---
title: 'Senior Full Stack Engineer at XO Health Inc.'
canonical: 'https://feeny.ai/job/senior-full-stack-engineer-xo-health-inc-india-fce7dz8djwq6'
type: 'job'
last_seen: '2026-09-10'
---

# Senior Full Stack Engineer at XO Health Inc.

- **Company:** XO Health Inc.
- **Location:** India
- **Compensation:** INR 2.5M–INR 3.5M
- **Work type:** remote
- **Posted:** 2026-07-24
- **Last confirmed live:** 2026-09-10
- **Apply:** https://job-boards.greenhouse.io/xohealthinc/jobs/5195145007

## Job description

XO Health believes healthcare is fixable. Become part of the community changing the face of the industry.

XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone – from those who receive care, to those who deliver it, to those who pay for it.

We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation.

Senior Full Stack Engineer - India (Remote)

About the Role:

XO Health is seeking a Senior Software Engineer for building applications that enable a Provider’s experience. This position will be responsible for the full stack design, development, testing, documentation, and analysis of features utilizing .Net, Angular, GraphQL, implementing a serverless architecture in AWS. The ideal candidate will be instrumental in designing and implementing solutions that are scalable, performance-optimized and maintainable.

Responsibilities:

-

- Design, develop, and maintain scalable full-stack applications for a healthcare insurance platform
- Engage with cross-functional teams to define and implement new features that meet the complex demands of the healthcare sector
- Ensure application security and compliance with HIPAA and other regulations, focusing on performance and scalability
- Implement serverless architectures on cloud platforms (Azure, AWS) to optimize backend functionality
- Utilize modern front-end frameworks (React, Angular, Vue) to create responsive user interfaces
- Integrate and customize rules engines for automated decision-making and efficiency
- Employ microservices architecture to enhance application scalability, resilience, and deployment efficiency
- Utilize GraphQL for efficient and flexible data retrieval, improving the application's data interaction layer
- Mentor junior developers, fostering a culture of technical excellence, innovation, and ongoing learning
- Stay updated on technology trends, regulatory changes, and best practices in healthcare to ensure our solutions are at the forefront

We’re Looking for Candidates Who Have:

-

- Bachelor's degree in computer science, engineering, or a related field
- Minimum of 8 years in full-stack software development, with a strong portfolio in both frontend (JavaScript, React, Angular, Vue) and backend (C#, .NET, JAVA) technologies
- Proficiency in implementing solutions in cloud (AWS, Azure), including serverless environments
- Strong understanding of software architecture principles, design patterns, and best practices.
- Demonstrated ability to translate complex business requirements into a well-executed technical roadmap.
- Demonstrated experience with microservices architecture, designing, deploying, and managing independently scalable service components
- Experience with GraphQL for building APIs and efficient data retrieval.
- Strong background in SQL or NoSQL, database design, and complex data architectures
- Proficient in AWS OpenSearch for building scalable search and analytics solutions, including indexing, querying, and optimizing search performance in distributed systems
- Skilled in AI-first development practices utilizing Claude Cursor or Codex for intelligent code generation, accelerated development workflows, and enhanced productivity
- Familiarity with Agile methodologies and a comprehensive understanding of DevOps practices.
- Exceptional problem-solving capabilities, adaptability, and leadership skills
- Experience in the healthcare sector, especially with claims processing is a plus
- Solid understanding of HIPAA and healthcare regulatory standards is a plus
- Bonus: Experienced in iOS and Android app development, building cross-platform mobile applications with native performance and seamless user experiences

Full compensation packages are based on candidate experience and relevant certifications. ₹2,500,000—₹3,500,000 INR

XO Health is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, citizenship, immigration status, protected veteran status, or any other basis prohibited under applicable federal, state or local law. XO Health promotes a drug-free workplace.

## About XO Health Inc.

## Company Overview
- **One-liner**: XO Health is a full-service, value-based health plan platform for self-insured employers that aligns plan administrators, providers, and patients around health as the real unit of value.
- **Entity Type**: Private (Seed VC; raised $52.2M total)
- **Headquarters**: Alpharetta, Georgia, United States (also has an office in Stamford, Connecticut)
- **Founded**: 2021
- **Founders**: Not publicly available

## Core Business
- **Primary industry/industries**: Healthcare (health insurance, value-based care, benefits platform)
- **Target customers**: B2B – self-insured employers, payers, and providers
- **Mission or purpose statement**: “To bring trust, transparency, and common sense to healthcare.” [xohealth.com](https://xohealth.com/about-us/)

## Products & Services
- **Health Plan Solutions (for Employers)**: Fully integrated medical and pharmacy plans with a guaranteed savings model, tailored plan designs, and real-time data insights.
- **Payment & Network Solutions (for Payers & Providers)**: Risk technology that enables value-based contracts at scale, including contract modeling, real-time payment orchestration, and clinical + financial reporting.
- **Member Experience**: Inclusive care packages, expanded access, and dedicated advocacy, powered by a digital member experience platform (partnered with League). [businesswire.com](https://www.businesswire.com/news/home/20240306451755/en/XO-Health-Selects-League-to-Power-Industry%E2%80%99s-First-Fully-Integrated-Digital-Member-Experience)

## Market Standing
- **Valuation/Market Cap**: Not disclosed
- **Key Metric**: Total funding of $52.2M (Seed VC round, October 2025) [cbinsights.com](https://www.cbinsights.com/company/xo-health)
- **Notable Investors/Partners**: AlleyCorp, Sea Court Capital; strategic partners include Gravie, PayMedix, Kyruus Health, Simplify Healthcare, League, and National Cancer Treatment Alliance.
- **Growth Signals**: 56 employees (+7% YoY); active job postings (+200% YoY); multiple new partnerships announced in 2024–2025; expanding alternative health plan nationwide. [linkedin.com](https://www.linkedin.com/company/xohealthinc)

## Competitive Advantages
- **Alignment of incentives**: Platform aligns plan administrators, providers, and patients around health as the true unit of value, reducing friction and waste.
- **Real-time data & analytics**: Risk technology that runs value-based contracts in real-time, eliminating painful reconciliation.
- **Guaranteed savings**: Integrated medical and pharmacy plans with embedded savings guarantees for employers.
- **Experienced leadership team**: Executives from diverse domains (insurance, technology, provider networks) uniquely positioned to disrupt the healthcare landscape. [xohealth.com](https://xohealth.com/about-us/)

## Strategic Focus
- **Nationwide expansion**: Scaling the alternative health plan to more employers across the U.S.
- **Deepening partnerships**: Collaborating with digital health platforms, pharmacy benefit managers, and provider networks to enhance the member experience.
- **Technology platform**: Continuing to build out the next-generation operating platform for value-based care, with emphasis on real-time data and actionable insights.

## Why Work Here
- **Mission-driven culture**: Opportunity to rebuild trust in healthcare and drive transformative change.
- **Remote & hybrid options**: Some roles are remote (e.g., Senior Full Stack Engineer, India); other roles are office-based (Alpharetta, Stamford).
- **Multi-disciplinary team**: Work alongside leaders from Cisco, Liberty Mutual, Elevance Health, and other top companies. [linkedin.com](https://www.linkedin.com/company/xohealthinc)
- **Growth trajectory**: Young company (founded 2021) with significant funding and rapid partnership momentum – strong upside for early employees.
- **Tech stack**: Modern tools including React, Angular, Node.js, GraphQL, Java, microservices, Terraform, GitHub Actions, and ServiceNow. [linkedin.com](https://www.linkedin.com/company/xohealthinc)

## Sources
1. [xohealth.com](https://xohealth.com/) – Homepage and About Us
2. [linkedin.com](https://www.linkedin.com/company/xohealthinc) – LinkedIn company page
3. [cbinsights.com](https://www.cbinsights.com/company/xo-health) – CB Insights company profile
4. [greenhouse.io](https://job-boards.greenhouse.io/xohealthinc) – Careers page
5. [businesswire.com](https://www.businesswire.com/news/home/20240306451755/en/XO-Health-Selects-League-to-Power-Industry%E2%80%99s-First-Fully-Integrated-Digital-Member-Experience) – League partnership announcement
6. [endpointsnews.com](https://endpts.com/how-a-startup-is-reimagining-health-insurance-as-employers-search-for-new-options/) – Endpoints News feature
7. [pymnts.com](https://www.pymnts.com/news/partnerships/2025/paymedix-launches-partnership-with-benefits-platform-xo-health/) – PayMedix partnership
8. [coverager.com](https://www.coverager.com/gravie-partners-with-xo-health-to-launch-in-minnesota/) – Gravie partnership

## Other roles at XO Health Inc.

- [Healthcare Actuary](https://feeny.ai/job/healthcare-actuary-xo-health-inc-remote-kz47jqxdw4b9)
- [Healthcare Support Advocate](https://feeny.ai/job/healthcare-support-advocate-xo-health-inc-united-states-10a6rba3szc3) — United States
- [Cyber Security & Infrastructure Engineer](https://feeny.ai/job/cyber-security-infrastructure-engineer-xo-health-inc-india-j8nztcg6abkb) — India
- [Health Product Manager, Claims](https://feeny.ai/job/health-product-manager-claims-xo-health-inc-india-wzte1g9t2z0z) — India
- [Healthcare Support Representative](https://feeny.ai/job/healthcare-support-representative-xo-health-inc-india-hhwgw6dmx6c6) — India
- [Senior Full Stack Engineer](https://feeny.ai/job/senior-full-stack-engineer-teya-porto-dezkg13n226w) — Porto, Portugal
- [Senior Full Stack Engineer](https://feeny.ai/job/senior-full-stack-engineer-thought-machine-lisbon-n52r4hp1nex6) — Lisbon, Portugal
- [Senior Full Stack Engineer](https://feeny.ai/job/senior-full-stack-engineer-altaml-calgary-snnt7mkc0sye) — Calgary, Canada
- [Senior Full Stack Engineer](https://feeny.ai/job/senior-full-stack-engineer-strada-toronto-ftt6x15rtd99) — Toronto, Canada
- [Senior Full Stack Engineer](https://feeny.ai/job/senior-full-stack-engineer-setpoint-austin-jtf0gzq87sw8) — Austin, TX