Top Tech Jobs & Startup Jobs in San Francisco Bay Area, CA

Lead architecture and technical direction for data integrations moving clinical and financial data at scale. Design orchestration, pipelines, data stores, observability, security/compliance, and mentor engineers while owning end-to-end cross-system initiatives and reliability.

Design and own an immutable, event-oriented accounts and ledgering system for RCM. Build idempotent posting/adjustment pipelines, reconcile billed charges, remittances, and bank deposits, ensure report consistency, operate money-critical Postgres systems, and set observability, security, and operational standards while mentoring senior engineers.

Build and operate an end-to-end growth engine for a B2B healthtech SaaS: design full-funnel architecture, run experiments, instrument analytics across tools, align Sales/RevOps/Product, create scalable creative systems, and manage agency/vendor operations to drive pipeline.

Build and maintain the Claims Submissions system: clearinghouse integrations, claim generation (EDI, CMS-1500/1450, CDT), routing logic, scalable rule engine, end-to-end integration, architectural improvements, mentoring, code review, and production monitoring for high-volume RCM workflows.

Lead design, build, and scale full-stack features for the Insights practice management platform using React, Python, and PostgreSQL. Improve reliability, observability, performance, and availability. Collaborate with infra and backend teams, mentor engineers, conduct code reviews, and drive architectural improvements while delivering high-impact projects aligned with product and design.

Build LLM-powered automation and a scalable rule engine to autonomously fix denied claims. Design safety guardrails, observability, and QA gates; generate appeals and record packets; deliver an automations console and end-to-end integrations. Influence RCM platform architecture, mentor engineers, conduct code reviews, and operate production deployments.

Lead and grow an RCM Core Backend team to design, scale, and maintain mission-critical backend services and automations. Drive technical execution, partner with Product and Ops, prioritize projects, ensure reliability and performance, and coach engineers to deliver platform-scale systems for revenue cycle management.

As a Senior Account Operations Manager, you'll drive client growth, optimize operations, manage client relationships, oversee onboarding, and collaborate with cross-functional teams to enhance efficiency and scalability in Revenue Cycle Management.

Manage revenue accounting processes including revenue recognition under ASC 606, oversee financial audits, and improve operational efficiencies within finance teams.

Lead the technical direction for biller-workflow platforms, define frontend/backend standards, solve cross-team problems (data-dense UIs, bulk operations, unified claim timelines), embed AI where valuable, ensure production reliability and performance, and mentor engineers while partnering with product and design to ship incremental, high-impact improvements.