Senior Full-Stack Engineer I: Self-Service Configuration & Plan Design

Helm Health

Helm Health

Software Engineering, Design
United States
USD 160k-200k / year + Equity
Posted on Feb 21, 2026
Senior Full-Stack Engineer I: Self-Service Configuration & Plan Design
USA
Engineering
Remote
Full-time

About Helm Health

Helm is a Series A start-up transforming health insurance with "Dynamic Copay" – a new insurance plan that allows members to see simple upfront prices for all medical care before making decisions. Our team is building the infrastructure to power these plans for health insurance payors. With Helm, our clients offer simpler health plans to their members, helping them navigate to higher-value care.
Our team has specialized in Dynamic Copay solutions since 2020, and Helm is the only independent platform in the market. We have grown rapidly since our launch, working with clients from local health plans to the nation's largest health insurers. The market is forming around us, making it an exciting time to join!


The Role

We're seeking a Senior Full-Stack Engineer to build self-service configuration and plan design tools for health plan administrators. You'll be part of a newly forming Integration/Analytics team that will split off from our Frontend team in the coming months, giving you a chance to shape a product area from the ground up.

Team Context

You'll initially report to our Principal Frontend Engineer and work alongside other full-stack engineers. As the Integration/Analytics team takes shape, you'll move under a dedicated team lead. This is a new product area — you'll have significant influence over architecture, UX patterns, and technical direction.


Responsibilities

  • Design and build self-service tools that allow health plan administrators to configure plans, define pricing rules, and manage plan design
  • Develop responsive, accessible frontend interfaces in React/Next.js
  • Build and maintain backend services that support configuration workflows and plan management
  • Integrate with PostgreSQL, BigQuery, and Redis
  • Work with product and design to define user experiences for complex configuration and rules-based workflows
  • Collaborate across engineering teams to ensure configuration changes propagate correctly through downstream systems
  • Participate in code reviews and architecture discussions


Requirements

  • 4+ years building and maintaining modern TypeScript frontend applications
  • Experience building complex form workflows, multi-step configuration UIs, or rule/logic builder interfaces
  • Experience with web accessibility standards (WCAG 2.1 or higher)
  • First-hand experience architecting solutions in React or Next.js
  • Experience with PostgreSQL and at least one analytical data store (BigQuery preferred)
  • Comfort working across the stack — you'll own features end-to-end
  • Docker/Kubernetes
  • Google Cloud Platform

Preferred Qualifications

  • Go experience (or similar strongly-typed compiled languages)
  • Tailwind CSS
  • Experience with web accessibility standards (WCAG 2.1 or higher)
  • Data visualization or reporting product experience
  • Redis experience
  • SQL proficiency beyond basic queries
  • Health insurance or claims processing experience
  • Terraform/Terraform Cloud
  • Start-up experience

Characteristics

  • Self-directed and able to take ambiguous product requirements and turn them into shipped software
  • Mission-driven — motivated by making healthcare simpler and more transparent
  • Willing to ask questions and admit what you don't know
  • Able to translate complex domain logic into intuitive user interfaces

Internal Tools/Technology

  • Cursor / Linear / GitHub / Notion / Whimsical
  • Slack / Google Workspace / Zoom
  • Sentry
  • Claude, ChatGPT, Gemini — we are an AI-forward engineering team
  • macOS / Linux

Compensation

The target base salary range for this position is $160,000 - $200,000 and is part of a competitive total rewards package including equity and benefits. Individual pay may vary from the target range and is determined by several factors, including experience, skills, location, internal pay equity, and other relevant business considerations.


Benefits/Offerings

  • Equity
  • Unlimited PTO (mandatory 12 days)
  • Computer + home office stipend
  • 401(k) + matching
  • Health and dental insurance
  • Autonomy and tons of room for career growth

Occasional Travel

We meet quarterly as a company.
Please note that this is a fully remote opportunity.
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Req ID: R1