Senior Software Engineer

About the Company

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care. We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. We've raised over $14M in funding and are building for long-term category leadership.

Responsibilities

• Design and build AI-native clinical workflows for documentation and treatment planning
• Own revenue and payments infrastructure, including billing and adjudication systems
• Develop provider business operations tools for credentialing, payroll, and scheduling
• Design patient and family experiences for intake, onboarding, and communication
• Build internal automation systems to replace manual healthcare workflows
• Maintain platform foundations including data models, APIs, security, and AI infrastructure

Requirements

• Experience building in operationally complex domains (fintech, healthcare, insurance, or logistics)
• Strong systems thinking with ability to model complex states and transitions
• High degree of product instinct and user experience focus
• Ability to thrive in ambiguity and drive execution without detailed PRDs
• High ownership mindset and ability to solve problems across the organization
• AI-native approach to development and workflow
• Ability to balance rapid development with long-term technical stability
• Experience in early-stage startup environments

Preferred Qualifications

• Experience building AI-powered products in production
• Experience with LLM workflows, agents, or evals
• Experience modeling complex operational or financial systems
• Healthcare, EHR, insurance, or revenue cycle experience