Senior Software Engineer

About Pair Team

Pair Team is building a new kind of healthcare system across Medicaid, Medicare, and public assistance programs: one that recognizes that access to housing, nutritious food, and reliable transportation are just as critical to health as having the right medications or seeing a doctor.

As a public benefit corporation and AI-enabled medical group, we partner with shelters, food pantries, and community organizations to deliver “whole-person” care to the 115 million Americans who rely on the safety net. We are currently the largest complex care provider in California with over 500 employees and are expanding nationally. Our model replaces fragmented healthcare and social services systems with one trusted relationship for all medical, behavioral, and social needs.  We improve access, build trust, and dramatically lower costs (52% fewer ER visits, 26% fewer hospitalizations). Our model is a rare combination of saving tax payer dollars ($150B annually at scale) while putting people on an upward life trajectory. At national scale, this approach would save taxpayers.

These outcomes are driven by the AI-first, whole-person infrastructure we are building — a platform that connects healthcare and social-service organizations into a unified network. Leveraging our vast data and years of operational experience, we are building the agentic infrastructure for the safety net to coordinate care, automate operations, and learn from every patient interaction to continuously improve outcomes.

Read more about the AI-First Medicaid System we are building here.

• Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
• TechCrunch: Building for Medicaid’s regulatory moment with Neil Batlivala from Pair Team
• Journal of General Internal Medicine: A Novel Intervention for Medicaid Beneficiaries with Complex Needs

About the Opportunity

As a Senior Product Engineer at Pair Team, you’ll play a critical role in shaping and scaling the tools that power our care delivery. You’ll lead end-to-end development of new product features, from initial concept through deployment and iteration.

In this role you will:

• Own core product initiatives and drive full-stack development using modern web technologies
• Build scalable, high-performance applications that support both clinical and patient experiences
• Identify and implement improvements across our platform to enhance speed, reliability, and usability
• Collaborate closely with product managers, designers, and platform engineers to deliver seamless, user-centered solutions
• Help guide architectural decisions that will support our growing team and mission-driven roadmap

Who You Are

• Impact & Growth: Operates with increasing scope and autonomy; Senior engineer is not a stopping point. Seeks feedback, takes on new challenges, and continues to grow.
• Technical Leadership: Drives technical design and direction. Leads design discussions, navigates trade-offs, and aligns the team around sound architectural decisions.
• System Design: Designs scalable solutions for moderate to high-complexity problems. Balances technical, operational, and cross-functional considerations (e.g., operations, medical).
• Highly Autonomous Execution: Owns projects end-to-end. Balances priorities effectively, delivers on proposals, and follows through with consistent, high-quality execution.
• Problem Solver: Thrives in ambiguous environments, able to deliver high quality products even amid chaos. Balances speed and quality, knowing when to cut corners and when to invest in long-term solutions.
• Technical Excellence & Range: Demonstrates expertise in at least one core area (frontend, backend, infrastructure), while also comfortable flexing beyond their specialty as needed to support broader goals.
• Cross-Functional Trust Builder: Sets clear expectations with non-technical partners and builds strong cross-functional trust. Aligns technical work with business and operational outcomes.
• Growing Team Leadership: Mentors junior and mid-level engineers, participates in technical reviews, improves team workflows or tooling, and helps drive technical standards through the team.
• Data-Driven Mindset: Able to select and implement metrics that drive meaningful operational improvements. Uses data to inform decisions and measure impact.
• Bias for Action: Delivers value iteratively, avoiding over-engineering. Breaks down complex problems into shippable steps and balances planning with execution.

Job Requirements

• At least 2+ years of software development experience as a high-performing individual contributor, building user-facing software at a startup

• Experience in both backend and frontend engineering

• Building complex web applications (required)

• Relational Databases data modeling (required)

• Ruby on Rails (preferred)

• React (preferred)

• AWS services (preferred)

• Passion for helping individuals experiencing complex chronic needs such as homelessness, severe mental illness, and substance use disorder

Our Values

• Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
• Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.
• Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.
• Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.
• Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.

Because We Value You

• Competitive salary: $165,000 - $220,000
• Equity compensation package
• Flexible vacation policy – take the time you need to recharge
• Comprehensive medical, dental, and vision coverage
• 401(k)
• 100% company-sponsored short and long-term disability and life insurance
• Subsidized backup childcare and caregiver supports through Wellthy
• Work from the comfort of your own home 
• Monthly $100 work from home expense stipend 
• We provide the equipment needed for the role
• Opportunity for rapid career progression with plenty of room for personal growth!
• Opportunities to meet colleagues in person at local meetups and company-organized retreats

Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law. 

_Pair Team participates in E-Verify to verify employment eligibility for new hires. 

Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use._

We do not conduct any TA business outside of our @pairteam.com emails. If you’re ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.

Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!