Syndesus, Inc.

Staff Backend SWE - Billing Platform

Syndesus, Inc.  •  Remote  •  1 day ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

Staff Backend Software Engineer — Revenue Cycle Management

Our VC-backed, Unicorn-level US client is building the next generation of intelligent billing infrastructure for independent healthcare providers — a cloud-native, AI-native platform designed to eliminate the manual complexity of US medical billing and get providers paid faster. This is a greenfield build with real urgency, a talented team, and meaningful skin in the game for everyone involved.

We're looking for a Staff Backend Software Engineer with deep Java expertise and genuine AI fluency to join theirRevenue Cycle Management team. You'll be a core technical leader on a small, senior team building a new billing system from the ground up — one where AI isn't bolted on after the fact but baked into the architecture from day one.


What you'll be doing
  • Designing and building the backend services that power a new AI-native billing platform, hosted on GKE and built cloud-native from the ground up
  • Integrating LLMs, ML models, and external AI services into billing workflows — with proper observability, fallback behaviour, and human review where appropriate
  • Identifying and implementing practical AI opportunities across the SDLC: summarization, extraction, classification, recommendation, and workflow automation
  • Partnering closely with a principal frontend engineer and cross-functional teams (product, design, data, operations) to turn complex billing pain points into scalable solutions
  • Leading code reviews, establishing engineering best practices, and mentoring junior and mid-level engineers
  • Contributing to technical direction and architecture decisions for a platform with a real end-of-year launch target


What we're looking for
  • 8+ years of professional software engineering experience
  • Strong, production-depth Java and Spring Boot — this is their core backend language and a hard requirement
  • RESTful APIs and microservices architecture at scale
  • Hands-on React and frontend fluency — you're comfortable owning frontend work, not just aware of it
  • Cloud platform experience: GCP preferred, AWS or Azure also fine; you understand cloud-native architecture in practice
  • Containers, Kubernetes, CI/CD pipelines (Jenkins, Harness, Docker) — not just awareness, actual production use
  • Database depth across relational and NoSQL: MySQL, PostgreSQL, MongoDB, DynamoDB
  • You use AI tools every day across your full workflow — research, debugging, code generation, deployment. This isn't a nice-to-have; it's how they work and how they expect this person to work


What will make you stand out
  • Recent TypeScript or Node.js experience alongside your Java background — they're evolving ther stack and that combination is genuinely valuable there
  • Prior exposure to US healthcare billing, claims processing, or RCM — the domain has a steep learning curve and prior knowledge meaningfully accelerates impact
  • Experience building production AI-enabled services — agentic workflows, LLM integration, evaluation frameworks, not just using Copilot
  • Track record of greenfield platform delivery with real deadlines and real stakes


The role
Fully remote. You'll report directly to the engineering leader (Sr Director) for this team. This is a high-ownership, high-impact seat on a small team with a tight timeline — the right person will have the technical depth to lead from day one and the mindset to thrive in a build environment.

Syndesus, Inc.

About Syndesus, Inc.

Syndesus builds engineering teams in Canada for VC-backed startups in the US, and offers Professional Employer Organization (PEO) services for US companies seeking to employ workers remotely in Canada.

Additionally, Syndesus can assist foreign-born tech workers (and their U.S. employers) with options for working remotely in Canada if they cannot stay in the U.S. due to immigration/work visa issues.

Learn more at syndesus.com

Industry
Consulting & Advisory
Company Size
11-50 employees
Headquarters
Toronto, CA
Year Founded
2014
Social Media