---
title: 'Full Stack Engineer at Arbital Health'
canonical: 'https://feeny.ai/job/full-stack-engineer-arbital-health-san-francisco-bbpkwmt9recg'
type: 'job'
last_seen: '2026-10-15'
---

# Full Stack Engineer at Arbital Health

- **Company:** Arbital Health
- **Location:** San Francisco, CA
- **Compensation:** $150k–$170k
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-08-19
- **Last confirmed live:** 2026-10-15
- **Apply:** https://jobs.lever.co/arbitalhealth/609c9994-ccdc-4a2e-b34d-c25cfdccb0c6

## Job description

Arbital Health is a rapidly growing healthcare technology and actuarial leader that centralizes, measures, and adjudicates value-based care contracts at scale.  We enable payers and providers to design, measure, and execute value-based agreements with greater transparency, efficiency, and financial predictability. We invest in hiring high potential and humble individuals who thrive in fast-paced environments and can rapidly grow their responsibilities as we continue to accelerate our growth.

We were co-founded by Brian Overstreet and Travis May (founder & former CEO of LiveRamp and Datavant, the two biggest data companies of the last 20 years), and are backed by Transformation Capital, Valtruis and other leading investors. In our first 2 years, Arbital Health has established itself as a trusted partner for over 40 payers, providers, and other stakeholders looking to navigate the complexities of risk-based contracting.

We are looking for a Full Stack Engineer that will work across our product stack — from React components to API routes to the SQL queries behind them — owning features end to end, from design through production. You'll work in an AI-native environment -- fluency with AI coding tools isn't just a nice-to-have; it's how we ship fast without sacrificing quality. You will have real ownership early: you will be trusted to take a well-scoped problem and run with it.  This is a strong fit if you care about the craft of building interfaces people actually enjoy using, and you want to go deep on a genuinely hard problem space: making complex healthcare and financial data legible. If you thrive in a fast-paced environment and communicate clearly with both engineers and other internal teams, this is the perfect opportunity for you!

What you'll do: ●    Turn dense actuarial and financial output into interfaces that are clear at a glance, including data tables, charts, and exports that hold up under real-world data volumes and actuarial scrutiny ●    Build customer-facing and internal interfaces in our Next.js and React application — the product our customers use to design and monitor the performance of their value-based care contracts ●    Design and implement the API routes that power those features, working with high volumes of complex healthcare data ●    Work closely with our Product, Design, and actuarial science teams to bring their models and designs to life in the product ●    Write tests, review teammates’ code, and help keep the codebase something the team is glad to work in

What you bring: ●    2-5 years of professional full-stack development experience ●    A track record of shipping features to production that real users depend on ●    Strong fundamentals in TypeScript, Python, and React — you understand component design, state, and rendering behavior, not just the syntax ●    Able to work entrepreneurially: self-motivated, ambitious, and comfortable in a rapidly changing, ambiguous start-up environment ●    Prior healthcare experience is a plus ●    Startup experience is a plus

Tools we use: ●    Python, R, SQL, Next.js, React, TypeScript, Tailwind CSS, FastAPI ●    Claude, Cursor ●    Infrastructure: AWS, Databricks, PostgreSQL, Airflow ●    Version Control: GitHub ●    Team Planning: Jira, Confluence

Why Join Us? We are assembling a team of creative, talented visionaries seeking to build a new technology that will change healthcare. You will be able to learn, build, and scale our team and technology in a collaborative, creative culture that values every team member.

We Offer:

- Generous equity grants of ISO stock options
- We offer an exceptional benefits package with high employer-paid contributions for health, dental, and vision insurance
- 4% 401(k) match
- Flexible PTO, a weeklong winter shutdown, and 10 holidays each year
- Occasional travel required - Quarterly team offsites
- The opportunity to build a critical software platform that accelerates the American healthcare system's transition to value-based care

Work Authorization

- Applicants must be legally authorized to work in the United States for the duration of their employment.
- This position is not eligible for employer-sponsored immigration sponsorship, now or in the future. • Applicants must be able to work in the United States without requiring employer sponsorship.

## About Arbital Health

## Company Overview
- **One-liner**: Arbital Health provides an AI-powered platform and actuarial expertise to help healthcare payers and providers manage value-based care risk contracts.
- **Entity Type**: Private (Series B, $41M total funding)
- **Headquarters**: San Francisco, California, United States
- **Founded**: 2023
- **Founders**: Travis May and Brian Overstreet

## Core Business
- **Primary industry**: Healthcare technology, value-based care contracting, actuarial services.
- **Target customers**: Payers, providers, accountable care organizations (ACOs), digital point solutions, home health providers, and other value-based care stakeholders.
- **Mission or purpose**: To accelerate the shift to value-based care by providing the critical infrastructure for providers and payers to successfully manage risk-based contracts.

## Products & Services
- **Actuarial AI Platform**: A centralized SaaS platform that unifies claims, benchmark, utilization, and contract data, enabling real-time performance monitoring, forecasting, and proactive contract management. Includes **Merlin AI**, an embedded conversational actuarial AI assistant that answers questions, explains performance drivers, and recommends actions.
- **Actuarial Consulting Services**: Expert team of credentialed actuaries who support the creation, measurement, and optimization of risk-based contracts, including actuarial analysis, medical economics, and data science.
- **Adjudication Platform**: Automates value-based contract adjudication at scale, enabling secure data sharing and contract reconciliation across systems.

## Market Standing
- **Valuation/Market Cap**: Not disclosed.
- **Key Metric**: Total funding of **$41M** (Series A $10M in January 2024, Series B $31M in August 2025).
- **Notable Investors/Partners**: Lead investors: **Transformation Capital** (Series A), **Valtruis** (Series B). Participants: **Shaper Capital**, **Healthy Ventures**. Also acquired **Santa Barbara Actuaries** and a value-based care actuarial team.
- **Growth Signals**: Headcount grew **59.2% YoY** to 62 employees (as of Sep 2026). 25 credentialed actuaries on staff. New product launches (Adjudication Platform, Actuarial AI). Strong follow-on funding ($31M Series B).

## Competitive Advantages
- **Neutral third-party position**: Serves as an unbiased source of truth between all stakeholders in a risk contract, mitigating conflicts of interest.
- **Deep actuarial expertise**: Combines AI technology with a large team of healthcare actuaries (25 credentialed) who bring decades of domain knowledge.
- **Proven ROI**: Claims a **6:1 return on investment** for clients by reducing medical loss ratio (MLR) and cost of care while improving quality measures.
- **Integrated platform**: Unifies fragmented data sources (claims, benchmarks, contracts) without requiring changes to existing data warehouses.

## Strategic Focus
- **Scale AI adoption**: Continue embedding Actuarial AI across the platform to increase productivity and real-time risk management.
- **Expand customer base**: Grow relationships with payers, providers, and value-based care enablers; target VP of Payer Sales and VP of Customer Success roles.
- **Talent acquisition**: Hiring for senior data engineers, platform architects, actuaries, and product managers to support growth.
- **Geographic expansion**: Remote work from 10 states, with offices in San Francisco and Santa Rosa; potential to expand footprint.

## Why Work Here
- **Culture**: Described as a team of “smart, nice, and get things done” people. Emphasizes collaboration, board games, and a competitive yet friendly environment.
- **Remote/Hybrid**: Flexible hybrid work model; remote from 10 states (San Francisco HQ with hybrid option).
- **Perks & Benefits**: Generous medical, dental, and vision; 4% retirement match; paid parental leave; flexible PTO including a winter closure.
- **Equity**: All employees are equity holders, aligning with ambitious growth strategy.
- **Diversity**: Celebrates diversity and is committed to an inclusive, discrimination-free environment.
- **Impact**: Mission-driven work to transform healthcare incentives and improve patient outcomes.

## Sources
1. [arbitalhealth.com](https://arbitalhealth.com/about-us) – About page, company mission, funding, acquisitions, benefits, team stats.
2. [arbitalhealth.com](https://arbitalhealth.com/) – Homepage, product details, ROI claims, Actuarial AI features.
3. [arbitalhealth.com](https://arbitalhealth.com/careers) – Careers page, culture, perks, equity, diversity commitment.
4. [jobs.lever.co](https://jobs.lever.co/arbitalhealth) – Open positions (Senior Data Engineer, Platform Architect, VP Customer Success, etc.).
5. [linkedin.com](https://www.linkedin.com/company/arbital-health) – LinkedIn company page, headcount, funding rounds, key executives, talent sources, department breakdown.

## Other roles at Arbital Health

- [Sr. Product Manager, Contract Financials](https://feeny.ai/job/sr-product-manager-contract-financials-arbital-health-san-francisco-9aafgns2cetz) — San Francisco, CA
- [Events & Experiences Manager](https://feeny.ai/job/events-experiences-manager-arbital-health-remote-65hdfbc7twrn)
- [Vice President, Payer Sales](https://feeny.ai/job/vice-president-payer-sales-arbital-health-remote-bw0g2g7jpajh)
- [Actuary/Senior Actuary, Consulting Practice](https://feeny.ai/job/actuary-senior-actuary-consulting-practice-arbital-health-remote-cjxmgv8s8ekm)
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