As the first engineering hire, you will build the infrastructure to make healthcare billing deterministic. You'll scale an ingestion engine tracking thousands of payer policies, converting complex medical necessity criteria into computable contracts. This role involves architecting low-latency APIs and utilizing LLMs to eliminate the adversarial back-and-forth in the insurance system.
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Backend Engineer at well-funded healthcare infrastructure startup
Are you ready to be the first engineering hire at a well-funded startup aiming to eliminate the $200B inefficiency in healthcare billing? This London-based role offers the chance to build a sophisticated ingestion engine that converts insurance policies into computable contracts using Python, AWS, and advanced LLM frameworks. If you have deep experience in web scraping at scale and a passion for building deterministic systems that solve massive real-world problems, this is your opportunity to join a high-caliber founding team and shape the future of medical infrastructure with meaningful equity.
Overview
Role overview
Company
About the company
Well-funded healthcare infrastructure startup
Responsibilities
What you will do
- Design a high-throughput ingestion engine combining web scraping and LLM-powered extraction to track thousands of payer policies.
- Architect a representation layer that converts medical necessity criteria into formal logic and computable contracts.
- Build and maintain production-grade API and MCP endpoints for AI agents to query coverage rules with high accuracy.
Candidate profile
Who this is a fit for
- Deep experience in backend engineering with a focus on web scraping at scale and high-throughput data systems.
- Proven expertise in LLM-powered structured extraction, including rigorous evaluation frameworks and pydantic-based validation.
- Strong engineering taste and velocity, with the ability to manage complexity and make trade-offs in a fast-paced environment.
What makes it remarkable
Why this role is remarkable
- Join as the first engineering hire with significant founding-team equity and direct influence on the technical foundation.
- Work alongside a high-caliber founding team of physicians and expert data scientists backed by top-tier VCs.
- Solve genuine technical complexity in a $200B market, building systems that materially reduce healthcare costs for patients.
Jack & Jill
How Jack & Jill work together
I get to know what you’re great at, then find roles you’d never find yourself.Ok, I'll go first. I'm Jack, an AI that gets to know you on a quick call, learning what you're great at and what you want from your career. Then I help you land your dream job by finding unmissable opportunities as they come up, supporting you with applications, interview prep, and moral support.
I recruit from Jack’s network and make the intro when I spot a great match.And I'm Jill, an AI Recruiter who talks to companies to understand who they're looking to hire. Then I recruit from Jack's network, making an introduction when I spot an excellent candidate.
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