Staff Software Engineer - Fullstack (Remote)

About Pair Team

At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care—clinical, behavioral, and social—by partnering with organizations deeply connected to the communities we serve.

We're building a powerful care management platform that leverages AI and automation to scale meaningful, human-centered care. Our work is driven by top talent across clinical care, technology, product, and operations—working together to improve access and outcomes for all our patients.

We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need Medicaid members. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.

At Pair Team, we're not just delivering care—we're building the future of a more equitable, community-rooted Medicaid system.

• 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
• Axios: Pair Team collects $9M for Medicaid-based care

About the Opportunity

As a Senior Fullstack Engineer at Pair Team, you'll be a key technical leader driving the evolution of our care delivery platform. You'll take ownership of complex, cross-functional initiatives that directly impact our patients and clinical partners—designing scalable systems, shaping architectural direction, and mentoring engineers along the way.

In this role, you will:

• Lead the development of end-to-end product features, with a focus on long-term scalability, performance, and impact
• Set technical direction and architectural standards across projects and pods
• Identify and solve high-leverage technical problems, balancing speed with thoughtful design
• Collaborate closely with product, design, clinical, and operations teams to deliver cohesive, patient-centered solutions
• Serve as a technical mentor and multiplier—uplifting the team's capabilities and contributing to our engineering culture
• Drive alignment between technical execution and business goals, ensuring measurable outcomes

This is a high-impact opportunity for someone excited to blend deep technical leadership with mission-driven product work—building systems that improve access to care for underserved communities.

Who You Are

• Leadership & Influence: A recognized leader, respected for technical ability, direction-setting, and ability to navigate ambiguity. Leads cross-team initiatives and influences without authority across engineering, product, operations, and medical.
• Technical Expertise: recognized as an expert in their domain area but able to operate effectively in other domains when needed
• Execution & Ownership: Owns high-impact, cross-system projects. Drives progress across a domain and ensures delivery on both technical and business outcomes.
• Force Multiplier: Uplifts not only engineers but also PMs and designers. Leads by example to raise the bar across disciplines.
• Communication & Alignment: Communicates clearly across technical and non-technical audiences. Aligns stakeholders even when goals and definitions are evolving; creates clarity from chaos.
• Systems Thinking: Designs scalable solutions with a deep understanding of interconnected systems. Anticipates downstream effects and communicates complex dynamics clearly.
• Business Impact: Deeply understands business and operational goals. Connects them to day-to-day technical work, ensuring alignment and measurable outcomes.
• Player & Coach: Seamlessly shifts between strategy and execution — no problem too big or small. Equally effective leading execution (e.g., as a pod lead) or through deep technical contributions.
• Analytical & Data-Driven: Extracts and analyzes data independently. Synthesizes KPIs and qualitative insights to inform decisions and improve products.
• Growth-Oriented: Continuously seeks new challenges and growth. Acts as a multiplier for the team's impact and helps shape the technical culture.
• Bias for Action: Delivers value iteratively, avoiding over-engineering. Breaks down complex problems into shippable steps and balances planning with execution.

Job Requirements

• 5+ years of experience as a high-impact individual contributor, building and scaling user-facing products in a startup or similarly fast-paced environment
• Proven ability to design and deliver complex, full-stack web applications across both frontend and backend systems
• Strong experience with relational database design and data modeling
• Proficiency with modern web frameworks—React and Ruby on Rails experience preferred
• Familiarity with cloud infrastructure and deployment, especially within AWS
• Comfortable navigating ambiguity, owning technical decisions end-to-end, and aligning solutions with product and operational goals
• Deeply mission-aligned—motivated to build technology that serves individuals facing complex 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: $205,000 - $240,000
• Equity compensation package
• Flexible vacation policy – take the time you need to recharge
• Comprehensive health, vision & dental insurance
• $50 employer contribution to active HSA accounts
• 401k through Guideline
• Life insurance and AD&D
• Work entirely 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!

_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.

_The talent team will only reach out via email from @pairteam.com email addresses. 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 sent to recruiting@pairteam.com. 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!