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About Helm Health
Role Overview
Responsibilies
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 lets members 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!
Role Overview
We're seeking a Senior Backend Engineer to join our Claims Engine team. You'll work across three critical areas: our 270/271 Benefit Estimate API, claims adjudication integrations, and claims processing pipelines. This role sits at the core of how we process and price healthcare claims, and you'll own services that are essential to our product and our clients' operations.
Responsibilies
- Build and maintain services that power 270/271 benefit estimate requests and responses.
- Develop and support performant, large-scale claims adjudication integrations.
- Own and improve claims processing pipelines for accuracy, reliability, and throughput.
- Write and maintain documentation for API contracts, data flows, and integration specifications.
- Write performant queries and manage data across PostgreSQL, Redis, and BigQuery.
- Collaborate with product and other engineering teams to translate complex healthcare workflows into reliable backend services.
- Participate in code reviews, architecture discussions, and incident response.
- Contribute to the on-call rotation for production systems.
- 4+ years building, owning, and maintaining backend services
- 2+ years writing Go
- Strong SQL skills, particularly PostgreSQL
- Experience with Redis and BigQuery (or similar analytical databases)
- Experience designing and building RESTful or gRPC APIs
- Experience with thorough testing strategies
- Docker/Kubernetes
- Google Cloud Platform
- gRPC/Protobuf experience
- Health insurance or claims processing experience
- Experience with 270/271 transactions or healthcare EDI
- Terraform/Terraform Cloud
- Python proficiency
- Incident management and response experience
- Start-up experience
- Self-directed and comfortable owning a domain end-to-end
- Mission-driven — motivated by making healthcare simpler and more transparent
- Willing to ask questions and admit what you don't know
- Detail-oriented — claims processing demands precision, and you hold yourself to that standard
- Cursor / Linear / GitHub / Notion / Whimsical
- Slack / Google Workspace / Zoom
- Incident.io / Sentry
- Claude, ChatGPT, Gemini — we are an AI-forward engineering team
- macOS / Linux
The target base salary range for this position is $150,000 - $225,000 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.
- Unlimited PTO (mandatory 12 days)
- Computer + home office stipend
- 401(k) + matching
- Medical, dental, and vision 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 San Francisco Tech Scene
San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.
Key Facts About San Francisco Tech
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