.

📢 You don’t need to check every single box—if you bring the right skills and drive, we want to hear from you! 📩

Medbill AI is based in New York. Our team is split evenly between our Chelsea office & the US. We marry the best of in-office culture with the best of a remote-first company.

We’re a team of passionate individuals who show up every day to do the best work of our lives following these principles:

• Move with Urgency and Focus: Prioritize what matters and find the shortcuts.

• Own the Outcome: Take initiative and see it through until the end.

• Commit to Your Craft: Excellence is the standard, care about the details.

• Play to Win: If we win, Americans win, so we work hard and do what it takes for us to be #1.

• Feedback is Fuel: Intellectual honesty is at the core of everything we do.

• We’re One Team: Together, we can achieve things that none of us could on our own.