Full-Stack Software Engineer

Applicants must be based in the United States with active work authorization. Visa sponsorship is not available. Arbital Health is a rapidly growing healthcare technology and actuarial leader that centralizes, measures, and adjudicates value-based care contracts at scale. We enable payers and providers to design, measure, and execute value-based agreements with greater transparency, efficiency, and financial predictability. We invest in hiring high potential and humble individuals who thrive in fast-paced environments and can rapidly grow their responsibilities as we continue to accelerate our growth. We were co-founded by Brian Overstreet and Travis May (founder & former CEO of LiveRamp and Datavant, the two biggest data companies of the last 20 years), and are backed by Transformation Capital, Valtruis and other leading investors. In our first 2 years, Arbital Health has established itself as a trusted partner for over 40 payers, providers, and other stakeholders looking to navigate the complexities of risk-based contracting. We are looking for a Full Stack Engineer that will work across our product stack — from React components to API routes to the SQL queries behind them — owning features end to end, from design through production. You'll work in an AI-native environment -- fluency with AI coding tools isn't just a nice-to-have; it's how we ship fast without sacrificing quality. You will have real ownership early: you will be trusted to take a well-scoped problem and run with it. This is a strong fit if you care about the craft of building interfaces people actually enjoy using, and you want to go deep on a genuinely hard problem space: making complex healthcare and financial data legible. If you thrive in a fast-paced environment and communicate clearly with both engineers and other internal teams, this is the perfect opportunity for you! What you'll do:Turn dense actuarial and financial output into interfaces that are clear at a glance, including data tables, charts, and exports that hold up under real-world data volumes and actuarial scrutinyBuild customer-facing and internal interfaces in our Next.js and React application — the product our customers use to design and monitor the performance of their value-based care contractsDesign and implement the API routes that power those features, working with high volumes of complex healthcare dataWork closely with our Product, Design, and actuarial science teams to bring their models and designs to life in the productWrite tests, review teammates’ code, and help keep the codebase something the team is glad to work in What you bring:2-5 years of professional full-stack development experienceA track record of shipping features to production that real users depend onStrong fundamentals in TypeScript, Python, and React — you understand component design, state, and rendering behavior, not just the syntaxAble to work entrepreneurially: self-motivated, ambitious, and comfortable in a rapidly changing, ambiguous start-up environmentPrior healthcare experience is a plusStartup experience is a plus Tools we use:Python, R, SQL, Next.js, React, TypeScript, Tailwind CSS, FastAPIClaude, CursorInfrastructure: AWS, Databricks, PostgreSQL, AirflowVersion Control: GitHubTeam Planning: Jira, Confluence $150,000 - $170,000 a year Why Join Us? We are assembling a team of creative, talented visionaries seeking to build a new technology that will change healthcare. You will be able to learn, build, and scale our team and technology in a collaborative, creative culture that values every team member. We Offer: • Generous equity grants of ISO stock options • We offer an exceptional benefits package with high employer-paid contributions for health, dental, and vision insurance • 4% 401(k) match • Flexible PTO, a weeklong winter shutdown, and 10 holidays each year • Occasional travel required - Quarterly team offsites • The opportunity to build a critical software platform that accelerates the American healthcare system's transition to value-based care