Senior Software Engineer (Hybrid/San Francisco area)

Pine Park Health, San Francisco, California +2

The role

Pine Park Health brings doctors and nurses to seniors where they live. We're backed by YC, First Round Capital, Gradient Ventures (Google), Averin Canvas, Foundation, Liquid 2, Box Group, and others, and we're based in the Bay Area.

What you need

8+ years of software engineering experience
Deep full-stack fluency with modern web technologies (we use React, Remix, Node, TypeScript, Postgres, Prisma — depth of understanding matters more than framework-matching)
You've built a personal AI development workflow — configured tooling, custom prompts, sharp instincts for where the models excel and where they'll confidently lead you wrong
You function as a full owner: you scope the problem, manage the work, write the code, instrument the outcome, and close the loop. We don't have dedicated PMs on engineering projects.

What This Looks Like Day-to-Day

The Senior Software Engineer role at Pine Park Health is 60% product and 40% engineering. So if you’re looking for a startup where you just write code, Pine Park Health is not the right fit.

You’ll receive a key business problem to solve, with specific test criteria for whether that problem is solved. Then you’ll be responsible for owning that problem all the way through.
That means spending time shadowing and interviewing doctors, nurses, medical assistants, and patients. It means documenting their work, understanding the key struggles and bottlenecks in it, and then suggesting ways software can help solve those problems. After that, you’ll need to design a solution that involves operations, including building new workflows, design, and of course engineering and code writing.
Solving business problems requires a diverse set of skills: product, research, design, and engineering. So you’ll need to collaborate with other team members to fill in any gaps in your experience.
You’ll also need to rely heavily on the AI tools the company provides, as well as the AI agents you manage, in order to perform some of the job duties where you have less experience.
Finally, you’ll need to spend part of your time reviewing code for team members on the development and operations team who have less experience writing code. The goal is to make sure the quality of the code matches the architecture and that the code will not break at scale.
Some examples for problems that you will solve:
How do you build a scheduling system that accounts for a clinician's drive time, patient acuity?
How to build software that reads and responds to faxes?
How to build agents that can pick up phone calls and triage patient issue?
How do you automate HCC risk adjustment coding in a way clinicians actually trust?
How do you migrate a billing pipeline from one clearinghouse to another without dropping claims mid-flight? These are the kinds of problems on our board right now. Some of them have failed before. We're looking for someone who finds that more interesting than intimidating.

Senior Software Engineer (Hybrid/San Francisco area)

The role

What you need

Senior Software Engineer (Hybrid/San Francisco area)

The role

What you need

Especially strong fit if

Nice to have

Pine Park has three stacked parts

What This Looks Like Day-to-Day

Tech Stack

Why Pine Park Health

How to Apply

Pay and benefits

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Pine Park Health