--- title: 'Lead Software Engineer at Nuna' canonical: 'https://feeny.ai/job/lead-software-engineer-nuna-san-francisco-5fqxz9m9xx5d' type: 'job' last_seen: '2026-09-09' --- # Lead Software Engineer at Nuna - **Company:** Nuna - **Location:** San Francisco, CA - **Compensation:** $184k–$230k - **Employment:** full-time - **Work type:** hybrid - **Posted:** 2026-08-13 - **Last confirmed live:** 2026-09-09 - **Apply:** https://jobs.ashbyhq.com/nuna/68c01a78-3844-4a55-abea-83782132146f ## Job description Chronic disease isn't managed in a clinic. It is managed at home, in relationships, in the everyday. What's on the dinner table, what gets said, and who notices when someone's struggling. For the 130 million Americans managing a chronic condition, the healthcare system has offered the same answer for decades: a 15-minute doctor's visit, a pamphlet, and a portal login they'll never use. At Nuna, we are building an AI health coach that shows up like a person who actually has time: available at 3am, infinitely patient, and never behind a waiting room. We use motivational interviewing to help patients and their families see themselves clearly, design experiments that fit their real lives, and navigate a system that has not historically been on their side. We are building from the ground up around a simple belief: patients don't want to be healthy; they want their lives back. We're not competing with other health apps. We're competing with the moment a person gives up on getting better. If that's a problem you want to work on, we'd like to talk. ## YOUR TEAM We are a small team of engineers, designers, product managers, and clinicians who work together to build for both patients and providers. Our products are only as good as the care and science behind them. You will be expected to own real pieces of the product from day one and be responsible for building, shipping, and supporting them in production. ## THE ROLE As a Lead Software Engineer, you own meaningful parts of the product end to end: you design them, build them, ship them, and keep them running. You'll work in the systems at the heart of the coach — the AI and agent logic, the services behind it, the data it depends on — and you'll make the day-to-day architecture and trade-off calls within your domain. You'll do this with a high degree of autonomy, and you'll help raise the bar for the engineers around you. Comfort with ambiguity matters here: the work rarely arrives fully specified. ## WHAT YOU’LL DO - Own meaningful features and services end to end — design, build, ship, and operate them in production - Lead and mentor small teams of engineers - Drive stakeholder alignment between product, design, data and engineering - Make architecture decisions in the systems you work in, including the AI/agent and product systems at the core of the coach - Write high-quality, well-tested, observable code, and help others do the same through reviews and pairing - Treat privacy, security, and the responsible handling of health data as part of doing the job well - Break ambiguous product problems into shippable work, making pragmatic trade-offs to deliver ## WHAT WE’RE LOOKING FOR - Bachelor’s Degree in Computer Science or related field with 6+ years of industry experience - Experience leading small teams of engineers - Strong engineering skills with the ability to own a feature or system end to end — backend services, APIs, and the code that ties them together - Experience operating what you build: testing, deployment, and observability - Comfort with ambiguity within your domain — able to move from a rough problem to a shipped solution - Clear communication and the ability to work well across product, design, and engineering - A genuine interest in improving healthcare alongside an interdisciplinary team Bonus Points - Experience with Kotlin, TypeScript, React, and Flutter - Experience with AI/LLM product systems or agents - You've worked with healthcare data, or in another high-trust, regulated domain - Mobile experience, or experience bridging mobile clients and backend systems - Experience shipping in an early-stage or fast-moving consumer product Nuna is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetics and/or veteran status. ## #LI-LM1 ## About Nuna ## Company Overview - **One-liner**: Nuna builds data-driven products and services that power value-based payment arrangements and facilitate high-value healthcare delivery, including a patient-focused app for managing chronic conditions. - **Entity Type**: Private (venture-backed) - **Headquarters**: San Francisco, California, USA - **Founded**: 2010 - **Founders**: Jini Kim (CEO) and David Chen (CSO) ## Core Business - **Primary industry**: Healthcare IT / Healthcare Data Analytics - **Target customers**: B2B (government health programs such as CMS/Medicaid, health plans, provider networks) and B2C (patients managing chronic conditions) - **Mission statement**: "Make high quality healthcare affordable and accessible for everyone" ## Products & Services - **National Medicaid Data Platform**: The country’s first nationwide Medicaid dataset and data pipeline, built for CMS to enable better insights and value-based care. - **Nuna App**: A patient-focused mobile application that helps manage chronic conditions. Includes an AI coach for personalized wellness guidance, care plan tracking, prescription and lab integration, vital signs monitoring, and secure sharing with doctors. Supported by a Clinical Team that reviews interactions and coordinates care. - **Value-Based Care Platform**: A financial innovation and operating platform for value-based payment arrangements, originally developed in partnership with leading healthcare organizations. ## Market Standing - **Valuation**: Not publicly available - **Key Metric**: Total funding – not disclosed; notable investors include John Doerr (Chairman of Board, Kleiner Perkins), Andy Slavitt (Town Hall Ventures, former Acting Administrator of CMS), and Bing Gordon (venture capitalist). - **Growth Signals**: Started with a team of ~75 people to build the Medicaid dataset; now employs 278 people (2026). Active hiring across Data, Customer Success, Design, and Sales roles. Partnership with CMS to create the first nationwide Medicaid data pipeline. - **Notable Partners**: Centers for Medicare & Medicaid Services (CMS); Town Hall Ventures; Kleiner Perkins. ## Competitive Advantages - **Proven Track Record**: Key team members helped rescue Healthcare.gov in 2013, demonstrating engineering and crisis-response capability. - **Mission-Driven Culture**: Core values include "Every row of data is a life" and "We are all Kimong’s Nuna" – reflecting deep empathy for patients and caregivers. - **Data Moat**: Exclusive access to comprehensive Medicaid data gives Nuna unique insights into underserved populations. - **Clinical Oversight**: The Nuna App includes a licensed Clinical Team that monitors user interactions and ensures medical best practices. - **Privacy & Security**: Strong focus on data security and patient privacy, with clinical oversight safeguarding accuracy. ## Strategic Focus - Scaling the Nuna App to help more patients with chronic conditions manage their health between doctor visits. - Expanding AI-driven coaching and care coordination features to increase patient engagement and adherence. - Deepening partnerships with providers and health plans to extend value-based care infrastructure. - Continuing to serve government healthcare programs (Medicaid, Medicare) with data platforms that improve outcomes and reduce costs. ## Why Work Here - **Culture**: Strong mission-driven environment with values such as "Be the People We Serve" and "Rise by Lifting Others." Emphasis on diversity, equity, and inclusion with employee resource groups. - **Work Flexibility**: Job-specific – some roles are fully remote (e.g., Chief of Staff, Executive Sales Team; Customer Success Director in Chicago), while others are on-site in San Francisco. Hybrid options may be available. - **Benefits** (per careers page and Built In): Unlimited PTO; excellent medical, vision, and dental coverage; 401(k) package; home office stipend; educational credit; generous fitness stipend; mental health resources; commuter benefits; pet-friendly office (SF); company equity; family medical leave and generous parental leave; childcare benefits. - **Engineering Culture**: Emphasis on data engineering, rigorous technical interviews (take-home tests, virtual onsites), and solving complex healthcare data challenges. Innovation is encouraged through lightning talks and coffee chat groups. - **Interview Process**: Typically 2-3 weeks, including recruiter screen, manager screen, technical screen/take-home, and virtual onsite. ## Sources 1. [nuna.com/about-us](https://www.nuna.com/about-us/) 2. [nuna.com/careers](https://www.nuna.com/careers/) 3. [builtin.com/company/nuna-inc](https://builtin.com/company/nuna-inc) 4. [nuna.com](https://www.nuna.com/) 5. 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