Staff Software Engineer, Eligibility & Benefits - Parachute Health

Parachute Health is transforming post-acute care as the leading digital ordering platform for medical equipment and supplies. We connect major health systems, health plans, and suppliers to help patients get the life-saving products they need at home. Since launching, we've connected 300,000+ clinicians and 3,000+ supplier locations across all 50 states and helped 15M+ patients.

About the Role

Parachute Health is hiring a Staff Engineer to join our Eligibility & Benefits team. We build the systems that ensure every durable medical equipment (DME) order has verified coverage before it ships. In this role, you’ll tackle real-time payer eligibility checks and architect solutions to parse messy, inconsistent insurance data, directly cutting claim denials and eliminating manual overhead for DME providers.

Responsibilities

• Develop in an agile environment, including TDD and flexible pair programming.
• Work closely with Product and Design to scope features, weigh tradeoffs, and turn workflows into software that is simple to use and holds up in production.
• Direct key technical decisions related to application and data model design.
• Maintain stable and performant application stacks.
• Ship quality code that moves the business, delivering readable, well-tested, and maintainable code tied to clear outcomes.
• Provide technical leadership, mentor engineers, and guide team technical decisions.
• Participate in an on-call rotation to ensure timely resolution of critical system issues and continuous system reliability.
• Utilize and evaluate AI coding assistants and automation to streamline delivery and eliminate repetitive work.
• Own integrations with payers and clearinghouses, including retries, failure modes, and data synchronization.
• Design payer and plan data mapping and optimize accuracy against supplier billing.
• Partner with Product, Operations, and supplier stakeholders to drive organizational alignment.

Requirements

• Minimum of 7 years of production experience with Ruby on Rails or other open-source languages (e.g., Python, Golang, JavaScript).
• Staff-level engineering experience, including technical leadership, cross-functional collaboration, and mentoring.
• Revenue cycle experience in at least one of: eligibility and benefits, claims, billing, or prior authorization.
• Must reside in the United States.
• Legal authorization to work in the U.S. without employer visa sponsorship.

Nice to Have

• Familiarity with AWS services (EC2, ECS, S3, RDS, etc.).
• Exposure to X12 EDI standards: 270/271, 837/835, 278.
• Experience with clearinghouses or revenue cycle vendors (Availity, Change Healthcare/Optum, Waystar, Stedi, Experian Health).

Benefits & Compensation

• Comprehensive Medical, Dental, and Vision coverage (low-to-no-cost premium options).
• Employer HSA contribution.
• 401(k) retirement plan.
• Equity incentive plan.
• Annual company-wide bonus opportunity (up to 15% based on performance).
• Remote-first culture with NYC office access and coworking space reimbursement.
• Flexible vacation policy plus Summer Fridays (5 additional Fridays off during summer).
• Home office and wellness stipend.
• Monthly internet stipend.
• Annual learning and development stipend.

Base Salary: $200,000 - $260,000 (calibrated via 90-day review against engineering rubric).