Full-Time
Systems Engineer
Posted on 9/11/2025
Waystar
1,001-5,000 employees
Cloud-based platform streamlining healthcare payments
No salary listed
Louisville, KY, USA
In Person
 IT & Security (2) |
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- 3+ years experiences supporting networks and servers in a data center environment
- Advanced knowledge of Windows Server administration and support
- Advanced knowledge of Linux Server administration and support
- Demonstrated ability to troubleshoot technical problems with little oversight
- Understands the concepts around virtual and physical server environments
- Can work independently on projects
- Ownership of individual project and task priorities, deadlines, and deliverables
- Familiarity with VMware vSphere enterprisesolutions, leveraging High Availability and redundancy best practices
- Network monitoring experience, using PRTG or similar tools
- Can design solutions with the overall product direction in mind
- Able to plan and initiate a projects
- Clear communicator across departments
- Bachelor’s degree or higher in related field
- Work in a cutting edge and continually changing SaaS environment
- Work within a ticketing system to resolve internal and external client requests while adhering to defined service level agreements
- Work with the Systems Support Manager on new projects that arise from business needs
- Createsdocumentationthatwillbeutilizedinthedeploymentandmaintenanceofnew technologies and systems throughout the company’s infrastructure
- Communicates plans for process improvement to the Systems Support Manager
- Trains and mentors new team members
- Maintains an open and fluid communication relationship with the Systems Support Manager
- Bringstotheattentionoftherespectiveparties,anyproblemsthatnegativelyimpactthe company’s infrastructure
- Developsandmaintainsapositiverelationshipwithotherdirectteam membersandthe team members of other departments
- PerformsotherdutiesandprojectsasassignedbyManagement,withintheareaof responsibility for this position
- Manages vulnerability remediation
- Participates in an on call rotation
Waystar provides cloud-based payments technology that unifies and simplifies healthcare payments for providers, payers, and patients. Its platform integrates with major health information systems and practice management systems to streamline workflows, improve healthcare financials, and increase transparency in the patient financial experience. The platform serves more than 450,000 providers, 750 health systems and hospitals, and 5,000 health plans. By connecting with existing HIS and practice management tools, it enables centralized payment processing, billing, and patient billing experiences across the healthcare ecosystem. Waystar differentiates itself through its large network of integrations, cloud-based delivery, and a focus on end-to-end payment workflows that improve financial operations and patient experience. The goal is to simplify and unify healthcare payments, helping providers get paid faster and patients understand and manage their medical bills more clearly.
Company Size
1,001-5,000
Company Stage
IPO
Headquarters
Louisville, Kentucky
Founded
2000
Simplify's Take
What believers are saying
- Agentic AI workflows target $100B annual RCM labor services market expansion opportunity.
- Iodine integration ahead of schedule with 90% cost synergies expected FY2026.
- AI-powered capabilities drive 40% of new bookings and 40% of revenue.
What critics are saying
- Large health systems demand deeper discounts as AI automation commoditizes labor savings.
- Epic, Cerner, Optum embed RCM capabilities directly, threatening standalone model margins.
- Patient volume headwinds from ACA subsidy expiration and telehealth acceleration persist.
What makes Waystar unique
- Processes 7.5B annual transactions spanning 60% of U.S. patients with unified database.
- AltitudeAI prevented $15B in denied claims in 2025 with 90% faster appeals.
- 111% net revenue retention with 1,433 clients above $100K trailing revenue.
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Benefits
401(k) matching: We’re proud to help our team members build their financial futures with a range of investment options available.
Career mobility: We’re all about professional growth. In 2018, roughly 15% of our team members stepped into a new role within the company.
Waystar welcome: Our weeklong onboarding program positions introduces our company and leadership team and positions every new hire for success.
Family friendly: Waystar offers paid leave for maternity, paternity and adoption and prioritizes work-life balance for all team members.
Company News
Waystar has launched the healthcare industry's first AI-powered solution to combat "silent denials" — payer payment take-backs called recoupments that silently reverse more than $40 billion in provider payments annually. The problem is growing at twice the rate of overall claim volume. Powered by Waystar AltitudeAI and informed by data from 7.5 billion healthcare payment transactions worth $2.4 trillion in annual gross claims, the solution has reduced reconciliation time by over 80% amongst early adopters. One health system with $4 billion in annual revenue uncovered $32 million in previously hidden recoupments, work that would have required 13 full-time employees. Payers routinely recoup funds from previously paid claims by offsetting them against payments, sometimes years later, with little explanation. Providers often cannot identify affected claims or pursue appeals.
How Ric Sinclair will drive growth at Cotiviti as CEO. March 09, 2026 Healthcare data leader Cotiviti names Ric Sinclair as CEO, succeeding Dr. Emad Rizk to accelerate platform innovation and payer efficiency Cotiviti, a prominent player in healthcare software and data-driven technology, has announced a strategic leadership transition aimed at bolstering its platform innovation and market growth. Ric Sinclair, a seasoned executive in the healthcare technology space, is set to join the company as CEO and a member of the Board of Directors on 16 March 2026. The move comes as the insurance and healthcare sectors increasingly rely on sophisticated data analytics to manage rising costs and operational complexities. Ric joins from Waystar, where he served as Chief Business Officer, bringing a track record of scaling enterprise-grade technology platforms. A legacy of integration and scale. Sinclair succeeds Emad Rizk, M.D., who is transitioning from his role as CEO, President and Chairman to become a Senior Advisor to the Board of Directors and Executive Team. Over a 10 year tenure, Emad has led the company through a period of significant evolution, oversaw transformational acquisitions and strengthened the firm's position in the payer market. Working alongside private equity partners Veritas and KKR, Emad oversaw the successful integration of Edifecs. This move significantly enhanced the company's interoperability capabilities, allowing health insurers and providers to better address quality gaps, cost pressures and operational complexity. "Leading Cotiviti has been a privilege," says Emad. "I am thankful for the dedication of the senior leadership team and the commitment of its owner-employees. Together, InsurTech Digital built a resilient foundation and cultivated a culture built on respect and excellence, all supported by collaboration and purpose. "I am confident the organisation is well positioned to continue delivering meaningful impact across the healthcare ecosystem. With Ric Sinclair's appointment as CEO, I believe his expertise and vision make him exceptionally qualified to guide Cotiviti into the next chapter, focused on supporting a more efficient and effective healthcare system." Focusing on the next era of innovation. For the InsurTech sector, the appointment of Ric - a leader with deep experience in commercial product design and operational rigor - signals a continued shift towards scalable, automated solutions for medical and administrative challenges. His background in driving value creation aligns with the company's current strategy to expand its digital footprint. "I'm excited to join Cotiviti at a defining moment in its journey," says Ric. "With our exceptional team and solid foundation, we are uniquely positioned to shape the next era of healthcare innovation. My priority is to accelerate this transformation - unlocking efficiency, reducing complexity and delivering measurable improvements across both medical and administrative challenges for all stakeholders in healthcare." Strengthening the payer-provider link. By leveraging its data-driven technology, Cotiviti aims to help payers navigate the complexities of a shifting regulatory and economic landscape. The appointment is expected to sharpen the company's focus on sustainable value creation for its clients. As insurers look to reduce friction in their operations, the emphasis on platform-led innovation will be central to the company's roadmap. Ric continues: "I'm excited to join Cotiviti at a defining moment in its journey. With our exceptional team and solid foundation, we are uniquely positioned to shape the next era of healthcare innovation." Executives. * Dr. Emad Rizk President, Chairman of the Board and outgoing CEO * Ric Sinclair Incoming CEO Company portals.
Waystar, a healthcare payment software provider, has expanded its collaboration with Google Cloud to advance AI capabilities in revenue cycle management. The partnership integrates Google's Gemini models and data infrastructure into Waystar's platform, which processes data from over one million providers. Waystar's AltitudeAI combines proprietary financial and clinical data with generative and agentic AI embedded in revenue cycle workflows. Since launching the partnership in early 2024, the company has prevented over $15 billion in denied claims and reduced denial appeal time by 90%. The expanded collaboration aims to accelerate development of autonomous revenue cycle capabilities, enabling self-learning systems that continuously improve authorisation, coverage identification and denial prevention. Waystar processes over 7.5 billion healthcare payment transactions annually, including $2.4 trillion in gross claims.
Waystar, a healthcare revenue cycle software company, reported Q4 revenue of $304 million, up 24% year-over-year, with 12% organic growth. Full-year 2025 revenue reached $1.1 billion, growing 17% annually. The company completed its acquisition of Iodine Software, adding over 1,000 hospitals and expanding its addressable market. Iodine contributed $31 million in Q4, slightly exceeding expectations. Integration is ahead of schedule, with over 90% of cost synergies expected to be realised in fiscal 2026. Waystar's AI platform, Altitude AI, prevented $15 billion in denials for clients in 2025 and reduced appeal times by 90%. The company added 85 clients with trailing twelve-month spend above $100,000, more than double the previous quarter. Net revenue retention reached 112%. Adjusted EBITDA hit $129 million, up 29% year-over-year, with a margin of 42.5%, exceeding the company's 40% long-term target.
Waystar earns continued Best in KLAS honors. Recognition for Patient Access reflects strong client satisfaction with Waystar's industry-leading AI-powered platform LEHI, Utah and LOUISVILLE, Ky., Feb. 4, 2026 /PRNewswire/ - Waystar (Nasdaq: WAY), a provider of leading healthcare payment software, today announced it has been named Best in KLAS(R) for Patient Access - extending its streak of consecutive Best in KLAS honors to over a decade. This recognition, based on independent provider feedback, underscores Waystar's role in solving the industry's most pressing financial challenges through its AI-powered platform. Healthcare providers face significant financial headwinds, with hospitals spending more than $10 billion annually navigating complex payer authorization requirements. Industry data shows that 60% of all denials stem from front-end issues such as eligibility errors and missing authorizations. Waystar's patient access capabilities directly address these gaps by replacing manual effort with real-time, actionable intelligence and autonomous workflows that deliver meaningful ROI. "Waystar is honored to be recognized by healthcare providers for the impact of our AI-powered platform and our commitment to enduring client partnerships," said Matt Hawkins, Chief Executive Officer of Waystar. "Waystar delivers proven outcomes that help providers get paid faster and more accurately, while creating a simpler, more transparent experience for providers and patients." Waystar's platform is differentiated by the rapid deployment and adoption of Waystar AltitudeAI(TM), which leverages one of the largest and most valuable healthcare payment datasets in the U.S. - bringing together proprietary financial, clinical, and administrative intelligence at scale. Waystar is setting a new benchmark for operational efficiency by unifying pre-service activities into a single, seamless workflow. By integrating real-time visibility into insurance coverage with automated authorization, healthcare organizations can achieve a 55% reduction in eligibility-related denials and up to 90% auto-approval rates on prior authorizations - increasing provider revenue while enhancing patient access to care. Waystar also captures revenue that might otherwise be lost by helping providers uncover unknown insurance coverage before care begins - achieving up to a 55% discovery rate for patients previously deemed uninsured. Combined with pre-service estimation, providers can set clear cost expectations - accelerating collections, protecting revenue, and improving the patient experience. With more than a decade of consecutive Best in KLAS recognition, Waystar continues to set the standard for healthcare payments by delivering AI-powered innovation and proven outcomes that providers need to thrive in an increasingly complex environment. About Waystar Waystar's mission-critical software is purpose-built to simplify healthcare payments so providers can prioritize patient care and optimize their financial performance. Waystar serves over 30,000 clients, representing over 1 million distinct providers, including 16 of 20 institutions on the U.S. News Best Hospitals list. Waystar's enterprise-grade platform annually processes over 7.5 billion healthcare payment transactions, including over $2.4 trillion in annual gross claims and spanning approximately 60% of U.S. patients and one in three U.S. hospital discharges. Waystar strives to transform healthcare payments so providers can focus on what matters most: their patients and communities. Discover the way forward at waystar.com.