Evolve your gaming with Backbone's mobile controller & all-in-one mobile app that lets you cloud game & play mobile and cross-platform titles from anywhere. Backed by Index.
About the role
As a founding engineer, you’ll own the systems that make Backbone work: chart ingestion, document processing, claims workflows, browser and computer-use automation, payer portal navigation, orchestration, queues, reliability, auditability, and the infrastructure needed to scale from thousands of charts and claims to hundreds of thousands.
What they're looking for
- 3+ years of professional software engineering experience shipping production systems end-to-end
- Generalist range across backend, data, and ML, alongside real LLM experience in production
- Comfort with distributed systems, microservices, queues, workflow engines, data pipelines, or large-scale backend infrastructure
- Healthcare experience is helpful, but not required. Curiosity, rigor, and taste matter more
More about this role
Care should be paid for the moment it’s delivered. At Backbone, we’re making that possible for the first time by building the clinical AI layer for healthcare payments.
Today, U.S. healthcare wastes more than $350B yearly on administrative work that has nothing to do with patient care: prior authorizations, denials, appeals, and the staff hired on both sides of the aisle to adjudicate and determine payment for services rendered. As a result, patient care is delayed, clinicians burn out, margins crater, and hundreds of billions of dollars that should be funding care end up funding the friction itself.
Backbone is dismantling this friction, building intelligent financial rails atop clinical AI research to facilitate instant payments between payers and providers. We're backed by Andreessen Horowitz (a16z), Lightspeed, Hanabi, and a roster of operators and clinicians who have built and run the largest payers, providers, and healthcare technology platforms in the country. Our founder/CEO, Manan Shah, holds a BS/MS in Math & CS from Stanford and led ML infrastructure at Sequoia-backed Kumo AI, where he built graph neural networks serving DoorDash, Reddit, and Coinbase.
Backbone’s...
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