About Pair Team

At Pair Team, we’re an innovative, mission-driven company reimagining how Medicaid serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care—clinical, behavioral, and social—by partnering with organizations deeply connected to the communities we serve.

We’re building a powerful care management platform that leverages AI and automation to scale meaningful, human-centered care. Our work is driven by top talent across clinical care, technology, product, and operations—working together to improve access and outcomes for all our patients.

We’re one of the largest Enhanced Care Management providers in California and are on track to build the nation’s largest clinically integrated network supporting high-need Medicaid members. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.

At Pair Team, we’re not just delivering care—we’re building the future of a more equitable, community-rooted Medicaid system.

• Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
• TechCrunch: Building for Medicaid’s regulatory moment with Neil Batlivala from Pair Team
• Axios: Pair Team collects $9M for Medicaid-based care

About the Opportunity

As a Senior Fullstack Engineer at Pair Team, you’ll play a critical role in shaping and scaling the tools that power our care delivery. You’ll lead end-to-end development of new product features, from initial concept through deployment and iteration.

In this role you will:

• Own core product initiatives and drive full-stack development using modern web technologies
• Build scalable, high-performance applications that support both clinical and patient experiences
• Identify and implement improvements across our platform to enhance speed, reliability, and usability
• Collaborate closely with product managers, designers, and platform engineers to deliver seamless, user-centered solutions
• Help guide architectural decisions that will support our growing team and mission-driven roadmap

Who You Are

• Impact & Growth: Operates with increasing scope and autonomy; Senior engineer is not a stopping point. Seeks feedback, takes on new challenges, and continues to grow.
• Technical Leadership: Drives technical design and direction. Leads design discussions, navigates trade-offs, and aligns the team around sound architectural decisions.
• System Design: Designs scalable solutions for moderate to high-complexity problems. Balances technical, operational, and cross-functional considerations (e.g., operations, medical).
• Highly Autonomous Execution: Owns projects end-to-end. Balances priorities effectively, delivers on proposals, and follows through with consistent, high-quality execution.
• Problem Solver: Thrives in ambiguous environments, able to deliver high quality products even amid chaos. Balances speed and quality, knowing when to cut corners and when to invest in long-term solutions.
• Technical Excellence & Range: Demonstrates expertise in at least one core area (frontend, backend, infrastructure), while also comfortable flexing beyond their specialty as needed to support broader goals.
• Cross-Functional Trust Builder: Sets clear expectations with non-technical partners and builds strong cross-functional trust. Aligns technical work with business and operational outcomes.
• Growing Team Leadership: Mentors junior and mid-level engineers, participates in technical reviews, improves team workflows or tooling, and helps drive technical standards through the team.
• Data-Driven Mindset: Able to select and implement metrics that drive meaningful operational improvements. Uses data to inform decisions and measure impact.
• Bias for Action: Delivers value iteratively, avoiding over-engineering. Breaks down complex problems into shippable steps and balances planning with execution.

Job Requirements

• At least 2+ years of software development experience as a high-performing individual contributor, building user-facing software at a startup
• Experience in both backend and frontend engineering
• Building complex web applications (required)
• Relational Databases data modeling (required)
• Ruby on Rails (preferred)
• React (preferred)
• AWS services (preferred)
• Passion for helping individuals experiencing complex chronic needs such as homelessness, severe mental illness, and substance use disorder

Our Values

• Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
• Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.
• Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.
• Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.
• Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.

Because We Value You

• Competitive salary: $180,000 - $220,000
• Equity compensation package
• Flexible vacation policy – take the time you need to recharge
• Comprehensive health, vision & dental insurance
• $50 employer contribution to active HSA accounts
• 401k through Guideline
• Life insurance and AD&D
• Work entirely from the comfort of your own home
• Monthly $100 work from home expense stipend 
• We provide the equipment needed for the role
• Opportunity for rapid career progression with plenty of room for personal growth!