Staff Engineer (Fullstack) in New York, New York at Alaffia

About Alaffia & Our Mission

Every year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We're here to change that paradigm.

Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire lifecycle of claims. With Alaffia, health plans can cut wasted spending more effectively than ever — and provide their members the most affordable care.

We're a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone.

(*This position requires current authorization to work in the United States. Unfortunately, we are not in a position to sponsor work visas at this time.)

About the Role

We're looking for a Staff Engineer to solve complex, cross-team technical challenges, set architectural direction, and act as a force multiplier across our engineering org. You'll translate strategic goals into technical roadmaps, lead execution, and champion AI-augmented development practices.

What You'll Do

• Architect and own delivery of complex, high-impact systems spanning multiple teams

• Set technical direction and coding/design standards across the org

• Drive AI coding tool adoption (Claude Code, Copilot, Cursor) — establish best practices and measure productivity gains

• Mentor senior engineers and influence technical decisions without formal authority

• Partner cross-functionally with product and business leaders on technical strategy

• Own testing strategy, system health, and build-vs-buy decisions for critical infrastructure

What We're Looking For

• 10+ years of software engineering experience, with a track record of leading complex, high-impact projects at scale

• Expert-level TypeScript, Python, GraphQL, and PostgreSQL

• Strong system design and cloud infrastructure experience (AWS preferred), including CI/CD and containerization (Docker, Kubernetes)

• Demonstrated success adopting AI coding assistants to improve team productivity

• Excellent communication skills and experience mentoring senior engineers

• Healthcare tech/regulatory experience (HIPAA, HITRUST) a plus

Preferred

• Healthcare SaaS experience; familiarity with medical billing, claims, or clinical workflows

• Experience shipping user-facing AI products or AI/ML model deployment

• Open source contributions or technical publications

Our Culture

Alaffia was born out of our founders' personal connection to the inefficiency of the U.S. healthcare system. We are deeply mission-driven, with an abiding belief that technology can help create a better future for everyone — and we're looking for others who share our passion for change to join the team.

What Else Do You Get?

• Competitive compensation package (cash + equity)

• Medical, Dental and Vision benefits

• Flexible, paid vacation policy

• Work in a flat organizational structure — direct access to Leadership