C

Cedar

Healthcare billing and patient engagement platform

Principal Data Architect & Engineer

Full-Time
$246.5k - $311.8k
Expert
Remote in USA
Remote
Data & AnalyticsData Management, Data Engineering

About the job

Requirements
  • At least 10 years of experience in data engineering and backend systems at scale.
  • Experience leading large technical projects and shipping production enterprise systems customers depend on.
  • Hands-on proficiency with Snowflake, dbt, Liquibase, Fivetran, Airflow, OpenMetadata, Kafka, SQL, Python, streaming and event-driven architectures, change data capture, and real-time data processing.
  • Experience building production-grade ELT/ETL pipelines and managing complex data transformations in cloud-first environments.
  • Experience building source-of-truth systems and defining and auditing business metrics.
  • Experience with data validation and reconciliation, comparing pipeline output against source systems, and diagnosing discrepancies.
  • Experience building data APIs, context systems, or feature stores that power downstream machine learning and artificial intelligence applications.
  • Ability to design resilient, modular, backwards-compatible systems and deliver incrementally.
  • Ability to communicate technical risks and trade-offs in business-relevant terms to senior stakeholders and cross-functional partners.
  • Experience directing artificial intelligence agents to generate solutions and applying judgment to test and own their output.
Responsibilities
  • Design and execute a new high-scale data model and storage architecture outside the legacy monolith, defining service boundaries, data ownership, storage patterns, Medallion architecture layers, and API contracts.
  • Build real-time event-driven pipelines and streaming architectures alongside batch analytics.
  • Ensure the accuracy and reliability of core business metrics, including collection rate, days in accounts receivable, and invoice balance tracking, and design validation frameworks to maintain a consistent source of truth.
  • Build real-time data foundations, context, entity graphs, and metrics that enable artificial intelligence agents to operate in revenue cycle workflows.
  • Design data models for product lines spanning pre-service through post-service collections.
  • Write, ship, and maintain production code, model critical domains, and implement core engineering patterns.
  • Provide code reviews, design guidance, technical mentorship, and engineering standards for Data Engineers.
  • Drive technical alignment across data engineering, platform, and product teams; set priorities, unblock dependencies, and deliver on customer-facing commitments.
  • Define and enforce the enterprise Data Dictionary and metadata strategy, partnering with engineering and product to keep data accurate, discoverable, and synchronized across environments.
Desired Qualifications
  • Demonstrable understanding of healthcare concepts, including revenue cycle management, billing, and insurance adjudication.

About the company

Cedar is a healthcare technology platform that helps providers and payers streamline administrative and billing tasks across the patient journey. It manages end-to-end revenue cycle with features like clear bill resolution, real-time insights, easy setup, and flexible payment options, plus personalized patient engagement to boost payments. It differentiates itself by combining end-to-end revenue-cycle management with tailored communications, real-time analytics, and simple implementation to deliver measurable ROI for large health systems. The goal is to help providers exceed financial goals and improve patient satisfaction by making billing and payment smoother and increasing cash collections.

Company Size

501-1,000

Company Stage

Series D

Total Funding

$419.4M

Headquarters

New York City, New York

Founded

2016

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Simplify Jobs

Simplify's Take

What believers are saying

  • Cedar launched Cedar Cover in October 2025 as Medicaid cuts hit.
  • Kora handled 600,000 conversations and lifted outbound pickup rates to 20% by August 2026.
  • AthenaOne practices saw results within eight weeks, sharpening Cedar’s sales motion and proof points.

What critics are saying

  • Uninsured dollars rose 54% in three years, worsening provider collections pressure by 2027.
  • Cedar cut 24% of staff in 2022, signaling fragile economics under sustained competition.
  • Epic, athenahealth, and generative-AI rivals can absorb Cedar’s features and squeeze margins.

What makes Cedar unique

  • Cedar’s 1.5 billion interactions power billing AI others cannot replicate quickly.
  • Kora automates billing calls and outbound outreach using proprietary patient payment data.
  • AthenaOne and Sanford Health integrations embed Cedar inside provider workflows, not standalone portals.

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Benefits

  • Competitive pay & equity
  • Health benefits
  • Unlimited PTO
  • Flexible work style
  • 16 weeks paid parental leave
  • 401k matching
  • Free lunch & snacks
  • Game nights & company events

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

0%

2 year growth

2%
Investors Hangout
Aug 13th, 2026
Cedar's Kora Platform tackles patient billing woes.

Cedar's Kora Platform tackles patient billing woes. Navigating a new frontier in patient billing. Cedar, the maestros of AI in patient financial engagement, are rewriting the rules with their latest innovation, the Kora Platform. This tool seems like the fresh coat of paint on the age-old wreck of patient billing, designed to battle those rising costs that healthcare's individual payers bring to the table. Instead of the same old song and dance, Kora brings a full-blown orchestra of AI features to convert frustrating billing notifications into conversations. AI to the Rescue, Again. Focusing on Cedar's bedrock of rigorous data analysis and consumer behavior study, Investors Hangout, LLC is seeing Cedar's Kora Platform shake things up significantly. Here's the deal: laden with over a decade's worth of patient billing dirt and drudgery, Kora is a triple-threat, combining autonomous voice, text capabilities, and the ability to straddle past and present interactions. It's like having a financial shrink, part-time detective, and savvy negotiator all rolled into one. Just look at how Kora outpaces the competition: * Uses 1.5 billion interactions and $13.6 billion in payments for dynamic adaptation. * Precision through regression-tested guardrails and human-in-the-loop expertise. * Sharpens logic and campaign success continuously for greater financial resolution. Patients: the quiet giants of healthcare payments. Let's chew on this: patients have stealthily become major contenders in healthcare payments. Yet, current systems are gasping for air trying to adjust. Cedar lays out the high stakes; nearly 40% of collectible amounts come from uninsured patients. That's a staggering leap from where things stood a mere three years back. The rise in self-pay balances is forcing providers to scramble and play catch-up with technologies not yet up to the task. Until now. Kora: A game changer. Kora plays the long game. While the current infrastructure plays hopscotch with static portals and IVR systems, this platform sticks around, evolving with every patient interaction. Each call isn't just a shot in the dark; it's a well-guided tour using past learnings to support future financial maneuvers without making folks jump through the same hoops. It's driving home financial clarity, flexibility, and - dare I say - a touch of empathy. "When patients are facing unexpected healthcare costs, they need clarity, flexibility, and empathy, not a rigid phone tree or transactional chatbot," notes Dugan Winkie from Cedar. Outcomes worth noting. Let's cut to the chase: results matter. Cedar's got figures proving Kora's effectiveness - like 600,000 patient conversations handled autonomously and a 20% pickup rate for outbound calls. That's a rate that outpaces the industry benchmarks by an impressive fourfold. And amid all the buzzing, patients are warming up to Kora, reporting satisfaction scores that suggest a sigh of relief rather than exasperated despair. What lies ahead. In a world where patients are expected to foot an increasing chunk of the healthcare bill, Cedar's Kora Platform might just be the lifeline needed to keep those financial relationships afloat. It's not just about slapping on a chatbot and hoping for the best. No, it's about providing the kind of support that makes patients feel like they have a partner in their corner, not a faceless corporation breathing down their necks. Cedar proves that in the healthcare billing rat race, having a savvy AI in your corner - one that actually remembers momentum and adapts - is the ace play.

PR Newswire
Apr 8th, 2026
Cedar launches AI billing system analysing 80+ patient attributes across $10B in processed payments

Cedar has expanded Cedar Intelligence, its AI-powered decision engine for healthcare billing, with new capabilities designed to personalise patient billing journeys at scale. The company announced the release aims to help providers improve collections, reduce costs, and simplify bill resolution for patients. Cedar Intelligence analyses over 80 patient attributes, drawing on 1.5 billion patient interactions and $10 billion in processed payments. New features include adaptive patient experiences, Bill Navigator for explaining charges, Agent Copilot for support teams, and Kora Outbound for personalised voice calls. The announcement comes as patient satisfaction with healthcare billing remains low, with only 65% of likely payers reporting satisfaction. Cedar has supported over 50 million patients nationwide and processed more than $10 billion in payments to date.

MedNextz
Mar 24th, 2026
Cedar partners with AthenaOne for improved patient financial experience.

Cedar partners with AthenaOne for improved patient financial experience. Up next. Published on 24 March 2026 Cedar aims to enhance financial interactions for healthcare providers within eight weeks. * Cedar collaborates with AthenaOne to enhance patient financial experiences. * Healthcare practices can see improvements within eight weeks. * The partnership aims to streamline financial interactions for better patient engagement. Cedar is partnering with AthenaOne to enhance the patient financial experience for healthcare providers. This collaboration aims to modernize financial interactions with patients, allowing practices to improve engagement and streamline operations. The initiative offers a significant opportunity for healthcare practices to generate better outcomes in their financial processes. Practices that implement Cedar's solutions alongside AthenaOne's platform can expect to see results in as little as eight weeks. By integrating these systems, healthcare providers will be better equipped to manage patient billing and payments, contributing to a more efficient financial experience. This partnership underscores a growing trend in the healthcare industry focused on optimizing patient interactions. The ability to modernize financial processes is critical as healthcare providers strive to improve patient satisfaction. Cedar's technology seeks to address common pain points in the financial aspects of patient care. These advancements not only benefit healthcare practices but also enhance the overall experience for patients navigating financial responsibilities. You may also like. Services PMI at 53.8 in january 2026, according to ISM report. January sees strong growth in services sector as PMI remains robust. Services... * February 4, 2026 Pharmacelera raises $6M to expand in US and enhance drug discovery platform. Funding will support growth and technological advancements in drug discovery. Pharmacelera has... * February 18, 2026 BD helps scientists advance immunology and cancer research with ai-powered insights and automation. Innovative automation enhances cancer research and immunological studies. AI-powered tools improve research... NUNM receives $1.5 million gift to support campus expansion and future integrative medicine center. Major donation aims to enhance educational opportunities at NUNM. NUNM receives a... * February 28, 2026

Healthcare Dive
Oct 21st, 2025
Medical billing firm Cedar launches Medicaid enrollment tool as cuts loom

Medical billing firm Cedar launches Medicaid enrollment tool as cuts loom. The tool, which aims to help patients enroll in and maintain coverage, comes as healthcare braces for major cuts to the safety-net insurance program. Dive brief: * Medical billing tech firm Cedar launched a tool Monday that aims to help patients enroll in and maintain Medicaid coverage as the healthcare sector braces for major cuts to the safety-net insurance program. * The product, called Cedar Cover, identifies patients who may be eligible for Medicaid, reminds beneficiaries of upcoming eligibility checks, helps them manage care denials and connects them to medication co-pay assistance, the company announced at the HLTH 2025 conference in Las Vegas. * The tool comes months after President Donald Trump signed a massive tax and policy law that includes historic cuts to Medicaid. "This bill is going to directly drive increases in uninsured patient care," Seth Cohen, president of Cedar, said at HLTH. Dive insight: The One Big Beautiful Bill Act strips more than $1 trillion from federal healthcare spending over the next decade, largely through cuts to Medicaid. One of the largest changes included in the law are work requirements, which mandate Medicaid beneficiaries log work, education or volunteer hours to stay enrolled in coverage. The requirements are controversial: While Republicans argue the policy preserves the safety-net program for the most needy, studies show previous experiments by states to enact work mandates removed people from coverage without increasing employment. Eligible people could also be removed because they struggle to navigate the reporting process, opponents say. An additional 10 million people will be uninsured in 2034 due to the law, according to the Congressional Budget Office. That poses new financial challenges for providers, who will likely lose revenue and see uncompensated care costs spike. "This is hugely devastating for providers who no longer have the [...] reimbursement, and, of course, for the patients who cannot cover these losses," Cohen said. Cedar Cover aims to help patients through the Medicaid enrollment process and alert current beneficiaries of upcoming work requirement and eligibility check deadlines. Patients complete an eligibility screen to determine whether they could qualify for assistance, and the tool walks them through enrollment if they appear eligible, a spokesperson told Healthcare Dive. Once they're enrolled in the safety-net program, Cedar uses the approval date to send reminders about work requirements and renewal dates using state-specific data from partner Fortuna Health, a Medicaid navigation platform. The product can also guide patients on how to resolve claims denials and pair them with medication assistance. In conjunction with Cedar's payments platform, the financial assistance tool integrates with major electronic health records, like Epic, a spokesperson said. Nearly a dozen health systems use Cedar Cover, including Novant Health, Baystate Health and the Iowa Clinic, according to a press release.

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