Insurance Architect
Hera
Insurance Architect
Hera
AI-enabled elder care coordination workforce
Every complex system in America has a profession whose job it is to be your trusted guide. You have a lawyer for legal. An accountant for taxes. A financial advisor for your money. Healthcare, a trillion-dollar industry that's arguably the most complex and touches every single family, leaves us on our own.
99% of care happens when someone steps outside the four walls of a doctor's office. Hera is creating a new profession in healthcare to fill that gap: the Hero, a dedicated senior care expert for your family. Our Heroes educate, coordinate, and advocate for the most vulnerable population in the healthcare system. We’re covered by insurance, so we can serve every family in America.
We are in the business of trust.
We're designing for the most emotionally charged moments of our customers' lives; the bar isn't just delight, it's trust. Hera's brand promise is simple: care worthy of our parents. This promise is our moat.
It's what physicians refer to, families buy, what Heroes deliver, and what the product must unlock and enforce at every touchpoint.
The bottleneck isn't demand, it's supply. There aren't enough experts to serve every family who needs us. To scale to all of America, we have to unbundle expertise from the human so that anyone who can foster human connection can become a Hero.
The problem is that this expertise is tribal knowledge. One social worker knows how to expedite Medicaid in New York, another knows which home-visiting PT families actually love. It's trapped in people's heads.
To solve this, our platform captures every interaction and turns it into compounding intelligence that makes every user smarter. Think Waymo: expert humans do the driving today, and every mile they log trains the system so that tomorrow, anyone — even with zero healthcare background — can perform like a 20-year veteran. The hard part is building a system that knows what to trust, what's gone stale, what's local versus universal, and how to surface the right insight at the right moment. Get it right and you've scaled healthcare expertise beyond the lucky few who know the right person.
We wrote more on why and how we are building this technology here.
We've raised $34M from Accel and Bain Capital Ventures and 10x'd revenue over the last 6 months organically through close partnerships with Weill Cornell, NYU Langone, UCSF, USC, and Mount Sinai. Chief of Geriatrics at Weill Cornell and Director of Geriatrics at NYU Langone have joined us as clinical advisors. CFO of Mount Sinai has invested in us.
The customer feedback is the most positive our team has seen in our careers. Along the way, we threw an art show for an 88 year old artist that went viral and a talent show where every act is over 65.
You’ll build Hera alongside co-founders Jenny, Myles & Connie and a team from Palantir and Headway. We are in person in NYC. Read our story and watch our launch video here.
Every family that comes to Hera is in one of the hardest stretches of their lives. Before we can help, we have to answer a deceptively simple question: what will this cost? The answer is the first promise we make to a family. It decides whether they say yes to care, and whether Hera gets paid for delivering it.
US healthcare still can't answer that question reliably. Payer data is ambiguous, plans number in the hundreds, and most healthcare companies settle for "we'll find out when the claim comes back." We can't settle for that. Our patients live on fixed incomes. They won't enroll until they understand the full cost, and they'll stop trusting us the first time we get it wrong.
At most healthcare companies, insurance is a back office: verify eligibility, submit the claim, work the denial. This role is different; it is not a revenue cycle management role. You will model the single most complex concept in US healthcare, and the barrier that stands between so many people and their care: insurance. You'll design and build the system that reads a patient's coverage, tells the family what they'll pay before they sign up, and gets more accurate with every claim we process.
You'll bring the rigor of a systems architect and the ethos of a strong operator, and own the engine end to end. The engine sits underneath the first conversation we have with every family and every dollar Hera collects.
The rules engine. Most of our patients carry layered coverage: Medicare pays first, a supplement second, Medicaid third. Hundreds of plans across dozens of carriers each handle patient cost-sharing differently, and the same field in an eligibility response can mean different things depending on who sent it. You'll own the source of truth for how every plan we encounter actually works, and build the system to continuously uncover those truths as we expand nationally.
The pricing. Turn those rules into a trustworthy number a family sees when they go through onboarding. That means deciding what happens when a response doesn't match anything we know, when it says "I'm not sure," and who decides from there.
The feedback loop. A wrong read of a patient's insurance shows up later as a denied claim, a surprise bill, or margin we never collect. Insurance payments are the source of truth, and they arrive weeks after we've quoted the family. Build the loop that turns every wrong estimate into a better rule.
The human-AI symbiosis. Decide where AI earns its place (reading messy responses, researching a plan we've never seen, proposing a new rule) and where deterministic logic is non-negotiable. Design who approves a rule change, and move our team from checking every patient by hand to handling only the true exceptions.
You've spent a few years where messy real-world rules meet software: forward-deployed engineering, BizOps or product ops at a healthtech, fintech, payments or insurance company, or a similar seat. You've taken tribal knowledge that lived in people's heads and turned it into a system that runs without you.
You think in systems. Handed an ambiguous problem, you break it into inputs, rules, exceptions and failure modes, and you know which 20% of cases to solve first.
You're a builder and a tinkerer. You love wrangling the data yourself, prototyping workflows, and shipping a working v1 before you ask for engineering time.
You sweat the details. A quote that's $15 a month off is a broken promise to someone on a fixed income, and you treat it that way.
You don't need to be an insurance expert. We taught ourselves and we'll teach you. What we can't teach is the relentlessness to read a raw eligibility response line by line until it makes sense.
Get this right and we do what US healthcare still can't: tell every family in America what their care will cost, and keep our word. Get it wrong and we've broken a promise before care begins. When you solve a hard problem, you will be rewarded with harder problems. Our promise is we will stretch your limits, and trust you to own unreasonably substantial outcomes.
Worthy of our parents: We don’t leave the 20% behind, because that applies to someone’s mother. Quality isn’t a constraint we tolerate on the path to growth. Quality is the strategy.
Collaboration must be an accelerant. Not everything will be collaborated on and that's fine. We assume good intent always and push the ball forward.
Celebrate human. Humans are at the heart of everything we do: every product decision, every Hero we choose to hire, every person we bring onto the team. For us, empathy is fuel to move with urgency because we know every single day matters for those we serve. We look for missionaries not mercenaries.
Enjoy the uphill. Wrestling problems this hard, in an industry this broken, is a privilege most people never get. We’re excited for the summit but the joy is in the climb: figuring out how to take down the beast, one foot in front of the other. If the hard part isn't what's pulling you, this might be the wrong climb.
Attack. Nothing is created in this world without an extraordinary amount of effort. In order to will the change we want to see in the world, we attack problems and play offense. We’re here to win to ensure our customers get the world they deserve.
If this excites you and these values speak to you, let’s talk: [email protected].
Hera coordinates elder care through a dedicated workforce of care managers called Hera Heroes. These care managers handle logistics, communication, financing, and decision-making for families caring for aging relatives, acting as a centralized point of contact. The service combines AI-enabled tools with Medicare reimbursements to keep prices affordable while maintaining quality care. Hera differentiates itself by building a specialized care-management workforce rather than relying on generic in-home care, and by blending technology with reimbursement strategies to reduce out-of-pocket costs. The company aims to relieve the elder care crisis in the US by making professional, multi-faceted care coordination scalable and accessible for families.
Explore more opportunities at Hera