--- title: 'Senior Design Engineer at Turquoise' canonical: 'https://feeny.ai/job/senior-design-engineer-turquoise-remote-p5p8qzhbpp1k' type: 'job' last_seen: '2026-10-18' --- # Senior Design Engineer at Turquoise - **Company:** Turquoise - **Location:** Remote - **Compensation:** $172k–$220k - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-08-26 - **Last confirmed live:** 2026-10-18 - **Apply:** https://jobs.ashbyhq.com/turquoise-health/806f5f93-6eb6-4aea-9483-f8f7458e6730 ## Job description This is a fully remote role within the United States. We’re looking for a product-minded Design Engineer to bridge the gap between design intent and the experience we ultimately ship. You’ll evolve Pit Viper, Turquoise Health’s design system and component library, while working directly in product code to improve the usability, consistency, accessibility, and polish of our applications. Pit Viper includes visual foundations, layouts, CSS patterns, and pv-components built with Vue. Those components can also be distributed as native Web Components, allowing us to reuse the system in lighter-weight, server-driven parts of the product powered by Django templates. You’ll help determine what the right interactions should be, implement them in production, and identify when an individual product improvement should become a reusable system capability. Success in this role means being able to demonstrate outcomes such as: - A recurring product pattern that previously required one-off implementations is now supported by a flexible, well-documented pv-component - A critical workflow is materially easier to understand because its interaction, hierarchy, responsive behavior, and edge states have been refined in code - Vue and HTMX-powered product surfaces can use the same components without creating fragmented user experiences - Accessibility, visual consistency, and interaction issues are caught and resolved before release rather than during post-launch cleanup - Product engineers can ship high-quality experiences more quickly because our design system gives them stronger defaults ## Responsibilities - Design, build, test, document, and maintain reusable pv-components within our internal design system (PitViper) - Create thoughtful component APIs, composition patterns, variants, interaction states, and extension points that serve emerging product needs - Ensure components work naturally within Vue applications while remaining useful as native Web Components in HTML and other server-rendered product surfaces - Partner closely with product designers and engineers throughout the development process, from early exploration through production implementation - Work directly in application code to refine layouts, interactions, responsive behavior, typography, spacing, focus management, transitions, and feedback states - Last-mile design delivery: implementation of details that are often missed between a design file and production, including loading, empty, error, success, disabled, hover, and keyboard-navigation states - Review product surfaces for visual, behavioral, and accessibility inconsistencies, then fix them at the appropriate level: within the feature, shared application code, or Pit Viper - Improve the documentation, testing, release processes, and contribution practices that make Pit Viper easier for other teams to adopt ## What you’ll bring to the role - 5+ years building production web interfaces with HTML, CSS, and JavaScript or TypeScript - 1+ years of direct, hands-on experience building or maintaining a design system, component library, or shared UI framework (not just consuming one) - Strong visual and interaction-design judgment. You can recognize why an interface feels unfinished and translate that observation into a concrete implementation - Production-level experience with Vue (or a comparable component framework — React/Svelte/Angular) - Demonstrable experience implementing accessibility standards (WCAG) in shipped components, not just design reviews - A portfolio, or work sample showing before/after component or interaction work (not just visual mockups) Bonus Points - Experience authoring and publishing native Web Components consumed outside their originating framework - Experience working across a mixed-framework stack — a JS framework alongside server-rendered templates (Django, Rails, HTMX, or similar) - Experience contributing to or maintaining a component library used by 10+ other engineers/teams - Familiarity with Storybook, Figma-to-code tooling, or similar design-system tooling - Experience in healthcare, fintech, or another data-dense enterprise product domain ## Benefits - Competitive pay with equity options - Stellar healthcare plan options, including Medical, Dental, and Vision, with FSA, DCFSA, and HSA options - Company-sponsored disability and life insurance - Unlimited PTO - 401(k) with 4% matching - Fully remote work and flexible working hours - $750 work-from-home setup budget - Paid biannual in-person company summits - Quarterly $150 co-hanging stipend to meet with coworkers - Monthly $100 health and wellness benefit - Generous paid family leave - Annual $1,200 learning and development stipend ## About Turquoise Health Turquoise Health is a Series C price transparency platform for finance leaders across healthcare. Backed by a16z, Oak HC/FT, Adams Street, Yosemite, Bessemer Venture Partners, and others, we power price transparency for 300+ enterprise organizations and are building the infrastructure for a more open, efficient healthcare marketplace. We're a remote-first, US-based team that values transparency, empathy, inclusivity, creativity, and ownership. We operate on US business hours and work with clients entirely based in the US. For this role, we are seeking US-based candidates. We strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply for any open roles of interest. Healthcare affects all people differently, but it significantly affects those in underserved communities. With a robust, diverse team, we are stronger and better equipped to change the future of healthcare for all. Work Authorization This role requires current authorization to work in the United States. Turquoise does not sponsor employment visas (H-1B, PERM, etc.) or assume sponsorship of existing visas for this position. Disability Accommodation Email Turquoise is committed to providing reasonable accommodations to applicants and employees with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. If you require assistance or an accommodation with the hiring process, please contact recruiting@turquoise.health Note: All official communication from Turquoise will come from a @turquoise.health email address and all open roles are listed at turquoise.health/careers. We never ask candidates for payment or financial information. If you're contacted by anyone using a different domain, please disregard and report it as spam. ## About Turquoise ## Company Overview - **One-liner**: Turquoise Health provides a platform for prices, contracts, and transactions in healthcare, built for the transparency era, aiming to streamline billing, coverage, and payment between providers, payers, and patients. - **Entity Type**: Private (Series C) - **Headquarters**: San Diego, California, USA - **Founded**: 2020 - **Founders**: Chris Severn (CEO) and Adam Geitgey (CTO) ## Core Business - **Primary industry/industries**: Healthcare Technology (HealthTech), Healthcare Pricing & Payments - **Target customers**: B2B – Healthcare providers (hospitals, health systems), payers (insurance companies), employers, and life sciences organizations. - **Mission or purpose statement**: "To build a waste-free healthcare transaction—a cleaner, simpler interaction between providers, payers, and patients." The company aims to replace ambiguity with clarity, fragmentation with standardization, and opacity with transparency. ## Products & Services - **Turquoise Platform**: A SaaS platform that serves as the infrastructure for healthcare pricing, contracts, and transactions. It helps providers get paid upfront, payers get better forecasting, and patients get clear, predictable pricing. - **Contract Management & Negotiation**: Tools to manage and negotiate contracts with payers, including AI-powered extraction of language and rates from unstructured data, and creating reports in minutes. - **Price Transparency & Data**: Aggregates and organizes pricing data released under federal transparency rules, allowing users to compare prices and negotiate with confidence. - **Rate Intelligence**: Provides competitive rate intelligence to help organizations negotiate from a position of knowledge. ## Market Standing - **Valuation/Market Cap**: Not publicly disclosed. - **Key Metric**: Raised a $40M Series C (date not specified in search results, but recent). Serves 300+ enterprise healthcare organizations. - **Notable Investors/Partners**: Backed by prominent investors including a16z (Andreessen Horowitz), Oak HC/FT, and Adams Street. Partners include UNC Health and other forward-thinking healthcare organizations. - **Growth Signals**: The company is hiring across multiple roles (Engineering, Sales, Customer Success, Strategy & Operations), indicating growth. They have a 6-12 month track to Customer Success Manager (CSM) with their CS Associate Program. They are expanding into life sciences and medical devices. ## Competitive Advantages - **First-mover in transparency era**: Built specifically for the post-federal transparency rule landscape, positioning them as a neutral, data-driven marketplace. - **Platform approach**: Combines pricing data, contract management, and transaction processing in one platform, reducing fragmentation. - **AI-powered capabilities**: Uses AI to extract language and rates from unstructured data, turning it into actionable intelligence. - **Strong network effects**: As more providers and payers join, the data and intelligence become more valuable, creating a moat. - **Focus on reducing admin waste**: Claims to reduce administrative waste through improved expected-to-actual modeling, a massive pain point in healthcare. ## Strategic Focus - **Current priorities**: Expanding platform capabilities (e.g., into life sciences, medical devices), deepening AI integration for contract analysis and rate intelligence, and scaling the customer base (300+ enterprise organizations). - **Direction for growth**: Building a "waste-free healthcare transaction" by standardizing and streamlining the entire payment process, from pricing to payment. They are focused on making healthcare payments predictable, explainable, and fast. ## Why Work Here - **Culture highlights**: Values include Transparency, Empathetic & Inclusive, Courageously Optimistic, Building Smart, and Having Fun. They emphasize a diverse, balanced team and strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply. - **Remote/hybrid/office policy**: Fully remote, US-based company. They offer a remote-first culture with flexible hours, a home office stipend, and bi-annual offsites and team co-working weeks. - **Notable perks or engineering culture**: - **Compensation**: Competitive, transparent compensation plus a 401(k) with a 4% company match and equity. - **Benefits**: Comprehensive medical, dental, and vision coverage, flexible spending accounts, monthly wellness stipend, and generous paid family leave. - **Time off**: Generous company holidays, discretionary PTO. - **Learning**: Annual $1,200 Learning & Development stipend. - **Engineering**: Work on modern, cloud-native infrastructure at scale; small, high-trust teams with real autonomy and ownership; ship features that directly impact enterprise healthcare orgs. - **Impact**: Solve healthcare's hardest problems across software engineering and data science. ## Sources 1. [turquoise.health](https://www.turquoise.health/) 2. [turquoise.health/careers](https://turquoise.health/careers) 3. [turquoise.health/about-us](https://turquoise.health/about-us) 4. [linkedin.com/company/turquoise-health](https://www.linkedin.com/company/turquoise-health) 5. [datanyze.com](https://www.datanyze.com/companies/turquoise/546639673) ## Other roles at Turquoise - [Senior Solutions Engineer, Consumer](https://feeny.ai/job/senior-solutions-engineer-consumer-turquoise-remote-xxavb671x5nv) - [Senior Software Engineer, Transactions](https://feeny.ai/job/senior-software-engineer-transactions-turquoise-remote-eerg9p3wb4xc) - [Senior Application Security Engineer](https://feeny.ai/job/senior-application-security-engineer-turquoise-remote-3qqmgryyyvpq) - [Brand Designer](https://feeny.ai/job/brand-designer-turquoise-remote-pnpz5zzkjqqq) - [Software Engineer II, Frontend-leaning](https://feeny.ai/job/software-engineer-ii-frontend-leaning-turquoise-remote-1r2jeyrjydd6) - [Platform Operations Engineer](https://feeny.ai/job/platform-operations-engineer-turquoise-remote-yc6nk62r9d7d) - [Senior Sales Enablement Manager](https://feeny.ai/job/senior-sales-enablement-manager-turquoise-remote-56m3gq0c0pe6) - [Strategy & Operations Director, Employer](https://feeny.ai/job/strategy-operations-director-employer-turquoise-remote-yn02jcj35x34) - [Senior/Staff Product Manager, Contracts](https://feeny.ai/job/senior-staff-product-manager-contracts-turquoise-remote-35fjkkg86db3) - [Senior Performance Engineer, Data Products](https://feeny.ai/job/senior-performance-engineer-data-products-turquoise-remote-48ek9jkxhf5x)