About Helm Health

Helm is a Series A start-up transforming health insurance with "Dynamic Copay" – a new insurance plan that lets members 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!

Role Overview

We're seeking a Senior Backend Engineer to join our Dynamic Copay team. You'll work on our Dynamic Copay Engine — the core component that powers upfront pricing for health plan members. This is a high-impact role where you'll own critical services from day one, working at the intersection of claims processing and real-time pricing logic.

Team Context

The Dynamic Copay Engine works closely with our Claims Engine team, which owns our claims processing pipeline and adjudication integrations. You'll work closely with the team lead and other engineers to build, scale, and harden the systems that sit at the center of our product.

Responsibilies

Own the development, testing, and production support of the Dynamic Copay Engine services
Design and implement pricing logic, rules engines, and configuration systems that power upfront member pricing
Build and maintain integrations with claims adjudication workflows
Write performant queries and manage data across PostgreSQL, Redis, and BigQuery
Collaborate with product and other engineering teams to translate business requirements into reliable, scalable backend services
Participate in code reviews, architecture discussions, and incident response
Contribute to the on-call rotation for production systems

Requirements

4+ years building, owning, and maintaining backend services
2+ years writing Go
Strong SQL skills, particularly in PostgreSQL
Experience with Redis and BigQuery (or similar analytical databases)
Docker/Kubernetes
Google Cloud Platform

Preferred Qualifications

gRPC/Protobuf experience
Experience with thorough testing strategies
Health insurance or claims processing experience
Terraform/Terraform Cloud
Python proficiency
Incident management and response experience
Startup experience

Characteristics

Self-directed and comfortable owning a domain end-to-end
Mission-driven — motivated by making healthcare simpler and more transparent
Willing to ask questions and admit what you don't know
Comfortable working in a fast-moving codebase where requirements evolve quickly

Internal Tools/Technology

Cursor / Linear / GitHub / Notion / Whimsical
Slack / Google Workspace / Zoom
Incident.io / Sentry
Claude, ChatGPT, Gemini — we are an AI-forward engineering team
macOS / Linux

Compensation

The target base salary range for this position is $150,000 - $225,000 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

Unlimited PTO (mandatory 12 days)
Computer + home office stipend
401(k) + matching
Medical, dental, and vision 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.

Senior Back-End Engineer I: Dynamic Copay Engine