Full-Time

Salesforce Engineer

ParetoHealth

ParetoHealth

201-500 employees

Self-insured employee health benefits captive program

No salary listed

No H1B Sponsorship

Remote in USA

Remote

Remote within the United States.

Category
Software Engineering (1)
Required Skills
Middleware
Salesforce
REST APIs

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Requirements
  • 5+ years of Salesforce implementation, engineering, or platform development experience.
  • Strong hands-on experience with Apex, Lightning Web Components, Flows, SOQL, validation rules, custom objects, permission sets, sharing rules, and Salesforce security models.
  • Experience designing Salesforce solutions for complex business processes, not just implementing predefined requirements.
  • Demonstrated ability to make sound technical tradeoffs across configuration, customization, integration, scalability, and maintainability.
  • Experience with Salesforce integrations using REST/SOAP APIs, middleware platforms, ETL tools, platform events, or similar technologies.
  • Strong understanding of Salesforce data modeling, automation patterns, governor limits, deployment practices, and platform constraints.
  • Ability to communicate clearly with both technical and non-technical stakeholders.
  • Comfort operating in ambiguous environments and bringing structure to complex business and technical problems.
  • Strong problem-solving skills, ownership mindset, and attention to detail.
Responsibilities
  • Design, build, test, deploy, and maintain Salesforce solutions across Sales Cloud, Service Cloud, Experience Cloud, or related Salesforce products.
  • Partner with product, operations, sales, service, and engineering stakeholders to understand business needs and translate them into scalable technical solutions.
  • Provide architecture and solutioning guidance for Salesforce initiatives, including data model design, automation strategy, integration patterns, security, and platform scalability.
  • Develop custom Salesforce functionality using Apex, Lightning Web Components, Flow, SOQL, APIs, and other platform capabilities.
  • Evaluate when to use declarative tools versus custom code, with a focus on maintainability, performance, and long-term platform governance.
  • Support integrations between Salesforce and internal or external systems using REST APIs, middleware, event-driven patterns, or other integration approaches.
  • Participate in technical design reviews, code reviews, release planning, and deployment activities.
  • Troubleshoot production issues, identify root causes, and implement durable fixes.
  • Help establish and improve Salesforce engineering best practices, including testing, documentation, CI/CD, environment management, and release governance.
  • Collaborate with data, analytics, product, and engineering teams to ensure Salesforce data and processes support broader business and reporting needs.
  • Explore and apply AI-enabled tools and capabilities to improve engineering productivity, business workflows, automation, and user experience.
Desired Qualifications
  • Experience with AI-assisted development tools such as GitHub Copilot, Cursor, ChatGPT, Claude, or similar platforms.
  • Experience applying AI capabilities within Salesforce, business automation, service workflows, knowledge management, or productivity tooling.
  • Salesforce certifications such as Platform Developer I/II, Administrator, App Builder, Sales Cloud Consultant, Service Cloud Consultant, or Application/System Architect credentials.
  • Experience with Salesforce DevOps tools and CI/CD practices, such as Gearset, Copado, Salesforce DX, GitHub Actions, or Azure DevOps.
  • Experience in healthcare, benefits, insurance, fintech, or other regulated industries.
  • Familiarity with data governance, master data management, analytics, or enterprise reporting needs.

ParetoHealth helps small and mid-sized employers control health benefit costs using a self-insured captive model. Member companies pool funds to cover employees’ health claims instead of paying traditional premiums, sharing risk within a group. A data-driven cost management system monitors plan use and guides care toward high-quality, cost-efficient options. Revenue comes from membership fees and consulting services, and the goal is to provide affordable, sustainable, high-quality benefits for SMEs while advancing diversity, equity, and inclusion.

Company Size

201-500

Company Stage

Growth Equity (Venture Capital)

Total Funding

$522.1K

Headquarters

Philadelphia, Pennsylvania

Founded

2011

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Simplify Jobs

Simplify's Take

What believers are saying

  • Warburg Pincus invested in March 2026, signaling capital support for aggressive expansion.
  • ParetoHealth added Lyra in October 2025 and Rightway in April 2026, deepening platform value.
  • The company reports $8.4 billion in spend under management, strengthening negotiating leverage now.

What critics are saying

  • Aetna, Cigna, and UnitedHealth can undercut pricing, compressing ParetoHealth's renewal economics by 2027.
  • If employer claims worsen, stop-loss volatility hits captive retention and drives defections quickly.
  • A single bad underwriting cycle could expose existential trust damage across 4,000 employer relationships.

What makes ParetoHealth unique

  • ParetoHealth serves 4,000 employers and 1.3 million covered lives as of April 2026.
  • Maeve O'Meara became CEO on February 4, 2025, after scaling Castlight Health.
  • ParetoHealth's Savings Engine bundles captives with navigation partners like Lyra, First Stop Health, Rightway.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Disability Insurance

401(k) Company Match

401(k) Retirement Plan

Growth & Insights and Company News

Headcount

6 month growth

16%

1 year growth

16%

2 year growth

16%
HIT Consultant
Feb 4th, 2025
Paretohealth Appoints Maeve O’Meara As Chief Executive Officer

ParetoHealth Appoints Maeve O’Meara as Chief Executive Officer. by Healthcare Executive Hires 02/04/2025 Leave a Comment. Maeve O’Meara, CEO at ParetoHealthWhat You Should Know: – ParetoHealth, a provider of innovative health benefits solutions for midsize employers, today announced the appointment of Maeve O’Meara as its new Chief Executive Officer.– O’Meara, who has served as ParetoHealth’s President since September 2023, succeeds co-founder Andrew Cavenagh, who will transition to the role of Executive Chairman. Maeve O’Meara Bio/BackgroundO’Meara brings over 20 years of experience in healthcare and technology leadership to her new role. She previously served as CEO of Castlight Health, where she spearheaded the company’s transformation into a market-leading navigation platform. Since joining ParetoHealth, O’Meara has focused on deepening consultant and member engagement, scaling technology and infrastructure, and strengthening the leadership team.“I’m honored to lead a team that has truly challenged the status quo in enabling midsize employers to offer more affordable health benefits,” said O’Meara. “It is a privilege to partner with our incredible consultant and employer community to continue to innovate and redefine what is possible.”

ParetoHealth
Jan 7th, 2025
ParetoHealth Appoints Heather Underhill as Chief Customer Officer to Advance Customer Success Initiatives

ParetoHealth appoints Heather Underhill as Chief Customer Officer to advance customer success initiatives.

Sample News Group
Jun 26th, 2024
ParetoHealth Appoints Christine Lui Chen as Chief Marketing Officer for Next Chapter of Growth

PHILADELPHIA, PA / ACCESSWIRE / June 26, 2024 / ParetoHealth, the nation's largest and fastest-growing employer-owned health benefits solution, is pleased to announce the appointment of Christine Lui Chen as Chief Marketing Officer.

PressRelease.com
Sep 27th, 2023
ParetoHealth Names Maeve O'Meara as President

PHILADELPHIA, September 27, 2023 (Newswire.com) - ParetoHealth, the country's leading health insurance platform for small and medium-sized employers, announced today that it has named Maeve O'Meara as President.

LexBlog
Jun 24th, 2023
Healthcare & Life Sciences Private Equity Deal Tracker: Warburg Pincus Invests in ParetoHealth

Warburg Pincus has invested in ParetoHealth, according to a news release.