Senior Software Engineer, Client Implementations

Opportunity Overview: This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events. We are seeking a Senior Software Engineer to join our Engineering team. In this role, you will build and operate mission-critical healthcare technology that powers prior authorization for health plans covering 15+ million members. You'll work across the full stack — backend services, event-driven pipelines, and provider-facing web applications — to deliver systems that healthcare practitioners and clinical operations teams depend on daily. You'll partner closely with product, design, clinical, and platform teams to ship high-quality software in a complex, multi-tenant healthcare environment. This is an opportunity to solve distributed systems problems where engineering quality directly impacts patient access to care. What you’ll do: Own epic-level efforts end-to-end — from technical design and milestone decomposition through implementation, testing, and production deployment Design, build, and maintain services and applications across the full stack: backend (Java, Groovy/Grails), frontend (React, TypeScript), data (MongoDB), and event-driven messaging (Kafka) Proactively identify systemic technical risks including performance bottlenecks, reliability gaps, data consistency issues, and accumulated technical de