About Alaffia & Our Mission

Each year, the U.S. healthcare system suffers from over $500B in wasted spending due to medical billing fraud, waste, and administrative burden. At Alaffia, we’re committed to changing that paradigm. We’ve assembled a team of clinicians, AI engineers, and product experts to build advanced AI solutions that will directly bend the cost curve for all patients across the healthcare ecosystem. Collectively, we’re building best-in-class AI software to provide our customers with co-pilot tools, AI agents, and other cutting-edge solutions to reduce administrative burden and reduce healthcare costs.

We’re a high-growth, venture-backed startup based in NYC and are actively scaling our company.

About the Role

Alaffia’s core value is derived from our health insurance payments data. Development operations and infrastructure is the bedrock part of our platform, and we’re looking for a talented engineer who loves crafting scalable deployment pipelines, configuring auto-scaling server clusters, and architecting networks.

Our internal team, healthcare providers, and insurers use our system daily to accomplish their work. We’re looking for someone who relishes the challenges of implementing CI/CD pipelines to orchestrate a myriad of build tasks, automating infrastructure deployments through programmable templates and maximizing Infra-as-Code, hardening Virtual Private Network access through robust authentication and the latest encryption ciphers, and working with the Engineering team to develop a library of utilities and tools that empower our team to operate masterfully. In this role you’ll have the opportunity to build the bedrock of a healthcare payments platform with real social and economic impact. You’ll be making a dent in the struggles of our nation’s healthcare payments system from your first day.

What You'll Be Doing

• Writing production-level code for our Pulumi infrastructure deployment scripts in Typescript
• Managing AWS and Azure infrastructure
• Managing development and production Kubernetes environments
• Designing new utilities and tools to improve operations such as bash scripts for authentication via SSO and environment configuration for tools like Insomnia, Lens, VSCode and NeoVim
• Implementing CI/CD pipelines using GitHub Actions and self-hosted task runners
• Developing a best-in-class observability stack using Datadog
• Engaging in architectural decisions for data pipelines and horizontal scalability that enable real-time updates for our users and scalability of the platform
• Working closely with our data engineers to implement pipelines using Airflow and Kubernetes
• Defining SLOs/SLAs and improving platform observability

Key Skills & Qualifications

• 5+ years architecting, implementing and scaling cloud hosted and Kubernetes managed workloads
• Cloud development experience with AWS, deep expertise in AWS concepts such as IAM, Route 53 and EKS
• Intimate knowledge and experience implementing and operating CI/CD pipelines using tools such as Github, Jenkins or similar technologies
• Demonstrated experience operating and scaling production systems
• Programming experience in at least one language such as Typescript, Python, Go
• Bash scripting experience
• Experience developing infrastructure as code using Pulumi or similar tools

Proposing and implementing DevSecOps patterns

• Container signing
• Image hardening
• PKI infrastructure and encryption

Deep experience with Kubernetes APIs and design patterns

• Message Queues (Kafka, AMQP, Jetstream) and event driven architectures
• Microservice architectures
• Container based deployments with Docker
• Experience with DNS and secure networking concepts

Demonstrated experience with the following technologies:

• Flux
• Kustomize, Helm and helmfiles
• Github and Github actions

Pluses

• Service mesh experience
• Experience in the Healthcare, Insurance, or Healthcare Payments Industry
• Experience with Software as a Service (SaaS) enterprise systems
• Security and compliance experience (SOC2, HITRUST, Vanta or similar platforms)
• Experience with multi tenant architectures

Our Culture

Alaffia was born out of our founders’ personal connection to the inefficiency of the U.S. healthcare system. We are deeply mission-driven, with an abiding belief that technology can help create a better future for everyone — and we’re looking for others who share our passion for change to join the team.

What Else Do you get?

• Competitive compensation package
• Medical, Dental and Vision benefits
• Flexible, paid vacation
• Work in a flat organizational structure — direct access to Leadership