Senior Product Engineer (US) (up to $190k)

This role is with one of Dex's trusted partner companies. We work closely with their teams to truly understand their culture, goals, and what they're looking for, so we can match you with the right opportunity and give you context about the role before you commit to a process. If you're interested sign up to Dex to apply. Dex is an AI recruiter agent that helps you run your job search. Tell Dex your stack, seniority, and what you want to build. We will manage your applications and surface other opportunities that are a fit. The role This company is rebuilding the financial infrastructure of fertility care. By bundling treatments like IVF and egg freezing into fixed-rate packages and absorbing the financial downside when treatments are unsuccessful, they take on the clinical risk that usually falls entirely on patients. Backed by top-tier global venture firms and partnering with hundreds of clinics nationwide, they sit at the intersection of predictive underwriting, clinical operations, and consumer fintech. As a Senior Product Engineer, you will own the central orchestration engine that coordinates care navigation, real-time risk pricing, and clinic integrations across lenders, insurers, and clinical teams. This is a role for an engineer who builds core domain infrastructure: writing the state machines, data pipelines, and production-grade LLM agents that execute back-office workflows autonomously. It is not a seat for tweaking front-end landing pages or wrapping brittle wrappers around external APIs. The work Architect and scale state machines and backend workflows coordinating fragmented data between clinics, lenders, insurance carriers, and patients.Build and maintain the real-time underwriting engine that evaluates clinical data to accurately price treatment packages against predicted outcomes.Integrate autonomous LLM agents directly into internal operations to handle complex, asynchronous operational workflows rather than passive conversational interfaces.Design systems that enforce HIPAA and SOC 2 data isolation and auditability as first-class architectural constraints.Translate ambiguous clinical and financial requirements into robust, simple services designed for resilience over cleverness. What You Bring 5+ years of full-stack software engineering experience in high-growth startup environments, ideally with sustained tenure seeing a product scale from zero to one.Backend-leaning mastery in Python, with deep experience architecting state machines, asynchronous workflows, and integrations between incompatible systems.Demonstrated experience building within strict regulatory or compliance boundaries where data privacy is an engineering invariant, such as HIPAA, SOC 2, or PCI.AI-assisted development tools like Cursor, Claude Code, or Codex are an integral, daily part of how you ship production code, not an occasional experiment.Based in the US with authorization to work without sponsorship. Why apply through Dex High-leverage engineering seats that blend complex fintech risk modeling with modern healthtech infrastructure rarely surface through standard job boards. Dex connects you directly to the engineering team and provides unvarnished context on technical scope, compensation, and team dynamics before your first interview. One profile qualifies you for this build and other high-conviction engineering roles across our network. If you're interested, sign up to Dex to apply - https://jobs.meetdex.ai/jobs/77dd2d54-e82a-489b-8953-b8f7297d1a08 As part of the recruitment process at Dex, we process your personal data in accordance with our Privacy Notice for Job Applicants. This notice explains how and why your data is collected and used, and how you can contact us if you have any concerns.