---
title: 'Senior Back-End Engineer: Dynamic Copay Engine at Helm Health'
canonical: 'https://feeny.ai/job/senior-back-end-engineer-dynamic-copay-engine-helm-health-united-states-c91q02392xh7'
type: 'job'
last_seen: '2026-09-15'
---

# Senior Back-End Engineer: Dynamic Copay Engine at Helm Health

- **Company:** Helm Health
- **Location:** United States
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-03-17
- **Last confirmed live:** 2026-09-15
- **Apply:** https://jobs.gem.com/helm-health/am9icG9zdDq1Q9mG3EZ80IfjMIyRF5FU

## Job description

## About Helm Health

Helm is a Series A start-up transforming health insurance with "Dynamic Copay" – a new insurance plan that lets members 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!

## Role Overview

We're seeking a Senior Backend Engineer to join our Dynamic Copay team. You'll work on our Dynamic Copay Engine — the core component that powers upfront pricing for health plan members. This is a high-impact role where you'll own critical services from day one, working at the intersection of claims processing and real-time pricing logic.

## Team Context

The Dynamic Copay Engine works closely with our Claims Engine team, which owns our claims processing pipeline and adjudication integrations. You'll work closely with the team lead and other engineers to build, scale, and harden the systems that sit at the center of our product.

Responsibilies

- Own the development, testing, and production support of the Dynamic Copay Engine services
- Design and implement pricing logic, rules engines, and configuration systems that power upfront member pricing
- Build and maintain integrations with claims adjudication workflows
- Write performant queries and manage data across PostgreSQL, Redis, and BigQuery
- Collaborate with product and other engineering teams to translate business requirements into reliable, scalable backend services
- Participate in code reviews, architecture discussions, and incident response
- Contribute to the on-call rotation for production systems

## Requirements

- 4+ years building, owning, and maintaining backend services
- 2+ years writing Go
- Strong SQL skills, particularly in PostgreSQL
- Experience with Redis and BigQuery (or similar analytical databases)
- Docker/Kubernetes
- Google Cloud Platform

## Preferred Qualifications

- gRPC/Protobuf experience
- Experience with thorough testing strategies
- Health insurance or claims processing experience
- Terraform/Terraform Cloud
- Python proficiency
- Incident management and response experience
- Startup experience

Characteristics

- Self-directed and comfortable owning a domain end-to-end
- Mission-driven — motivated by making healthcare simpler and more transparent
- Willing to ask questions and admit what you don't know
- Comfortable working in a fast-moving codebase where requirements evolve quickly

Internal Tools/Technology

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

## Compensation

The target base salary range for this position is $150,000 - $225,000 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

- Unlimited PTO (mandatory 12 days)
- Computer + home office stipend
- 401(k) + matching
- Medical, dental, and vision 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.

## About Helm Health

## Company Overview
- **One-liner**: Helm Health powers a new wave of health plans by providing a Dynamic Copay platform that brings simple, upfront prices to members and eliminates deductibles.
- **Entity Type**: Private (Seed stage)
- **Headquarters**: Columbus, Ohio, United States
- **Founded**: 2023
- **Founders**: Brodie Stone, Ross Klosterman

## Core Business
- **Primary industry**: Healthtech / Insurance technology (Embedded Software Products)
- **Target customers**: B2B – TPAs (Third-Party Administrators) and carriers who build Dynamic Copay products for their members
- **Mission or purpose statement**: “Take the confusion out of health insurance by making every service easily shoppable, upfront. Guaranteed.”

## Products & Services
- **[Dynamic Copay]**: A system that adjusts member cost share based on the value of healthcare services, aiming to provide higher benefit coverage and lower total cost of care. (SaaS platform)
- **[Copay Algorithm]**: Dynamically scores healthcare providers and assigns copay levels to them. (Algorithm/API)
- **[Copay Repricer]**: Bundles claims to match the price quoted upfront to the member. (Service/API)
- **[Shopping Tool]**: An intuitive search experience for healthcare services, used by members and navigators. (Application)
- **[Provider Finder Tool]**: Helps users find healthcare providers with regularly updated information from partners. (Informational tool)

## Market Standing
- **Valuation/Market Cap**: Not disclosed (Seed round, amount not publicly available)
- **Key Metric**: Total Funding – Seed round from 1 investor (undisclosed amount)
- **Notable Investors/Partners**: Investor not named; partners include TPAs and carriers (specific names not public)
- **Growth Signals**: Employee headcount grew 61.5% year-over-year (from ~10 to 17-19 employees); remote-first hiring across engineering, product, and executive roles; 75% of care is shopped through the platform, delivering 15% plan savings.

## Competitive Advantages
- **Dynamic Copay model** that uses upfront prices to drive member engagement and decision making, reducing plan costs.
- **Smart claim bundling** preserves provider fee-for-service reimbursement while creating simple, guaranteed prices for members.
- **Value-based coverage** based on provider cost and quality, eliminating deductibles and reducing complexity.
- **Early mover** in a niche combining health insurance transparency with algorithmic pricing.

## Strategic Focus
- **Scale the engineering team** to build out core backend infrastructure, data pipelines, and public-facing APIs.
- **Expand product capabilities** in claims monitoring, self-service configuration, and reporting.
- **Deepen partner integrations** with TPAs and carriers to drive adoption of Dynamic Copay products.
- **Maintain HIPAA compliance** and data governance as the platform grows.

## Why Work Here
- **Remote-first culture** – all current open positions are remote within the United States.
- **Early-stage impact** – join a small, growing team (17-19 employees) where engineers own significant parts of the architecture.
- **Mission-driven** – work on making healthcare pricing transparent and affordable.
- **Modern tech stack** – TypeScript, PostgreSQL, Redis, BigQuery, gRPC, and cloud infrastructure (CI/CD, DevOps).
- **Growth opportunities** – roles span senior to staff levels; company has grown headcount >60% YoY and shows strong product-market fit.
- **Notable perks** – not explicitly listed, but typical of early-stage healthtech startups: equity, flexible remote work, direct influence on product direction.

## Sources
1. [helmhealth.com](https://www.helmhealth.com/)
2. [crunchbase.com](https://www.crunchbase.com/organization/helm-health)
3. [builtin.com](https://builtin.com/company/helm-health/jobs)
4. [linkedin.com](https://linkedin.com/company/pay-with-helm)
5. [gem.com](https://jobs.gem.com/helm-health)

## Other roles at Helm Health

- [Senior Back-End Engineer: Infrastructure](https://feeny.ai/job/senior-back-end-engineer-infrastructure-helm-health-united-states-tkdnppnej5jc) — United States
- [Staff Product Manager: Admin Dashboard & Configuration Engine](https://feeny.ai/job/staff-product-manager-admin-dashboard-configuration-engine-helm-health-united-tpt3pnav91bz) — United States
- [Staff Back-End Engineer: Search APIs](https://feeny.ai/job/staff-back-end-engineer-search-apis-helm-health-united-states-8faygvtjn2mb) — United States
- [Staff Back-End Engineer: Claims Engine](https://feeny.ai/job/staff-back-end-engineer-claims-engine-helm-health-united-states-m6wtswc4zf2q) — United States
- [Chief of Staff](https://feeny.ai/job/chief-of-staff-helm-health-united-states-azn9zmvttx9b) — United States
- [Staff Back-End Engineer: Data](https://feeny.ai/job/staff-back-end-engineer-data-helm-health-united-states-zmzzpt2tfqsr) — United States
- [Senior Full-Stack Engineer I: Self-Service Configuration & Plan Design](https://feeny.ai/job/senior-full-stack-engineer-i-self-service-configuration-plan-design-helm-health-1pgam20yq0m0) — United States
- [Senior Full-Stack Engineer I: Claims Monitoring & Management](https://feeny.ai/job/senior-full-stack-engineer-i-claims-monitoring-management-helm-health-united-drz813dwn6hd) — United States
- [Senior Full-Stack Engineer I: Self-Service Reporting](https://feeny.ai/job/senior-full-stack-engineer-i-self-service-reporting-helm-health-united-states-gsv5gqc0bfsn) — United States