Senior Backend Engineer
Job Description
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Machinify is a leading healthcare intelligence company specializing in the payment continuum, serving over 85 health plans (including top 20) and 270 million lives. Their AI-powered platform delivers transparency, efficiency, and value to clients.
We’re hiring for a Senior Backend Engineer to join our Audit product team!
Our Culture @ Machinify
We embrace complex challenges with curiosity, fostering genuine interest in solving hard problems. Engineers empower each other to take action, deeply understand customer needs, and drive innovation with strong product ownership. Our work shapes real healthcare decisions, demanding high engineering excellence. We pressure-test AI tools, shape their use, and set the standard for disciplined, AI-driven engineering—fast but always under structured human oversight.
The Role
You’ll set the technical direction for backend development, leveraging deep programming expertise to design and build scalable, reliable web application systems. Collaborate with AI coding agents, directing and reviewing their output while maintaining quality standards. The ideal candidate has experience in application design, system architecture, and driving adoption of new languages, tools, and agentic development practices.
You’ll join a high-visibility engineering team trusted to solve complex, high-stakes problems using AI, data, and software systems. Your code impacts customers and future product lines. Cross-functional collaboration influences product direction, engages with customers, and owns systems affecting millions of lives.
Learn more about our Pay & Audit product lines.
What You’ll Do
- Deepen your understanding of healthcare claims and payments domains
- Act as a Developer Coach/Multiplier—experienced in Java, Scala, and/or Rust, building production-grade services, setting standards, mentoring others, and elevating team programming maturity
- Serve as the backend voice in cross-team planning and execution
- Contribute to new product development of complex in-browser applications, ensuring extensibility, scalability, and security
- Balance customer-facing features with technical debt cleanup to maintain software sustainability
- Architect and implement complex applications applying ML techniques to large data volumes, simplifying labor-intensive processes through good user experience
- Design systems that deliver high-performance, reliable applications
- Integrate agentic engineering practices into daily workflows and help the team adopt them effectively
What You Bring
- 8+ years of backend programming experience (full-stack experience highly desired)
- Proven experience designing and shipping customer-facing web application products, with a focus on external user features
- Meaningful experience with Java or Scala; Rust highly desired
- Experience designing, building, and operating distributed systems that run reliably on cloud services at scale (high throughput, high availability)
- Ability to write a Technical Design Document (TDD) that peers and product leads trust, translating ambiguous product intent into concrete backend design
- A product and user-driven mindset, connecting technical decisions to user outcomes
- Strong cross-functional collaboration skills with engineering peers, senior PMs, ML/DS partners, and leadership
- Pragmatic problem-solving with a strong systems instinct, addressing root causes
- Hands-on experience with agentic engineering tools and workflows in production settings
- Experience reading and improving complex code, owning code quality
- Critical thinking and problem-solving skills in a high-growth, high-stakes environment
- Comfort with complexity and curiosity to define paths forward
- Nice to have: Technical leadership on Rust best practices (idioms, safety, performance) as the team scales adoption
- BS or MS in Computer Science (or equivalent experience)
What We Offer
- Work from anywhere in the US! Machinify is digital-first
- Top Medical/Dental/Vision offerings
- FSA/HSA
- Tuition reimbursement
- Competitive salary, 401(k) with company match
- Unlimited PTO
- Additional health and wellness benefits and perks
- Flexible and trusting environment
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Machinify
View Company ProfileMachinify is a groundbreaking AI-driven HealthTech and financial technology company that fundamentally reshapes the massive healthcare payment integrity ecosystem. Headquartered in Palo Alto, California, the company operates a powerful "AI operating system" designed to seamlessly untangle complex healthcare data, eliminate systemic friction, and ensure accurate billing. Under the hood, the Machinify platform unifies medical records, claims, policies, and complex contracts into a single data layer, leveraging healthcare-specific foundation models and autonomous AI agents to audit, coordinate, and process payments with industry-leading speed and precision. Recently expanding its massive reach by acquiring Performant Healthcare, the platform serves as an end-to-end payment engine. Their primary target audience spans major health plans—including 18 of the top 20 commercial, Medicare, and Medicaid payers in the US—that need to drastically reduce administrative costs, combat false positives, and recover billions in lost revenue. What sets Machinify apart in the traditionally rigid healthcare infrastructure is its ability to deploy highly flexible, transparent AI that continuously learns via "human-in-the-loop" feedback, driving both massive cost avoidance for insurers and lower overall healthcare costs for the entire ecosystem.
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