Backend Engineer: US & Canada

WE'RE BUILDING A NEW HEALTHCARE CLEARINGHOUSE Stedi is building the first new healthcare clearinghouse in decades. In the healthcare sector, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. Clearinghouses process the majority of these transactions, offering consolidated connectivity to carriers and providers. Until Stedi, the space was occupied entirely by a small group of legacy players, built on outdated, often pre-internet technology. Stedi is the world's only programmable healthcare clearinghouse. By offering modern API interfaces alongside traditional real-time and batch EDI processes, we enable both healthcare technology businesses and established players to exchange mission-critical transactions. Our clearinghouse product and customer-first approach have set us apart. Stedi was ranked by Ramp https://ramp.com/data/top-saas-vendors-on-ramp-march-2026 as one of the fastest-growing SaaS vendors. We have lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting the company’s infrastructure; passion for automation and eliminating toil; $142 million in funding from top investors like Stripe, Addition, USV, Bloomberg Beta, First Round Capital, and more. To learn more about how we work, watch our founder Zack’s interview with First Round Capital https://www.youtube.com/watch?v=IO6sR-i5rSs. WHAT WE’RE LOOKING FOR Stedi is the world's only programmable healthcare clearinghouse. By offering a modern API interface for running eligibility checks, processing claims, and ingesting ERAs, healthcare technology businesses can exchange transactions with payers without dealing with the EDI protocol or carrier-specific connectivity. As we continue to scale, we are looking for an experienced backend engineer to join our engineering team to build our healthcare APIs and extend existing systems. HOW WE BUILD - We use AWS exclusively for our customer-facing backend infrastructure. We use tools like GitHub, Stripe, and PagerDuty, but all of our application work happens on AWS.  - We use serverless technologies almost exclusively: Lambda, API Gateway, SQS, SNS, DynamoDB, Aurora Serverless,  and more. We don’t run a single server. - We use CDK (TypeScript) to define infrastructure as code. - We write the majority of our API backends and EDI parsing engine in Rust. WHAT YOU'LL DO - Design and develop complex, large-scale web applications and APIs - Work closely with AWS to improve our understanding and use of their services - Contribute to a culture of engineering excellence and rigor through both coding and writing high-quality, effective communication - Build the highest quality, broadest-reaching commercial trading network at the lowest possible price for our customers WHO YOU ARE  - 4+ years of coding experience, previous work in Rust and TypeScript is beneficial - 4+ years working with AWS services - Committed to working with AWS serverless offerings in a production environment - Ability to prioritize your work based on the needs of the business and the customers - High bandwidth; thoughtful attention to many areas simultaneously - Ability to context switch throughout the course of the day or week as priorities shift - Philosophical alignment with the Stedi Standards https://www.stedi.com/careers We’ve been made aware of individuals impersonating the Stedi recruiting team. Please note: - All official communication about roles at Stedi will only come from an @stedi.com http://stedi.com email address, or from our official identification verification partner, Persona, @frompersona.com http://frompersona.com. - If you’re unsure whether a message is legitimate or have any concerns, feel free to contact us directly at careers@stedi.com. We appreciate your attention to this and your interest in joining Stedi. At Stedi, we're looking for people who are deeply curious and aligned to our ways of working. You're encouraged to apply even if your experience doesn't perfectly match the job description.