---
title: 'Engineer, Claims Platform at recoursehealth.com'
canonical: 'https://feeny.ai/job/engineer-claims-platform-recoursehealth-com-san-francisco-tjmz9sxpfc1w'
type: 'job'
last_seen: '2026-09-12'
---

# Engineer, Claims Platform at recoursehealth.com

- **Company:** recoursehealth.com
- **Location:** San Francisco, CA
- **Compensation:** $140k–$180k
- **Employment:** full-time
- **Work type:** onsite
- **Posted:** 2026-04-21
- **Last confirmed live:** 2026-09-12
- **Apply:** https://jobs.gem.com/recoursehealth-com/am9icG9zdDrdmELK2rDaqwoxn50pCZLA

## Job description

Build the system that moves a claim from a messy remittance file to money in a provider's account.

## Why This Exists

A federal arbitration system called Independent Dispute Resolution, or IDR, now determines billions of dollars in healthcare payments each year. Providers win the vast majority of disputes, yet most eligible claims are never filed. The process is manual, fragmented, and resource-intensive, and most providers don't have the infrastructure to pursue what they're owed.

The No Surprises Act created the framework, and the market already exists. Today it runs on spreadsheets, consultants, and static playbooks. We're building the first intelligent system designed to operate inside it.

The platform is the company. Every claim moves through an eight-stage workflow, from intake through eligibility, evidence packaging, submission, and resolution. When it works, providers get paid. When it breaks, they don't.

## Why This Is Hard (and Interesting)

This is not clean CRUD SaaS.

Claims data is inconsistent and domain-heavy. Payers adapt. Deadlines cascade, and missing one loses a case on procedure regardless of merit. Audit trails matter because this is a regulated environment handling PHI. The same EOB parsed twice needs to produce the same answer, every time, or the whole thing is untrustworthy.

You'll work across the stack: data ingestion, LLM-powered reasoning, workflow orchestration, and product UI. Not siloed into one layer.

And the system has to be right. A bug here doesn't degrade an experience, it costs a provider real money or gets a dispute thrown out.

## Who We Are

Recourse is being built in partnership with 25M Health, a healthtech venture firm. We have institutional backing, a shared platform team spanning engineering, strategy, design, and back-office, and early access to large provider systems.

We are actively filing disputes for real customers, including a large multi-facility health system and a litigation-finance partner with hundreds of millions in claim value. This is a funded, validated opportunity with real customers and real data.

We are a small, nimble team. We move quickly and we value clarity over theater. We want this to be the best work of your career. The stretch you look back on as the one where you shipped real things, with people who raised your game, on something that mattered.

We care about clear thinking, high ownership, intellectual honesty, and direct communication. We believe operations, product, and engineering should operate as one pod, not three functions. We want the machines to do machine work, and the humans to do their best work.

## The Role

You'll build the core claims platform alongside our Head of Engineering. You will:

- Ship features across the stack: backend services, LLM integrations, workflow orchestration, and product UI
- Own pieces of the eight-stage claim workflow and the state machine that drives it
- Build the eligibility engine, the logic that decides whether a claim can go to arbitration at all
- Work directly with the people running claims. Their feedback is your backlog, and they sit next to you
- Build for a regulated environment where correctness, auditability, and financial impact are tightly coupled
- Take real ownership of production: observability, quality, and fixing what breaks
- Use AI tooling as a core part of how you ship, not as a novelty

We build with Claude Code daily and run a Codex review pass on every slice. The stack is TypeScript, Next.js, Prisma, and PostgreSQL on Google Cloud, with LLM reasoning throughout.

## Who You Are

You are a strong generalist. Comfortable jumping between backend, frontend, data, and AI integration. You may not be an expert in every layer, but you pick up what you need to ship the thing.

You are AI-pilled. You've used AI tools to ship real work and you have opinions about which ones are useful and which are hype. You stay current because the world is changing and you want to see the next shift before anyone else.

You have a bias to action. You don't default to no. Speed of iteration over polish of iteration. You start, you learn, you fix things in motion. Most decisions are reversible and do not need extensive study.

You care about the craft. You write code you would be comfortable handing to anyone else. You think about the reader of your code, not just the compiler. You leave the codebase better than you found it.

You are intellectually honest. You ask questions when you don't understand something. You say so when you're wrong. You use plain language. You respectfully challenge decisions you disagree with, and once a decision is made, you commit.

You put the team first. You are reliable and fully invested. You take your vacations. You check on your teammates. You help build a culture where people do their best work because they are supported, not squeezed.

## What You Bring

- 4+ years building and shipping production software, full-stack exposure preferred
- Comfort with TypeScript, Node, a modern frontend framework, and SQL. The specific stack matters less than the ability to pick things up
- Meaningful hands-on experience integrating LLMs into real products, not just trying the playgrounds
- Strong instincts for data modeling, API design, and the difference between a clean abstraction and an over-engineered one
- Experience building in regulated or security-sensitive environments (HIPAA, SOC 2, PCI, financial controls) is a plus
- A preference for small teams and early-stage chaos over mature org charts

Strong plus, not required: healthcare data experience (claims, EDI, HL7/FHIR, clearinghouses). We'll teach the domain to the right person.

Sound judgment, technical depth, and ownership mindset are required. Grit matters more than pedigree.

## Why This Role

You'll ship product that moves money for real providers, and you'll see it happen. Not a metric on a dashboard. Actual dollars recovered for a hospital that had written them off.

You'll also work in a domain that's genuinely interesting to build in. Adversarial counterparties, cascading deadlines, messy real-world data, and a decision engine where intelligence directly determines financial outcomes. Very few product problems have that shape.

If you want this to be the most memorable stretch of your career, where you shipped something real, with a team you respected, in a domain that actually matters, this is the seat. Please apply even if you don't fit 100% of these requirements. We would like to talk.

## Equal Opportunity

Recourse is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We believe the best teams are built from people with different backgrounds and perspectives, and we're committed to creating an environment where everyone can do their best work.

## About recoursehealth.com

## Company Overview
- **One-liner**: Recourse Health provides an AI-powered claims-intelligence platform that automates the end-to-end federal Independent Dispute Resolution (IDR) process for healthcare providers, optimizing disputes for dollars recovered rather than win rate.
- **Entity Type**: Private (Seed stage)
- **Headquarters**: San Francisco, California, USA
- **Founded**: 2026
- **Founders**: David Hegarty (CEO & Founder)

## Core Business
- Primary industry/industries: Healthcare Technology (Healthcare IT), Claims Management, Revenue Cycle Management
- Target customers: Healthcare providers (physician groups, hospitals), particularly those navigating the federal IDR process created by the No Surprises Act (B2B).
- Mission or purpose statement: To run federal IDR for physician groups and optimize every filing for dollars recovered, lowering the filing threshold and maximizing recovery per claim.

## Products & Services
- **Recourse Claims Intelligence Platform**: A SaaS platform that uses AI and large language models (LLMs) to automate the entire IDR workflow. It ingests standard 837/835 claims data, confirms eligibility, maps deadlines, and prioritizes disputes with the highest recovery potential.
- **Claims Intelligence**: An AI-powered module that analyzes claims and remittance data to guide the offer and supporting evidence for each dispute.
- **Submission Intelligence**: An automated module that assembles the evidence package, addresses statutory factors, and files the complete IDR submission on time.
- **Recovery Intelligence**: A dashboard for tracking every active dispute, dollar at stake, and recovery outcome, with the system learning from each result.
- **CMS Filing Benchmark**: A free service that reviews a provider's public CMS filing record and compares their performance against 632 high-volume filers.

## Market Standing
- **Valuation/Market Cap**: Not publicly disclosed.
- **Key Metric**: The company is venture-backed, having raised a **Seed VC** round. Lead investor is **25Madison**.
- **Notable Investors/Partners**: **25Madison** (lead investor).
- **Growth Signals**: A very early-stage startup (founded in 2026) that has already secured venture funding and launched a live product. The company is addressing a specific, high-stakes pain point created by a federal regulation (No Surprises Act), with a clear value proposition tied to recovery dollars. The CEO has a strong background, having previously founded Nutshell Labs and held roles at Credit Karma, Opendoor, and Microsoft.

## Competitive Advantages
- **Outcome-Focused Approach**: The company explicitly differentiates itself from competitors by optimizing for "dollars recovered" rather than the industry-standard metric of "win rate." They claim that across 5.7 million decided claim lines, the highest-win-rate filers recover the least money per dollar offered.
- **End-to-End Automation**: Recourse automates the entire IDR lifecycle, from eligibility finding to submission and tracking, which they claim makes smaller claims economical to pursue.
- **Low-Friction Integration**: The platform works from existing 837 and 835 files that providers already produce, requiring no new system of record.
- **Contingency-Based Pricing**: The company's compensation comes only from the recovery they create, aligning their incentives directly with the client's financial outcomes.
- **AI/LLM Powered Reasoning**: Uses advanced reasoning to strengthen the "ask" and the evidence behind it, providing auditability and compliance.

## Strategic Focus
- **Scaling Engineer & Growth Team**: The company is actively hiring for roles like **Engineer, Claims Platform** and **Growth Analyst, Market Intelligence**, indicating a dual focus on product development and market expansion.
- **Expanding Claim Coverage**: The first lever of their strategy is to lower the filing threshold, allowing providers to pursue a larger pool of eligible claims.
- **Increasing Recovery per Claim**: The second lever is to strengthen the filing strategy to increase the value of each completed dispute.

## Why Work Here
- **Early-Stage Impact**: As a seed-stage startup founded in 2026 with 1-10 employees, new hires will have a massive impact on the product, culture, and direction of the company. You work directly with the founder.
- **High-Stakes Problem**: The work directly addresses a complex, federally-mandated process (the No Surprises Act), helping healthcare providers recover millions in disputed payments. The work is meaningful and quantifiable.
- **Remote-First Culture**: The company operates with a remote workspace, though there is a presence in San Francisco, CA. The careers page lists roles as "In-Office or Remote," suggesting flexibility.
- **Strong Founder**: David Hegarty (CEO & Founder) has a proven track record with experience at Credit Karma, Opendoor, and Microsoft, and is currently the sole executive. Working here means learning directly from a seasoned founder.
- **Technology Stack**: The company is building with AI and LLMs, offering a modern and challenging technical environment.
- **Perks**: Specific perks are not listed, but as a VC-backed startup, standard benefits (equity, health, etc.) are likely.

## Sources
1. [recoursehealth.com](https://www.recoursehealth.com/)
2. [builtin.com](https://builtin.com/company/recourse-health)
3. [cbinsights.com](https://www.cbinsights.com/company/recourse-health)
4. [linkedin.com](https://linkedin.com/company/recoursehealth)
5. [cbinsights.com (People)](https://www.cbinsights.com/company/recourse-health/people)
6. [gem.com (Careers Page)](https://jobs.gem.com/recoursehealth-com)

## Other roles at recoursehealth.com

- [Growth Analyst, Market Intelligence](https://feeny.ai/job/growth-analyst-market-intelligence-recoursehealth-com-san-francisco-jz277amebapb) — San Francisco, CA
- [Growth Lead, Provider Pipeline](https://feeny.ai/job/growth-lead-provider-pipeline-recoursehealth-com-san-francisco-j0j55205305g) — San Francisco, CA
- [Provider Partnerships Lead](https://feeny.ai/job/provider-partnerships-lead-recoursehealth-com-san-francisco-zsf84430pc6s) — San Francisco, CA
- [AI Engineer, Decision Intelligence](https://feeny.ai/job/ai-engineer-decision-intelligence-recoursehealth-com-san-francisco-6665xenhts39) — San Francisco, CA
- [Engineer, Data & Integrations](https://feeny.ai/job/engineer-data-integrations-recoursehealth-com-san-francisco-qfbcxyhjpmcz) — San Francisco, CA
- [Lead, State Arbitration](https://feeny.ai/job/lead-state-arbitration-recoursehealth-com-san-francisco-hpbhhjqy1jfv) — San Francisco, CA
- [Analyst, Payer Strategy](https://feeny.ai/job/analyst-payer-strategy-recoursehealth-com-san-francisco-p0z3wc7b3zyk) — San Francisco, CA
- [Head of Product](https://feeny.ai/job/head-of-product-recoursehealth-com-san-francisco-dc7q6p07aj30) — San Francisco, CA
- [IDR Analyst](https://feeny.ai/job/idr-analyst-recoursehealth-com-san-francisco-4qtnc9hkfwfm) — San Francisco, CA