Top Engineering Jobs in San Francisco, CA

Lead and build a new Trust & Safety engineering domain: design and implement systems to detect and mitigate fraud, billing anomalies, and credential abuse. Architect product and operational solutions, mentor engineers, define processes, and deliver scalable, auditable safety tooling across internal and external workflows.

Lead architecture and technical vision for Rula's RCM Payments team. Design scalable, distributed payment and claims systems, partner with product and clinical stakeholders, mentor engineers, drive cross-team initiatives, and apply modern engineering practices including microservices, event-driven systems, and full-stack TypeScript/React/Node.js development.

Build and maintain scalable Revenue Cycle Management platforms and internal tooling supporting payments, claims submission, and operational workflows. Design and implement distributed, secure systems, improve reliability and cost-effectiveness, collaborate with engineering, operations, and business stakeholders, lead technical projects, mentor peers, and participate in on-call incident resolution.

Serve as the technical IC leader for the Provider organization: set technical roadmap and engineering standards, design and review architectures, drive cross-team initiatives, mentor engineers, and deliver high-throughput, low-latency, cloud-based microservice systems for provider-focused products.

Build and scale full-stack systems to improve provider onboarding and supply; design distributed, maintainable services; lead high-priority projects; mentor engineers; integrate AI-assisted and LLM-based features; drive provider-facing product quality and reliability.

As a Fullstack Senior Software Engineer, you'll design and scale systems, lead technical projects, and enhance mental health care access through software at Rula.

Design, build, and iterate patient onboarding systems and registration/eligibility flows. Own end-to-end projects, run experiments, optimize for performance, correctness, and resilience, and provide technical leadership, mentoring, and cross-functional collaboration with Product, Design, and Analytics.