Staff Software Engineer

Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Obesity impacts more than 40% of the US adult population, and although historically only about 1% of patients received medical treatment for their disease, the field of Obesity Medicine is entering a period of rapid growth. Form Health provides high-quality expert care and leverages technology to enhance the patient experience. All Form Health patients work closely with their care team, which includes board certified physicians, advanced practice professionals and Registered Dietitians. Through our proprietary mobile app patients engage in regular video visits, as well as text messaging, photo journaling, digital data transmission, and customized educational materials. We hold ourselves to the highest standards of clinical care, and to treating every individual with empathy and respect.

Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team. Our mission is to empower patients and be leaders in Obesity Medicine driving impact at a national scale. We are deeply invested in our core value to put patients first, and also deeply committed to creating a culture where every employee is valued and we learn and improve together. 

Form Health is building a world-class clinical care experience for patients on their weight-loss journey—and the software we build is central to delivering that care. We’re looking for a Senior Full Stack Software Engineer who will play a pivotal role in developing and maintaining the integrations that power our patient experience, clinical workflows, and revenue systems. In this role, you’ll take ownership of high-impact systems that connect Form Health with payers, benefits partners, and our EMR and billing platforms. You’ll work in a culture that values small-batch iteration, safe and incremental rollouts, continuous improvement, and delivering value to patients and clinicians as early and reliably as possible.

This role will report directly into the Senior Director of Engineering and will collaborate across engineering, product, design, operations, and commercial teams. This is a fully remote role open to candidates located anywhere in the United States.

You will design, build, and operate resilient integrations and backend services that enable seamless, reliable, and scalable data exchange across Form Health’s platform, with a particular focus on Revenue Cycle Management (RCM) systems that support eligibility, billing, and reimbursement.

• Own the technical design and ongoing operation of real-time insurance eligibility verification integrations across multiple payers.
• Investigate and resolve eligibility discrepancies, improving data accuracy while reducing operational burden for care and billing teams.
• Design and maintain integrations with EMR systems, powering core clinical workflows such as patient data synchronization, scheduling, and chart updates.
• Own and optimize Candid billing integrations and related RCM workflows, ensuring accurate and timely claim creation, submission, reconciliation, and issue resolution.
• Build and operate ETL pipelines that exchange data with benefits, billing, and external partners.
• Serve as a technical owner and subject matter expert for insurance, billing, and integration-related systems.

• Build and evolve backend services and internal clinical tools—with a focus on backend systems (approximately 80%) and supporting frontend work (approximately 20%)—using Ruby on Rails, Sidekiq, Node.js (AWS Lambda), GraphQL, and React.
• Deliver improvements through small-batch development, iterative releases, and incremental delivery.
• Implement feature flags, progressive rollouts, and safe deployment practices to mitigate risk while enabling rapid learning.
• Improve platform infrastructure, GraphQL APIs (Apollo Server), and data models (PostgreSQL, Snowflake) with a focus on reliability, performance, and maintainability.
• Contribute to architectural decisions that balance simplicity, scalability, and thoughtful build-vs-buy tradeoffs.
• Write clear, maintainable code and documentation that supports shared ownership and long-term system sustainability.

• Partner closely with engineering, product, operations, and clinical teams to translate complex requirements into pragmatic, incremental solutions.
• Collaborate directly with external partners to understand technical constraints, troubleshoot issues, and improve integration reliability.
• Promote engineering excellence through code reviews, pairing, technical mentorship, and knowledge sharing.
• Help evolve team processes and tooling to improve quality, observability, and delivery velocity through automation, testing, and monitoring.
• Support rapid iteration of internal tools that scale operations and improve patient and clinician experiences.

You’re a senior engineer who thrives in complex, real-world systems. You enjoy owning problems end-to-end, collaborating across teams, and making pragmatic tradeoffs that balance immediate needs with long-term system health.You bring experience such as:

• 7+ years of professional software engineering experience, or equivalent depth through impactful work
• Owning and operating business-critical integrations or backend systems
• Experience with healthcare systems, insurance, billing, or Revenue Cycle Management (RCM)
• Translating requirements into reliable, scalable solutions
• Comfortable in fast-moving or high-growth environments where priorities evolve
• Shipping incrementally using feature flags, safe rollouts, and strong operational discipline
• Working closely with product and non-engineering stakeholders to deliver meaningful outcomes
• Leading by influence, technical judgment, and example

Your contributions will have a massive impact building a world-class product, service, and team. We support patients in their weight loss journey and their clinical care teams with integrated chronic care and a mobile app with features like:

• • Secure, HIPAA-compliant meal photo sharing, video chat visits, and text messaging
  • Personalized content delivery (meal plans, timely resources, daily tips)
  • Data collection and visualization
  • A/B experiments and feature flags to deliver and measure impact continuously
  • Much more on our roadmap

More about Form Health’s benefits:

• Competitive salary and equity in a high growth start-up
• Comprehensive health benefits (medical, dental, vision) 
• 401k
• Flexible work schedules and paid time off
• Paid parental leave

Form Health’s commitment to building a diverse, equitable, and inclusive work environment:

Form Health is committed to creating a culture and environment that celebrates diversity and inclusion, while fostering safety and belonging. This extends from our remote patient care to our corporate offices and everywhere in between. We are looking for team members who want to help us further our Diversity, Equity, and Inclusion (DEI) efforts and who share our attitudes for creating an inclusive, safe, and positive work environment.