The posting, in Elation Health's own words
archived Oct 14, 2026Elation is a cloud-based clinical platform for independent primary care practices. We want doctors spending their time on patients, not paperwork. We're hiring full-stack engineers for our billing team. Billing is a challenging domain. We receive data from insurers and partners who each follow the standards a little differently, but we need to make billing simple for our customers regardless of their payer arrangements and chase down every dollar we can for them across denials. We're using LLMs to take over a lot of work people currently do by hand. You'll design, build, and run these systems yourself. If that sounds interesting, apply even if you don't check every box below.
What the work looks like
Building systems that balance financial transactions between insurance, patients, and the practice. We’re building complex solutions that maximize reimbursement for practices and get them paid more while removing complexity for them. Working with inconsistent data from outside partners and handling the edge cases well Shipping AI features that real users depend on, and figuring out how to tell when they're wrong Improving a mature codebase while customers are using it every day Owning your work in production and working with Support when something breaks Collaborating with product and design to identify improvements and make them rapidly
Read the full posting ↓
Your first 60 days
Ship something to production Scope and build a new feature with Product and Design Learn our stack and enough of the billing domain to be functional Join code reviews and production support Engage with customers and learn from their feedback
6–12 months in
You own big features; collaborating with design and product stakeholders all the way through deployment, monitoring, and collecting insights on adoption You help set technical direction for your team on problems that you own Support teams, product owners, and sales representatives know you as someone who gets production issues resolved quickly and can speak to the solutions natively
Who we're looking for
You like owning a problem from start to finish. You think about how things will fail before they ship. You can identify when a problem needs a proper fix versus when a simple bandaid will do. You don't need to know healthcare billing already, but you're happy to learn it and to ask the experts a lot of questions. You can explain technical trade-offs to non-engineers. And you already use AI tools in your own work.