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Alaffia Health

Senior DevOps Engineer

Hybrid

New york city, United states

$ 210,000 /year

Senior

Full Time

02-03-2026

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Skills

TypeScript PostgreSQL GraphQL Risk Management Monitoring Architecture Machine Learning Organization react Web Development

Job Specifications

About Alaffia & Our Mission

Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we’re committed to changing that paradigm. We’ve assembled a team of clinicians, AI engineers, and product experts to build advanced AI solutions that will directly bend the cost curve for all patients across the healthcare ecosystem. Collectively, we’re building best-in-class AI software to provide our customers with co-pilot tools, AI agents, and other cutting-edge solutions to reduce administrative burden and reduce healthcare costs.

We’re a high-growth, venture-backed startup based in NYC and are actively scaling our company.

About the Role & What You'll Be Doing

Alaffia is a healthcare AI startup revolutionizing health and data automation. Our AI-driven platform leverages state-of-the-art generative AI and machine learning technologies to enhance accuracy, efficiency, and compliance in medical billing and auditing. As we scale, we are seeking a Senior Backend Engineer to build the cutting-edge AI solutions, drive innovation, and shape the future of healthcare automation.

We are looking for a talented full stack engineer who is passionate about building modern web applications and scalable systems. Our platform leverages cutting-edge technologies to revolutionize healthcare administration workflow. We seek someone who thrives on solving complex frontend and backend challenges, from crafting intuitive user interfaces to designing robust API architectures. You will have the opportunity to work with Typescript, React, GraphQL, PostgreSQL and latest cutting edge AI technologies while implementing features that directly impact healthcare organizations. In this role, you'll be building the future of healthcare automation while tackling challenging problems in web development, system design, and cloud infrastructure.

Key Skills & Qualifications

Code Fluency

Write code that captures the essential nature of the solution and is appropriately flexible, reusable, efficient, and adaptable to changing requirements
Provide high quality code review feedback and adopt approaches to foster effective and collaborative code review culture
Strong awareness of the technologies used by the team and the ecosystem around these technologies and able to introduce new ideas to solve business and technical problems
Responsible for successful delivery of their projects, including planning, risk management, design, development, testing, rollout, and maintenance.
Identify ways to simplify application code/infrastructure and improve developer efficiency as measured by cycle time, ramp-up time, or other similar measurements
Experience with enterprise codebases and the ability to onboard into an established product
Preemptively identify and resolve technical risks before they jeopardize the project. Resolve cross-team dependencies earlier to ensure the successful execution of the project
Avoid re-inventing the wheel by leveraging other Alaffia Health solutions or off-the-shelf solutions with the possible trade-off in mind

Software Design

Responsible for designing the software or systems in the owned area and ensuring that they meet their design objectives
Give quality feedback on designs written by other members of the team, asking probing, insightful questions that solidify choices and surface erroneous assumptions
Effectively and quickly debug cross-module issues, and may intuit where bugs might lie due to deep knowledge of the libraries, platforms, and systems that the software reliees on.

Architecture Design

Create coherent designs with multiple components interacting across API or system boundaries; bugs do not creep in at the boundaries between components due to mismatches in expectations of what is technically fea
sible.Capable of rolling out a component or major feature (and deprecating an existing system or feature) reliably - including appropriate monitoring, paging, etc are in place, and that failure domains are understood and characterized appropriately, avoid introducing toil and future maintenance work by proactively avoiding scaling issues and providing adequate documentation before large scale rollout. For early stage products, roll out with an eye toward achieving learning goals untainted by poor quality and know when to make appropriate tradeoffs for “failing fast"
Design clear success metrics and achieve those metrics consistently post-launch through the lifetime of the system or feature. For early stage products, those success metrics may be oriented around learning goals rather than usage goals, given the inherent unpredictability of achieving product/market fit.

Business Acumen

Engage in listening sessions to increase learning to guide work/priorities
Have a working knowledge of Alaffia Health’s strategy and organization structure to work effectively across the org and able to help other engineers to effectively collabor

About the Company

Alaffia is a leading healthcare AI company that empowers health plans with AI agents that streamline operations and reduce healthcare and administrative costs. Its flagship generative AI solution, Autodor Auto Agents, supercharge health plan clinicians across payment integrity, utilization management and appeals to maximize productivity and efficacy. To learn more and schedule a demo, please visit our website. Know more