Onos Health’s mission is ambitious - ensure every healthcare dollar is spent on delivering the highest quality care. With up to 50 cents of every healthcare dollar wasted, Onos’ AI-powered platform is positioned to drive meaningful change in the industry.
Onos empowers health plans to ensure their members receive the highest quality care while reducing billions in wasteful and abusive spending. By identifying providers who deviate from an evidence-based care standard, we enable health plans to take action before their members' health outcomes are impacted.
As one of our early engineering hires reporting directly to the CTO, you'll have the opportunity to shape our technical foundation from the ground up. You'll work alongside an experienced and passionate team to build sophisticated applications powered by AI/ML systems that directly impact healthcare outcomes.
Meaningful impact: Help improve the quality of care while reducing healthcare costs
Direct collaboration with experienced founders who have deep healthcare expertise
Collaborative, transparent & results-oriented culture
Significant ownership of technical decisions and architecture from day one
Opportunity to help build and lead an engineering team from the ground up
We're seeking a passionate technical leader (Senior/Manager level) who is motivated to meaningfully improve the way healthcare is administered in the United States. You'll take ownership of developing a significant part of the Onos platform through hands-on development and technical leadership. As an early team member, you'll work closely with our founding team while helping to build and lead a growing engineering team. This role is a hybrid role based in San Francisco, where you'll be expected to work at our office in person at least once a week.
Architecting and implementing major platform components to provide actionable insights and recommendations to health plan administrators
Build administrative workflow features and automations related to health records, provider directories, and claims processing
Establish engineering best practices and technical foundations for future team growth
Help shape our technical roadmap, make key architectural decisions, and influence the company's product and design strategy
Develop an intelligent engine that ingests complex medical standards of care documents and evaluates provider adherence to guidelines
Design and implement sophisticated anomaly detection systems to identify fraudulent or abusive providers
Build ML pipelines to analyze handwritten clinical notes and automate recommendations for clinical reviewers
Scale our systems to process millions of healthcare records while maintaining strict security and compliance requirements
Tech Stack:
At Onos, we work with a modern tech stack where you'll have the freedom to evaluate and adopt cutting-edge technologies as we scale.
Languages/Frameworks: Python, Django, Typescript, NextJS
Database/Storage: PostgreSQL (AWS RDS), S3
Infrastructure/Systems: AWS (ECS, Bedrock, etc.), Docker
Development Tools: Github, Jira, Cursor
5+ years experience building software applications
Customer obsessed and motivated to make an impact in the healthcare space
Expertise with data engineering and full-stack web development practices
A collaborative team player with an eye for the details
Significant experience working with healthcare data and with HIPAA best practices
Worked with machine learning and large language models for end-user applications
Built and managed teams of engineers on major software projects
Flexible hybrid arrangement: 1-2 days/week at San Francisco office (financial district), remote-first culture
Unlimited vacation policy
Paid parental leave
Medical, dental, and vision insurance
Pre-tax commuter benefits
401(k)
Significant equity as an early employee
Direct mentorship from experienced founders
Ground-floor opportunity to help build a team and culture
Regular team events and offsites
Company-provided equipment and home office setup
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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At Onos Health, we're on a mission to revolutionize healthcare spending by ensuring that every dollar is used to deliver the highest quality care possible. As a Senior Fullstack Engineer, you will play a pivotal role in this mission by joining our passionate team in San Francisco to develop sophisticated applications that drive meaningful change in the healthcare industry. Reporting directly to our CTO, you'll have the unique opportunity to help shape our technical foundation from the ground up. This hybrid position allows you to collaborate with founders who possess deep healthcare expertise while enjoying a flexible work environment. Your responsibilities will include architecting major platform components, building administrative workflows, and establishing engineering best practices that will set the stage for future team growth. You'll tackle exciting challenges such as developing intelligent engines to evaluate provider adherence to medical guidelines and designing anomaly detection systems to combat healthcare fraud. With a modern tech stack that emphasizes cutting-edge technologies, you'll have the freedom to innovate and influence our product strategy significantly. If you're customer-obsessed, collaborative, and eager to make a tangible impact in the healthcare sector, this role at Onos Health could be your next opportunity for personal and professional growth!
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