• You will design, build, and operate resilient integrations and backend services that enable seamless, reliable, and scalable data exchange across Form Health’s platform, with a particular focus on Revenue Cycle Management (RCM) systems that support eligibility, billing, and reimbursement. • Own the technical design and ongoing operation of real-time insurance eligibility verification integrations across multiple payers. • Investigate and resolve eligibility discrepancies, improving data accuracy while reducing operational burden for care and billing teams. • Design and maintain integrations with EMR systems, powering core clinical workflows such as patient data synchronization, scheduling, and chart updates. • Own and optimize Candid billing integrations and related RCM workflows, ensuring accurate and timely claim creation, submission, reconciliation, and issue resolution. • Build and operate ETL pipelines that exchange data with benefits, billing, and external partners. • Serve as a technical owner and subject matter expert for insurance, billing, and integration-related systems. • Build and evolve backend services and internal clinical tools—with a focus on backend systems (approximately 80%) and supporting frontend work (approximately 20%)—using Ruby on Rails, Sidekiq, Node.js (AWS Lambda), GraphQL, and React. • Deliver improvements through small-batch development, iterative releases, and incremental delivery. • Implement feature flags, progressive rollouts, and safe deployment practices to mitigate risk while enabling rapid learning. • Improve platform infrastructure, GraphQL APIs (Apollo Server), and data models (PostgreSQL, Snowflake) with a focus on reliability, performance, and maintainability. • Contribute to architectural decisions that balance simplicity, scalability, and thoughtful build-vs-buy tradeoffs. • Write clear, maintainable code and documentation that supports shared ownership and long-term system sustainability. • Partner closely with engineering, product, operations, and clinical teams to translate complex requirements into pragmatic, incremental solutions. • Collaborate directly with external partners to understand technical constraints, troubleshoot issues, and improve integration reliability. • Promote engineering excellence through code reviews, pairing, technical mentorship, and knowledge sharing. • Help evolve team processes and tooling to improve quality, observability, and delivery velocity through automation, testing, and monitoring. • Support rapid iteration of internal tools that scale operations and improve patient and clinician experiences.