[Remote] Senior Software Engineer

Note: The job is a remote job and is open to candidates in USA. OrthoFi provides technology and revenue cycle management solutions that help orthodontic practices improve patient access, care, and billing outcomes. The Senior Software Engineer will drive technical execution in the insurance domain by designing scalable full-stack systems, modernizing legacy platforms, translating insurance workflows into software, and leading reliable delivery. The role also emphasizes AI-assisted engineering, software quality, and mentorship.

Responsibilities

• Decompose complex business scenarios into clean, service-based architectures and distributed systems. Modernize legacy platforms with a focus on simplicity, maintainability, and long-term ROI
• Translate complex orthodontic insurance rules (claims, eligibility, remittance) into clean, high-performing technical solutions
• Own the delivery of Epics end-to-end, actively managing risks, dependencies, and team-level DORA KPIs while ensuring system performance and delivery reliability
• Write clean, robust, and maintainable code across the stack, leveraging modern JavaScript frameworks (React) on the frontend and .NET Core/.NET Framework on the backend
• Champion responsible, AI-assisted development. Actively integrate AI tools (e.g., Claude, GitHub Copilot) to automate design, test generation, and code reviews, and build agentic workflows to drive team efficiency
• Set rigorous standards for code quality through constructive code reviews, comprehensive automated testing (including AI-driven test suites), and continuous integration/delivery (CI/CD)
• Guide junior and mid-level engineers on software design patterns, debug cross-module issues, and act as a professional stakeholder manager who can navigate technical disagreements constructively ("disagree and commit")

Skills

• Please only apply if you are able to live and work full-time in one of the states listed above
• 4-year Bachelor's degree in a STEM (Science, Technology, Engineering, Mathematics) major or a Master's degree in Technology or Computer Science or related field
• 10+ years of professional software development experience, with a minimum of 4+ years in a Senior Software Engineer role (or equivalent)
• Strong, hands-on experience with the .NET Ecosystem (.NET Core / .NET Framework) and robust relational database design using SQL Server (including query optimization)
• Extensive experience building highly responsive, scalable user interfaces using modern JavaScript frameworks—specifically React and/or Angular (Required)
• Practical experience applying Domain-Driven Design (DDD) principles and building service-based or distributed architectures
• Strong proficiency with AWS services (or other major cloud architectures), CI/CD pipelines and infrastructure provisioning
• You must be authorized to work in the United States
• The Company is unable to provide sponsorship for workers
• Familiarity with high-volume batch processing, background automated jobs, and handling complex data streams
• Experience with Infrastructure as Code (IaC) using Terraform
• Familiarity with event-driven architectures and system monitoring/APM tools (e.g., Datadog)
• Prior domain knowledge in orthodontic/dental billing, medical insurance, or healthcare fintech
• Experience designing and querying APIs with GraphQL
• Experience with search and analytics engines, specifically ElasticSearch
• Demonstrated experience or active experimentation leveraging modern AI coding assistants (e.g., Cursor, Claude, GitHub Copilot) to optimize development velocity
• Familiarity with Gen AI and Enterprise agentic workflows or utilizing Model Context Protocols (MCPs) to automate engineering workflows
• Experience with automated testing frameworks (such as Playwright or equivalent) driven by AI agents

Benefits

• Full medical, dental, and vision plans
• Flexible PTO
• Employer HSA contribution
• 9 Company Paid holidays
• 401(k) match, 3% after 90 days of employment
• Supportive culture with one-of-a-kind growth opportunities
• Ability to work from home
• Paid Parental Leave as well as a two-week "ease-back" program that enables parents to return part-time at full pay
• Company and team outings
• Peer-to-peer recognition program
• Vendor discounts

Company Overview