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Rightway is hiring a Sr Software Engineer, PBM Adjudication

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Job Description

About Rightway Healthcare

Rightway is on a mission to harmonize healthcare by delivering superior care navigation and pharmacy benefits management (PBM). We leverage innovative technology, combining human expertise with cutting-edge tools to simplify the healthcare journey for employers, employees, and their families. By addressing key healthcare challenges, we ensure that our members receive high-quality, cost-effective care.

Role Overview


We're looking for a Senior Software Engineer to join the PBM Adjudication team at Rightway. This team is building our next-generation claims adjudication platform. You'll help design and deliver the systems that process pharmacy claims, determine coverage and pricing, and manage member cost-sharing across our entire book of business.

This isn't a "write features to spec" role. Our senior engineers own initiatives end-to-end: they shape architecture, define technical direction, unblock other engineers, and drive delivery across multiple workstreams. You'll partner directly with product and domain experts to make scope and sequencing decisions, not just implement them. You'll be the person your teammates come to when they're stuck, and you'll build the documentation, patterns, and tooling so they get stuck less often.

The stack is React on the frontend with TypeScript (NestJS) and Go on the backend. You should be comfortable working across both backend languages. We're an AI-native engineering team that uses AI tooling daily in our development workflow and expects our senior engineers to lead adoption, establish best practices, and help the team get better at working with these tools. The adjudication team is designed from day one around AI-assisted development.

What You’ll Do

  • Own and drive technical initiatives

    • Design and build core adjudication platform components: eligibility engines, pricing calculators, network management, and claims processing pipelines
    • Make architectural decisions (service boundaries, data modeling, API contracts) and document them so the team can build on them
    • Work through complex domain problems

    Elevate the team around you

    • Mentor mid-level and junior engineers through pairing, code review, and design discussions. Not just catching bugs, but teaching patterns
    • Transfer knowledge proactively, mentoring engineers to discover the "why" with a deep foundation of how systems are built
    • Establish and maintain coding standards, testing strategies for your initiative area
    • Participate in domain learning sessions with PBM subject matter experts and help translate business rules into system design

    Build and maintain production systems

    • Design and build gRPC APIs using NestJS or Go (depending on the component) with PostgreSQL for persistence
    • Build internal tooling interfaces in React
    • Implement normalized data models (3NF) for complex domain entities
    • Define and implement service communication patterns using Protocol Buffers and gRPC
    • Own observability for your systems. Maintain Datadog monitors, Sentry error tracking, and know when something is wrong before users report it
    • Build with test-driven development: define expected outcomes upfront, then build until they pass

    Shape how we work

    • Contribute to architecture decisions in cross-team forums
    • Drive AI-native development practices by establishing workflows, sharing findings, and helping the team use AI tools effectively
    • Identify and raise risks early, including timeline slippage, technical debt, vendor reliability issues, and compliance gaps
    • Coordinate across team boundaries when your work touches other services or teams

Who You Are

  • 5+ years of professional software engineering experience, with demonstrated progression into technical leadership
  • Strong backend engineering depth. You've designed and built services in TypeScript and/or Go that handle complex business logic, financial calculations, or rules engines
  • Strong data modeling instincts. You think carefully about schema design, normalization trade-offs, and how data decisions cascade through a system
  • Experience with service-oriented architectures. You've designed APIs, defined service boundaries, and dealt with the realities of distributed systems (failure modes, composition patterns, contract evolution)
  • Comfortable with ambiguity. You can take a product objective and break it down into shippable engineering work without waiting for someone to hand you a spec. This is a greenfield platform and you'll be making foundational decisions with imperfect information
  • Strong communicator. You can explain technical trade-offs to product partners, write clear technical documents, and translate domain complexity into clean system design

Bonus Points for

  • Experience in healthcare, pharmacy benefits, or claims processing systems
  • Familiarity with pharmacy standards (NCPDP, GPI, NDC) or drug pricing models
  • Experience building financial calculation engines, rules engines, or pricing systems
  • Familiarity with gRPC, Protocol Buffers, and multi-service TypeScript/Go architectures
  • Experience with PostgreSQL performance tuning, migrations, and query optimization
  • Experience leading AI-assisted development workflows and establishing team standards around AI tooling

BASE SALARY: $160,000 - $190,000 + bonus + equity

Offer amounts for both remote and in office roles are influenced by geographic location.

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment. If you have any questions about a suspicious interaction with Rightway, please feel free to reach out to us at hr@rightwayhealthcare.com.

ABOUT RIGHTWAY:

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017, Rightway has raised over $200mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with a satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members who will:

  • We are human first

Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding. 

  • We redefine what is possible 

We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.

  • We debate then commit 

We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.

  • We cultivate grit 

Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.

  • We seek to delight

Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success. 

Rightway is PROUDLY an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.

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Salary Information

Salary: $75,000 - $115,000

🤖 This salary estimate is calculated by AI based on the job title, location, company, and market data. Use this as a guide for salary expectations or negotiations. The actual salary may vary based on your experience, qualifications, and company policies.

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