---
title: 'Senior Back-End Engineer: Infrastructure at Helm Health'
canonical: 'https://feeny.ai/job/senior-back-end-engineer-infrastructure-helm-health-united-states-tkdnppnej5jc'
type: 'job'
last_seen: '2026-09-15'
---

# Senior Back-End Engineer: Infrastructure at Helm Health

- **Company:** Helm Health
- **Location:** United States
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-08-27
- **Last confirmed live:** 2026-09-15
- **Apply:** https://jobs.gem.com/helm-health/am9icG9zdDqAhTcTRQePU7AHdbwWkRgx

## 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 Infrastructure team and report to our Principal DevOps Engineer. You'll focus on platform engineering and DevOps — CI/CD, cloud infrastructure, reliability, and operational tooling. You'll serve as the second engineer on the Infrastructure team, providing cross-coverage, including shared on-call rotation. We're looking for someone with strong backend engineering fundamentals and infrastructure expertise — you should be comfortable reading and reasoning about application code and understanding it in the context of deployed production services.

Responsibilies

- Build and maintain CI/CD pipelines, deployment workflows, and infrastructure automation.
- Manage and scale cloud infrastructure on Google Cloud Platform
- Maintain and extend infrastructure-as-code with Terraform/Terraform Cloud
- Support database operations across PostgreSQL, Redis, BigQuery, Bigtable, and Firestore — including provisioning, scaling, backups, and performance tuning
- Contribute to monitoring, alerting, and observability across production systems
- Participate in on-call rotation and incident response
- Support compliance and security requirements (HIPAA, SOC 2 Type 2)

## Requirements

- 5+ years in backend engineering, with significant infrastructure or DevOps experience
- Strong Terraform/Terraform Cloud experience
- Experience with Docker and Kubernetes in production
- Google Cloud Platform experience
- Hands-on experience operating and scaling databases (relational and NoSQL)
- Experience with CI/CD systems, monitoring, and observability tooling
- Backend engineering fundamentals — you've built and maintained production services, even if infrastructure is now your primary focus

## Preferred Qualifications

- Go proficiency
- Experience with disaster recovery planning and runbook creation
- Healthcare infrastructure experience — HIPAA, SOC 2 Type 2, HITRUST
- Incident management tooling (incident.io or similar)
- Python proficiency
- Start-up experience

Characteristics

- Reliable and detail-oriented — infrastructure mistakes are expensive, and you take that seriously.
- Mission-driven — motivated by making healthcare simpler and more transparent
- Willing to ask questions and admit what you don't know
- Versatile — you're an infrastructure specialist who can context-switch into application-level work when needed

Internal Tools/Technology

- HCP Terraform / Google Cloud Platform
- Cursor / Linear / GitHub / Notion / Whimsical
- Slack / Google Workspace / Zoom
- incident.io / Sentry / Cloudsmith
- 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

- [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 Back-End Engineer: Dynamic Copay Engine](https://feeny.ai/job/senior-back-end-engineer-dynamic-copay-engine-helm-health-united-states-c91q02392xh7) — 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