---
title: 'Senior Software Engineer, Performance at Turquoise'
canonical: 'https://feeny.ai/job/senior-software-engineer-performance-turquoise-remote-48ek9jkxhf5x'
type: 'job'
last_seen: '2026-11-08'
---

# Senior Software Engineer, Performance at Turquoise

- **Company:** Turquoise
- **Location:** Remote
- **Compensation:** $172k–$195k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-10-22
- **Last confirmed live:** 2026-11-08
- **Apply:** https://jobs.ashbyhq.com/turquoise-health/fdcd9752-b372-467c-aec1-1419edee2c87

## Job description

This is a fully remote role within the United States. For our Analyze and Search products, speed is part of the product. Our customers filter, compare, and benchmark across large healthcare pricing datasets, and a slow query changes how much they trust and use what we’ve built. You’ll make that experience fast, scalable, and cost-efficient as datasets grow and more products build on the same platform. The challenge is that performance depends on the combination of filter, dataset, and workflow, not on any single query. A dataset update can shift latency before anyone notices, and the best fix is sometimes a better data model and sometimes a better product behavior. You’ll investigate, benchmark, prototype, and ship across the path from ClickHouse to the API to the screen, working directly with Product, frontend, and backend engineers. This is a data and product performance role, not a load-testing, QA, or low-level systems role. If you like turning “this feels slow” into a baseline, a hypothesis, and a number that moves in production, you’ll enjoy it here.

## Responsibilities

Diagnose and fix

- Own performance investigations across the product and data stack, taking a slow query or poor user experience to a measured root cause and a production fix. Example: a critical filter and data-source combination is now x% faster in production.
- Track latency, throughput, concurrency, and infrastructure cost, with a focus on datastore efficiency (we run on ClickHouse Cloud). Example: a product workflow now uses z% fewer ClickHouse resources without compromising the user experience.

Anticipate

- Build representative benchmarks for the filter, dataset, and workflow combinations that matter most.
- Evaluate the performance impact of upstream dataset changes before they reach production. Example: an incoming change is expected to increase latency by y%, and we have a mitigation plan before launch.
- Assess future product requests and recommend technical or product approaches that balance functionality, responsiveness, scalability, and cost.

Design and ship

- Design and evaluate data architecture changes, such as restructuring tables, precomputing results, and changing indexes.
- Partner with Product, frontend, and backend engineers to adapt product behavior to the data, using techniques like request batching, debouncing, caching, and pagination.
- Prototype competing solutions, communicate their tradeoffs clearly, and validate the chosen approach in production.

Build for the long term

- Improve performance instrumentation, monitoring, and regression detection across data-powered product experiences.
- Establish reusable patterns as the Data Product platform becomes a supporting layer for more products and teams.

## What you’ll bring to the role

- 5+ years building and optimizing production data systems, data-intensive applications, or analytical products
- Advanced SQL and strong Python (or another general-purpose language)
- Hands-on experience optimizing analytical workloads in column-oriented databases or data warehouses
- A hypothesis-driven approach to performance work: you use query plans, profiling, benchmarks, and production telemetry to define the problem, set a baseline, test alternatives, and quantify the result in production
- The ability to reason across system boundaries (databases, APIs, backend services, client request patterns, product interactions) and the product judgment to know when changing the experience beats changing the data system

Bonus points

- Experience with ClickHouse
- Experience contributing to data-heavy search, filtering, analytics, or reporting products
- Experience with healthcare specific data types: claims, contract rates, revenue cycle, medical billing, or healthcare pricing experience

## 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)

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