Note: The job is a remote job and is open to candidates in USA. Highlight Health is a mission-driven company focused on protecting consumer rights and controlling healthcare costs for self-funded employers and their stop loss carriers. The Senior Full-Stack Engineer will build and maintain a proprietary Claims Intelligence Platform, developing end-to-end features across backend services and a React frontend while ensuring deterministic, auditable, and secure handling of sensitive healthcare data. The role also includes architectural code review, mentoring less-experienced engineers, and applying sound judgment when using AI-assisted development tools.

Responsibilities

• Build features end-to-end across backend services and the React frontend, using AI-assisted development and spec-driven workflows as your primary mode of work
• Write certain core component logic by hand rather than relying on AI generation, particularly for financial calculations and validation logic that must be deterministic, auditable, and correct
• Review pull requests with genuine architectural and security judgment, providing backup review coverage alongside our lead engineer as workload requires
• Mentor less-experienced engineers on the team through pairing and code review
• Apply sound judgment about when AI-assisted development tools are and aren't appropriate, especially for anything touching sensitive data
• Escalate architectural decisions with broad impact to the lead engineer or CTO rather than resolving them unilaterally

Skills

• 5-8 years in full-stack engineering, with real depth in both backend and frontend work
• Technical depth: Python and PostgreSQL are your core stack in production. You understand async patterns, database-level security, and migration discipline
• Full-stack capability: you can review a React pull request and catch both structural problems and data exposure risks
• Real, hands-on experience building with AI-assisted coding tools daily, and good judgment about when to override them
• Regulated environments: you understand the nuances of working with sensitive data (HIPAA, SOC 2, or PCI) and prioritize audit trails and data access controls
• Comfortable being a strong senior contributor without needing to be the most senior voice in the room
• Philadelphia, PA, or Remote (EST hours preferred)
• Healthcare or fintech background is a genuine advantage — this platform produces recommendations that affect what employers pay for healthcare

Benefits

• Healthcare cost reimbursement
• Paid time off
• Commuting benefits
• Short-term disability
• Employer 401(k) contribution
• Bonuses
• Option of working in-office on a flexible schedule if based in the Philadelphia area

Company Overview