Staff Software Engineer

🕒 September 19

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🔴 Lead

🧑‍💻 Full-stack Engineer

👻 Ghost score 17%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Astrana Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Astrana Health is a healthcare company that operates community-focused clinics and a provider-facing technology platform to coordinate care across primary, urgent, and multi-specialty services. It supports providers and local communities by streamlining access to care, automating prior authorizations, and connecting patients with in-network clinicians. Astrana combines clinical services with doctor-built technology to improve patient experience and provider workflows.

📋 Description

• Set technical direction for the owned technical domain • Make and defend architecture and infrastructure choices considering cost, operational burden, hiring implications, exit cost, and capability • Build core components of new systems, reference implementations, and tooling • Evolve existing systems through decomposition, strangler patterns, deprecations, and migrations • Design for failure domains and define recovery paths for partner-feed failures, vendor API deprecations, and regional outages • Own the modeling, joining, and serving of eligibility, claims, clinical, and quality data for product and analytics use • Establish and drive adoption of cross-cutting standards for schemas, service templates, CI/CD, environments, and test data • Turn recurring incidents into structural fixes • Manage technical debt as a portfolio • Run technical interviews, calibrate hiring and promotion decisions, and develop senior engineers • Communicate difficult technical issues clearly to engineering and non-engineering leadership • Work hands-on across the stack while reporting to the Head of Engineering - Applications

🎯 Requirements

• 8+ years of professional software engineering experience, including years owning systems that other engineers build on • Four-year undergraduate degree in Computer Science, Mathematics, Physics, or Engineering; rare exceptions for outstanding experience • Full-stack experience, owning systems from the data layer through the API to the UI • Strong TypeScript and strong SQL, with deep experience in data modeling and data-heavy systems • Data and analytics expertise, including transactional and analytical data design • Production experience with React • Docker and container-based deployment • Hands-on infrastructure ownership on at least one major public cloud: Azure, AWS, or GCP • Strong proficiency with AI development tools such as coding agents and assistants • Preferred: Database modeling and migration frameworks such as Drizzle, Prisma, SQLAlchemy, or Alembic • Preferred: Depth across more than one of Azure, AWS, and GCP, including cloud IAM, role design, and least-privilege access • Preferred: Python • Preferred: Experience designing LLM-driven systems in production, including tool use, retrieval-augmented generation, evaluation, cost control, and safety • Preferred: Healthcare data experience, including eligibility, claims, clinical data, HL7/FHIR, or payer/provider integrations at multi-tenant scale • Preferred: Experience with HIPAA compliance, PHI handling, and audit requirements in system design

🏖️ Benefits

• Remote, US based position, with preference for candidates based in the greater Los Angeles area • Equal Employment Opportunity and Affirmative Action employer • Disability accommodation support during the application process

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