Senior Full-Stack Engineer I: Claims Monitoring & Management

About Helm Health Helm is a Series A start-up transforming health insurance with "Dynamic Copay" – a new insurance plan that allows members to see simple upfront prices for all medical care before making decisions. Our team is building the infrastructure to power these plans for health insurance payors. With Helm, our clients offer simpler health plans to their members, helping them navigate to higher-value care. Our team has specialized in Dynamic Copay solutions since 2020, and Helm is the only independent platform in the market. We have grown rapidly since our launch, working with clients from local health plans to the nation's largest health insurers. The market is forming around us, making it an exciting time to join! The Role We're seeking a Senior Full-Stack Engineer to build claims monitoring and management capabilities for health plan administrators. You'll be part of a newly forming Integration/Analytics team that will split off from our Frontend team in the coming months, giving you a chance to shape a product area from the ground up. Team Context You'll initially report to our Principal Frontend Engineer and work alongside other full-stack engineers. As the Integration/Analytics team takes shape, you'll move under a dedicated team lead. This is a new product area — you'll have significant influence over architecture, UX patterns, and technical direction. Responsibilities Design and build tools that give health plan administrators real-time visibility into claims status, processing outcomes, and exception handling Develop responsive, accessible frontend interfaces in React/Next.js Build and maintain backend services that power claims monitoring dashboards and management workflows Integrate with PostgreSQL, BigQuery, and Redis Work with product and design to define monitoring views, alerting workflows, and claims management actions. Collaborate with the Claims Engine team to ensure monitoring surfaces are accurate and provide timely data. Participate in code reviews and architecture discussions. Requirements 4+ years building and maintaining modern TypeScript frontend applications First-hand experience architecting solutions in React or Next.js Experience with PostgreSQL and at least one analytical data store (BigQuery preferred) Comfort working across the stack — you'll own features end-to-end Docker/Kubernetes Google Cloud Platform Preferred Qualifications Go experience (or similar strongly-typed compiled languages) Tailwind CSS Experience with web accessibility standards (WCAG 2.1 or higher) Data visualization or reporting product experience Redis experience SQL proficiency beyond basic queries Health insurance or claims processing experience Terraform/Terraform Cloud Start-up experience Characteristics Self-directed and able to take ambiguous product requirements and turn them into shipped software Mission-driven — motivated by making healthcare simpler and more transparent Willing to ask questions and admit what you don't know Strong product instincts — you think about what users need, not just what the spec says Strong communicator who can translate between technical and non-technical audiences, especially as you bridge product, design, and engineering Internal Tools/Technology Cursor / Linear / GitHub / Notion / Whimsical Slack / Google Workspace / Zoom Sentry Claude, ChatGPT, Gemini — we are an AI-forward engineering team macOS / Linux Compensation The target base salary range for this position is $160,000 - $200,000 and is part of a competitive total rewards package including equity and benefits. Individual pay may vary from the target range and is determined by several factors, including experience, skills, location, internal pay equity, and other relevant business considerations. Benefits/Offerings Equity Unlimited PTO (mandatory 12 days) Computer + home office stipend 401(k) + matching Health and dental insurance Autonomy and tons of room for career growth Occasional Travel We meet quarterly as a company. Please note that this is a fully remote opportunity.