Full Stack Software Engineer

About this role

Alpaca Health is seeking a Full Stack Software Engineer to own the platform foundation for a healthcare software company enabling clinicians to launch their own practices. You'll design and build critical systems spanning AI-powered workflows, billing infrastructure, provider operations, and patient experiences while working in a small, technical team with direct customer interaction.

What you'll do

• Design and own data models, APIs, and core platform infrastructure supporting healthcare operations
• Build AI-integrated clinical workflows for documentation, treatment planning, and administrative assistance
• Develop revenue and payments systems handling authorization, billing, adjudication, and provider payouts
• Create tools and automation for credentialing, compliance, scheduling, and business operations
• Own end-to-end products from database schema through user experience
• Build internal automation systems to streamline operational workflows across the platform

What they're looking for

• Full-stack software development with demonstrated depth
• Experience building systems in operationally complex domains (fintech, healthcare, insurance, logistics)
• Systems thinking and data modeling expertise
• Strong product intuition and user experience awareness
• Comfort navigating ambiguity and driving solutions independently
• LLM/AI integration experience
• Healthcare domain knowledge (preferred)
• SQL and database design proficiency

Benefits

• 5 days in-office culture in New York City or San Francisco
• Work with co-founders and experienced startup engineers
• Direct customer interaction and technical decision-making authority
• High ownership with minimal bureaucracy or management layers
• Opportunity to impact healthcare access and provider entrepreneurship