Software Engineer

Building the financial operating system for healthcare, and bringing the joy back to healthcare by fixing the financial chaos behind it.

The healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. This financial uncertainty leaves practices struggling to stay afloat, while valuable revenue slips through the cracks.

Joyful Health is building the AI-powered financial operating system for healthcare practices. Our mission is to bring the joy back to running a private practice by simplifying financial operations so providers can focus on patient care. We spent 10 months working as fractional CFOs for a dozen practices, doing this work side by side with providers as we developed our product.

We just announced our $22M Series A led by CRV and world-class investors including the founders of MongoDB & KAYAK.

🚀 We have an enormous opportunity in front of us. The broken healthcare payment ecosystem impacts practices of all sizes, and the opportunity to make a real difference is massive.

This role is full-time. We’re looking for someone NYC-based who is open to coming into the office 3 days a week.

The base pay range for this role is $150,000–$275,000 per year.

Role Description

We’re looking for a talented and ambitious backend engineer with 5+ years of experience in developing distributed pipelines who’s excited to solve one of the toughest challenges in healthcare—financial data interoperability. You’ll play a key role in shaping our data integration strategy and enabling us to onboard customers at scale.

Integrating the financial data of small healthcare practices—each with its own unique systems—has long been a roadblock in the industry. This has meant that very few solutions have emerged in the market that are actually able to solve the unique challenges of small medical practices (and even larger ones). We’ve begun to crack this challenge, and the work that we’ve done so far has enabled us to seamlessly onboard new data sources in days, not months. This entirely opens up a massive untapped market.

As a software engineer, you’ll have an outsized impact on the company’s trajectory, working on a critical problem that’s central to our success. This is a great opportunity for someone who wants to work on something extremely challenging and make a huge difference. You should be comfortable (and excited!) about working in a fast-paced, early-stage startup environment where you'll be able to wear many hats and take on new challenges as they arise.

This role is full-time. We’re looking for candidates based in NYC.

What you’ll do

• Drive the architecture, design, and implementation of complex pipelines for AI agents and data ingestion sources

• Develop and scale our data integration infrastructure to connect seamlessly with a variety of healthcare systems.

• Solve interoperability challenges to help healthcare practices recover lost revenue and understand their financial health.

• Work closely with the engineering and product teams to improve onboarding speed and build a robust data strategy.

• Actively contribute to building the team’s architectural vision and technical roadmap

• Collaborate on code reviews and technical design documents to ensure code quality and distribute knowledge

We’d love to hear from you if…

• You’re passionate about Joyful Health’s mission – you want to solve real, pressing problems for providers and put them in control of their businesses. You naturally empathize with users and enjoy designing solutions with their needs in mind.

• You’re excited to shape the future of our engineering team and are excited to lead by example – as an early team member, you’ll have the chance to influence everything from our technical roadmap to our company culture. You have a radical sense of ownership with the ability and desire to own technical roadmaps and refine ambiguous problems. You also have a low ego, growth mindset, and desire to see the product and team scale with your impact.

• You have a love for your craft and strong technical execution - you view coding as a craft, not just a task, and you’re excited about using technology to create meaningful impact. Your technical skills go beyond coding—you care about building a product that works at scale, with the user at the forefront. We care more about your drive, hustle, and passion than a college degree from a shiny institution or experience at name-brand companies.

  • You have 5+ years of experience in backend engineering, with a focus on building data pipelines and integrations.

    • Experience working with healthcare data or solving interoperability challenges is a plus.

  • Proficiency in:

    • Python and database systems, with familiarity in performance and optimization for scale

    • Experience in distributed systems coordination and AI pipelines

    • Familiarity with big data technologies and comfortable working with massive datasets

    • CI/CD workflows such as Github actions

Working at Joyful

At Joyful Health, we’re on a mission to fix one of the most broken systems in healthcare.

Learn more about our culture and how we do work at Joyful here!

Joining us means having the opportunity to make a direct, meaningful impact on the lives of clinicians and the financial health of their practices. Here’s what you can expect from working with us:

🚀 Meaningful Impact You’ll be tackling one of the most complex challenges in healthcare—helping practices thrive in a chaotic financial landscape. Your work will directly contribute to solving one of the most hair on fire problems for providers, ensuring that they can focus on what they do best: caring for patients.

🔑 Autonomy & Ownership As an early team member, you’ll have significant autonomy and the chance to shape our company from the ground up. You’ll have ownership over your work and the freedom to challenge the status quo in an environment that values initiative and creativity.

📈 Growth & Learning We’re a small, ambitious team with big goals, which means you’ll be constantly learning and growing. You’ll take on new challenges, expand your skill set, and have direct access to experienced founders and advisors who are invested in your development. We also offer stipends for professional development courses & books (that we often will partake in together!) so we can all continuously grow.

💰 Competitive Compensation & Equity We believe that our team is our most valuable asset. We offer competitive compensation packages, strong equity, and the opportunity to share in the success of Joyful Health. We want you to feel supported, both financially and professionally, as we grow together.

❤️ Be Your Best Self We provide the benefits you need to stay happy and healthy, including comprehensive healthcare benefits, unlimited PTO (with a minimum of 10 days off a year), and flexibility so you can take care of yourself. We also organize regular team off-sites and events to ensure that even as we tackle big problems we enjoy the journey.

Please apply even if you don't meet 100% of the criteria. Nobody checks every box every time and we'd love to talk to you about how and why you can see yourself growing into this role. We're also very open to candidates with non-traditional experience.