Jobs at Alaffia Health

Build and deploy scalable full-stack healthcare automation applications using TypeScript, Node.js, GraphQL, PostgreSQL, React, and Next.js. Design robust APIs, software architectures, data models, testing suites, observability frameworks, and cloud infrastructure. Develop user-facing AI products, lead architectural decisions, manage technical risks, and collaborate across teams to deliver reliable systems that support healthcare administration workflows.

Alaffia’s Talent Pool invites candidates interested in future opportunities at its NYC-based healthcare AI startup. Applicants can submit their information and a cover letter describing their motivation and preferred business areas or roles. The talent team will retain profiles and proactively contact candidates when suitable positions become available. The company develops AI-powered copilots and agents to reduce healthcare administrative burden, billing waste, and costs.

Lead backend architecture and development for a GenAI framework supporting AI agents and healthcare automation. Establish Python standards, scale production applications, drive AI coding assistant adoption, and oversee testing, observability, infrastructure, and build-versus-buy decisions. Partner across engineering, product, and business teams while mentoring senior engineers and translating strategic goals into technical roadmaps. The role focuses on data-intensive systems, APIs, cloud infrastructure, and agentic workflows in a healthcare technology environment.

Partner with founders and executives to translate company goals into measurable initiatives, analyze business performance, develop growth and efficiency strategies, optimize cross-functional workflows, build automated dashboards and reporting frameworks, and drive high-impact projects from concept through completion. The role supports customer operations, go-to-market strategy, pricing, analytics, operational systems, and company scalability within a high-growth healthcare technology startup.

Perform inpatient DRG validation audits and clinical reviews of medical records and claims to verify diagnoses, procedures, CCs/MCCs, sequencing, and discharge status. Document defensible findings, ensure compliance with ICD-10 and DRG grouper rules, support QA, and collaborate with operations, product, and engineering to improve audit logic and automation.

As the AI Transformation Lead, you'll drive AI adoption across teams, build AI-powered workflows, and establish foundational systems and metrics for continuous improvement in operations.

Lead architecture and delivery of large, cross-team full‑stack projects; define technical standards and strategy; drive scalability, reliability, and performance; champion AI-augmented development; mentor senior engineers and influence cross-functional decisions to achieve business outcomes.

Alaffia Health seeks a Senior Python Engineer to develop AI-driven medical billing applications, focusing on backend API development and data processing. Responsibilities include collaborating across teams, improving observability practices, and ensuring successful project delivery.

Manage the end-to-end payment integrity audit lifecycle, including provider documentation requests, follow-ups, inbox triage, audit finding letters, case tracking, and communication logging. Maintain accurate, compliant workflows, improve SOPs, coordinate with clinical auditors, appeal teams, and product teams, and provide professional, empathetic provider support. Use Microsoft Office and Google Workspace tools, including spreadsheets, formulas, filters, and pivot tables, for tracking and reporting.

Owns end-to-end implementation delivery for healthcare payment integrity clients, including requirements gathering, platform configuration, claims data integration, validation, troubleshooting, project planning, risk management, stakeholder communication, and go-live handoff. Partners with Engineering, Product, and clinical teams while developing scalable implementation methodologies, templates, and best practices.

Leads and scales the account management function for enterprise health plan customers. Manages Account Managers, owns team revenue and retention targets, develops account processes and playbooks, and oversees strategic accounts. Builds executive relationships, leads QBRs, manages escalations, identifies expansion opportunities, and partners with Sales, Product, Engineering, and Leadership to improve customer outcomes, retention, and revenue growth.

Owns relationships, onboarding, implementation, renewals, retention, expansion, and revenue growth for health plan customers. Leads product rollouts, quarterly business reviews, ROI optimization, volume monitoring, executive relationship management, and cross-functional customer feedback. Requires B2B account management or customer success experience, healthcare payment integrity knowledge, SaaS implementation expertise, quota performance, and strong communication and project management skills.

Drive enterprise SaaS and services sales to health insurance plans within an assigned territory. Responsibilities include prospecting, nurturing, and closing high-value opportunities; delivering customized presentations and product demonstrations; exceeding revenue targets; tracking pipelines and forecasts in HubSpot; and communicating AI platform value, ROI, and payer-market insights to health plan executives.

The Clinical Payment Integrity Analyst reviews medical claims and patient records, audits for coding violations, and ensures compliance with healthcare payment guidelines.

Lead strategy, growth, and delivery of clinical payment integrity offerings for health plan clients. Build and mentor a high-performing client-facing team, sponsor strategic accounts, partner with Product/Engineering/Sales to shape AI-enabled claims solutions, drive revenue expansion, ensure operational excellence, and represent the company at industry forums.

Review and investigate provider disputes for high-dollar facility claims and itemized bills. Analyze UB-04s, itemized bills, medical records, and audit findings to determine whether Payment Integrity findings should be upheld, modified, or overturned. Apply coding and reimbursement guidelines (CPT, ICD-10, HCPCS, DRGs, APCs), document defensible decisions, manage a high-volume queue, and collaborate with Payment Integrity teams while ensuring PHI/HIPAA compliance.

Lead strategy, performance, and scaling of Payment Integrity review programs (IBR, medical record review, DRG validation). Manage managers, set quality/KPI targets, own audit governance, SOPs, capacity planning, client reporting/escalations, and partner with Product/Engineering on AI-assisted workflows.