Senior Backend Engineer (Community)

You'll be joining Papa Community, a 0-to-1 venture within Papa based in San Francisco that's building virtual care for seniors. You'll have the autonomy and velocity of an early-stage startup with the advantages of a growth-stage company including Papa's deep expertise serving older adults, established health plan relationships, and reliable capital. As one of the early team members on Community, you'll have a significant tangible impact to improve patient outcomes and drive scalability.

Founded in 2017, Papa is backed by Canaan, Tiger Global Management, Comcast Ventures, SoftBank Vision Fund 2, TCG, Initialized Capital, and Seven Seven Six, among other revered institutional and individual investors. We envision a world where no one has to go it alone. Learn more at Papa.com.

About the Role:

We are growing our founding engineering team and looking for a Senior Backend Software Engineer to join Papa Community. You'll work alongside our Staff Backend Engineers and report directly to Papa Community's GM, with dotted-line mentorship from Papa core's engineering leadership.

This is a rare chance to help shape a platform in its earliest days without giving up the stability of an established company behind you. As Papa Community's engineering team grows, there will be more opportunities to take on broader technical leadership — this role is a chance to build that track record early, working alongside our Staff Engineers and partnering directly with the GM.

This role is unique because:

You'll help extend the technical architecture for Papa Community. Working alongside our Staff Backend Engineers, you'll contribute to system design, technology choices, and engineering practices that will define Community for years to come.

You'll own problems, not tickets. You won't be handed a fully-scoped spec and asked to implement it - you'll be handed a problem the business is facing and given real latitude to figure out the best way to solve it. If what excites you is being trusted to figure out what to build and why, this is the role for you.

You'll partner directly with the GM. Your voice will shape product decisions, build vs. buy trade-offs, and day-to-day technical priorities.

You'll leverage Papa's infrastructure while maintaining startup velocity. You can access Papa's deployment pipelines, security compliance, and DevOps support - but make decisions in days, not weeks, and ship at a pace that matches the urgency of the people we serve. You'll get institutional advantages without enterprise bureaucracy.

What makes this role challenging:

You'll navigate complex healthcare integrations. Our platform connects EHRs, care management platforms, revenue cycle management, and patient communication tools. You'll need to build strong familiarity with healthcare data standards (FHIR, HL7, X12) and resilient API integration patterns.

You'll balance technical perfection with shipping velocity. We're a startup - sometimes the right answer is "ship it and iterate" rather than "architect the perfect solution." You'll need judgment to know when to build for scale and when to move fast, and a genuine bias for action.

You'll work in a high-autonomy environment with a lot of open questions and comparatively little established process. You'll influence stakeholders, make recommendations, and own outcomes.

What you'll do:

Build out our platform. You'll help build and scale Papa Community's proprietary platform - the operational backbone for our care team. This is a multi-quarter build with substantial room to grow.

Strengthen our revenue cycle management pipeline. You'll work on ongoing integration and improvement of our RCM vendor relationship - claims data pipelines, denial handling, and patient responsibility workflows that need continued investment as billing volume grows.

Extend our platform and tooling investments. You'll help build out remaining platform needs, including transactional email, customer support tooling, and other member- and internal-facing systems.

Enable operational intelligence and automation. You'll help build the data infrastructure and tooling that allows our clinical team to make informed decisions, automate care workflows, and track patient outcomes in real-time. This includes everything from patient dashboards to automated patient outreach triggers to clinical decision support.

Contribute to critical technical decisions. You'll weigh in on build vs. buy trade-offs and technology choices, partnering with our Staff Engineers and the GM on our technical roadmap.

Support engineering practices as we grow. You'll help maintain code standards, testing expectations, deployment processes, and technical documentation practices as we grow the team.

Own system reliability and performance for the areas you build. This means building resilient systems for healthcare-critical workflows where reliability isn't optional - claim submissions, patient data accuracy, and care coordination all need to work consistently.

Skills we look for

Core Competencies

A genuine appetite for ambiguity and ownership - You're energized by open questions and evolving standards. You don't wait to be handed a fully-scoped task - you enjoy taking ownership of the problem itself and figuring out the right way to solve it.

A bias toward velocity - You want to ship, see it working, and iterate. You feel the urgency of building something that patients and clinicians depend on.

Product mindset - You think like a founder, balancing technical excellence with business outcomes, revenue, and patient impact. You see gaps as opportunities and help define what we build, not just how.

Independent ownership - You independently own the full lifecycle of features and projects - design, development, deployment, and monitoring - without needing a fully-scoped spec handed to you.

Strong backend expertise - Solid understanding of distributed systems, API design, and scalable architecture. We build in Elixir, and look for candidates with solid understanding of Elixir even if they are not using it in their current professional setting.

System design and reliability - You build resilient, well-tested systems with proper monitoring, rollout practices, and production stability for healthcare-critical workloads.

High autonomy and ownership - You thrive in ambiguous environments, educate non-technical stakeholders, and own outcomes without needing detailed requirements or constant direction.

Startup adaptability - You're highly communicative across operational and clinical teams, move fast when needed, and understand when to ship quickly versus architect for scale.

Continuous improvement mindset - You proactively identify areas for improvement in systems and processes without being asked, and drive initiatives to address them.

Minimum Qualifications

• 6+ years of software development experience
• Strong proficiency in Ruby on Rails or Python
• 1+ years of hands-on experience with Elixir
• Experience building and shipping high quality work and achieving high reliability
• Experience improving quality through thoughtful code reviews, appropriate testing, proper rollout, and monitoring
• Passionate about improving healthcare access and outcomes

Preferred Qualifications

• Experience working as one of the first engineers at an early-stage startup, or otherwise building without an established engineering org around you
• Deeper Elixir expertise, including Phoenix LiveView
• Experience with healthcare technology including data standards (FHIR, HL7, X12), EHR/vendor integrations, HIPAA-compliant systems for protected health information, and healthcare-specific APIs (clearinghouses, billing platforms)

Location

• Hybrid with 2-3 days per week in-office in San Francisco, CA

Compensation & Benefits

• Target Salary Range: $160,000 - $210,000 (Actual compensation determined by candidate experience, location, education, certifications, and skill set).
• Equity: Meaningful equity package.
• Health & Wellness: Medical, dental, and vision insurance coverage; Health Savings Account (HSA) & Flexible Spending Account (FSA).
• Retirement: 401(k) plan with a company matches up to 4%.
• Time Off: Flexible PTO, 11 paid company holidays, parental leave, and caregiver leave.

Our Impact

Papa's core business has had tremendous impact, and we are looking to bring even more results for patients with Papa Community:

"Papa is the lynchpin that keeps me going month to month. They're the piece of the team that allows the other pieces to happen…I can worry about finding another doctor if I have to. Finding another Papa doesn't happen." - Member from Tampa FL

"Papa has kind of saved me. Now I have somebody to help me go to my appointments. I've got somebody to help me clean my house. I've got somebody to talk to. It just took so much pressure off my shoulders. I'm finally feeling like myself again." - Member from Tacoma WA

"I look forward to seeing them. They make me laugh. I make them laugh. They've certainly taken lonely days from me also. It works both ways for us." - Pal from Rhode Island

Our Commitment to Diversity, Equity & Inclusion

Not sure if you meet every requirement? Studies show that women and individuals from historically underrepresented communities are less likely to apply for roles unless they meet every single qualification. At Papa Community, we are committed to fostering a workplace where everyone feels valued, empowered, and supported. If this role excites you, we encourage you to apply.

About Papa's Culture: Papa’s culture is people-first. We encourage everyone to bring their whole authentic selves to work, to be transparent, non-hierarchical, and above all, to be a good person.

We see ourselves as a place where every Papa employee feels they belong, a place where careers flourish, a place that brings back purpose and joy to work, a culture where visionaries/entrepreneurs are developed.

Equal Opportunity & Accommodation Statement: Papa, Inc. and all its affiliates and subsidiaries, is an equal opportunity employer committed to prohibiting unlawful discrimination, harassment, and retaliation. Our employees and qualified applicants are protected from discrimination based on race, color, religion, national origin, age, sex, disability, military or veteran status, gender identity, sexual orientation, or any other basis protected by federal, state, or local law. These protections apply to all employment decisions, including recruitment, hiring, performance evaluations, promotions, training, and career development. We celebrate diversity and are committed to creating an inclusive environment for all employees.

We are committed to providing reasonable accommodations to employees and qualified applicants in accordance with applicable law. If you need additional assistance or an accommodation to participate fully in any part of the hiring process, please submit a request to hrsupport@papa.com.