Granted

💡 MissionThe US healthcare system is complex, error-prone, and financially draining. Medical bills and insurance coverage shouldn’t be this hard to navigate. At Granted, we’re building the one solution every American can turn to for help. Thanks to AI and new regulations, Granted can fight claim denials, correct billing errors, negotiate bills, and make coverage easier to understand—saving people time, money, and stress. Our goal is simple: to be the #1 platform that empowers all Americans to take charge of their healthcare. 🩺 About UsFounded by a former Oscar Health leader, we’re a seed-stage company with $17M in funding. We’re lucky to be backed by the founders and investors at Hugging Face, Rocket Money, Oscar Health, CaseText, Forerunner Ventures, RRE Ventures, and more. We are well-funded for the next few years. 👉 Curious about our engineering culture + tech stack? Check out this write-up. Location: While parts of our engineering team operate remotely elsewhere in the US, we strongly encourage New York–based applicants who are excited to engage in a more in-person hybrid dynamic. Local employees typically work from our Chelsea office Monday through Thursday, with Fridays working from home. 🔎 About the RoleThe Automations pod turns complex healthcare case work into scalable, agentic workflows — driving automation coverage, lowering cost to serve, and ensuring users get fast, accurate outcomes without needing to navigate the system themselves. As an engineer on this team, you’ll help build the intelligence layer behind these workflows — designing distributed systems, integrating AI models, and ensuring everything runs reliably at scale. 🚀 What You’ll Do - Design and build scalable systems and APIs that power agentic workflows from case activation through resolution. - Push the frontier of AI-driven engineering, working on prompt orchestration, agent frameworks, and model evaluation loops. - Collaborate closely with Product, Engineering, and domain experts to translate complex healthcare processes into reliable automations. - Architect systems for scale and reliability, ensuring human escalation pathways are transparent and seamless. - Play a key role in shaping the pod’s technical strategy, and mentor others as the team grows. 🧪 What You Might Work On - Creating and optimizing AI pipelines to identify, categorize, and resolve errors in medical billing and insurance claims. - Building automated agents and backend services that handle complex case flows with minimal human intervention. - Integrating domain-specific healthcare knowledge into models and decision engines to improve accuracy. - Developing tooling and infrastructure to measure and improve AI performance in real-world scenarios. 👩‍💻 We'll be most excited if you - Bring 9+ years of backend engineering experience, ideally building production systems at scale. - Are deeply curious about AI — from prompt engineering and agent orchestration to model evaluation. - Excel at designing pragmatic solutions to complex technical challenges. - Communicate clearly and collaborate effectively across disciplines. - Thrive in high-autonomy, fast-moving environments. - (Bonus) Have experience with healthcare data, product engineering, ML systems, or web crawling. - (Extra bonus) Have 10+ years of GPT-5 experience — or, failing that, a good sense of humor. 📢 You don't need to check every single box—if you're passionate, driven, and excited about the impact AI can make on the healthcare system, we'd love to hear from you! Granted is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, protected veteran status, disability, or any other legally protected characteristics. We are also committed to providing reasonable accommodations to qualified individuals with disabilities. If you need assistance or an accommodation during the application or interview process, please contact us.

💡 MissionThe US healthcare system is complex, error-prone, and financially draining. Medical bills and insurance coverage shouldn’t be this hard to navigate. At Granted, we’re building the one solution every American can turn to for help. Thanks to AI and new regulations, Granted can fight claim denials, correct billing errors, negotiate bills, and make coverage easier to understand—saving people time, money, and stress. Our goal is simple: to be the #1 platform that empowers all Americans to take charge of their healthcare. 🩺 About UsFounded by a former Oscar Health leader, we’re a seed-stage company with $17M in funding. We’re lucky to be backed by the founders and investors at Hugging Face, Rocket Money, Oscar Health, CaseText, Forerunner Ventures, RRE Ventures, and more. We are well-funded for the next few years. Location: While parts of our engineering team operate remotely elsewhere in the US, we strongly encourage New York–based applicants who are excited to engage in a more in-person hybrid dynamic. Local employees typically work from our Chelsea office Monday through Thursday, with Fridays working from home. 🔎 About the Role - AI Integration: Accelerate developers and internal operations by exposing or configuring API and MCP access to our infrastructure, while keeping costs and security under control. - Developer Experience: Enhance our TypeScript monorepo performance, optimize Nx build system, migrate from CommonJS to ESM, and improve our Docker-based DevContainers - CI/CD Operations: Improve GitHub Actions workflows, implement faster CI runners, enhance caching strategies, and manage multi-environment deployments (dev/prod) using Pulumi - Infrastructure Management: Maintain AWS infrastructure including ECS, Aurora RDS (Gel), VPC networking, and monitoring stack (OpenTelemetry, Honeycomb, Sentry → but soon datadog), and AWS access provisioning - MDM & Security & Compliance: Support HIPAA compliance initiatives including RBAC implementation, encryption standards, and security monitoring with GuardDuty/CloudTrail. Set up stricter standards for MDM. - Monitoring & Observability: Optimize our observability stack across web and mobile platforms, assist with on-call load reduction, and enhance performance monitoring - Access Policy: Implement and maintain role-based access controls, manage admin privileges in internal systems, and coordinate with user management systems. 👩‍💻 We'll be most excited if you - Bring 5–10+ years of experience in infrastructure, or platform engineering, with a strong understanding of SOC2 and security compliance requirements - and the ability to build and automate through code, not just configure systems. - Are mission-driven and passionate about solving meaningful problems with real-world impact. - Are expert in SaaS administration, MDM solutions, and IT security best practices - Thrive in ambiguity, demonstrating autonomy and adaptability in a fast-paced environment. - Think big-picture, designing pragmatic solutions for complex technical challenges. - Communicate clearly and effectively, both verbally and in writing. 📢 You don't need to check every single box—if you're passionate, driven, and excited about the impact AI can make on the healthcare system, we'd love to hear from you! 📩 🦸 Working with usGranted is headquartered in New York. Our team is split evenly between our Chelsea office & the rest of the US. We marry the best of in-office culture with the best of a remote-first company. We’re a team of passionate individuals who show up every day to do the best work of their lives following these principles: - Move with Urgency and Focus: Prioritize what matters and find the shortcuts. - Own the Outcome: Take initiative and see it through until the end. - Commit to Your Craft: Excellence is the standard. Care about the details. - Play to Win: If we win, Americans win, so we work hard and do what it takes for us to be #1. - Feedback is Fuel: Intellectual honesty is at the core of everything we do.

💡 MissionThe US healthcare system is complex, error-prone, and financially draining. Medical bills and insurance coverage shouldn’t be this hard to navigate. At Granted, we’re building the one solution every American can turn to for help. Thanks to AI and new regulations, Granted can fight claim denials, correct billing errors, negotiate bills, and make coverage easier to understand—saving people time, money, and stress. Our goal is simple: to be the #1 platform that empowers all Americans to take charge of their healthcare 🩺 About UsFounded by a former Oscar Health leader, we’re a seed-stage company with $17M in funding. We’re lucky to be backed by the founders and investors at Hugging Face, Rocket Money, Oscar Health, CaseText, Forerunner Ventures, RRE Ventures, and more. We are well-funded for the next few years. 🔎 About the RoleThe Customer Experience (CX) team delivers high‑quality support that helps Granted users navigate the U.S. healthcare system with less time, cost, and stress. We’re growing quickly, and we’re hiring Healthcare Advocates (HA) to take on more complex cases and raise the bar on what “great support” looks like as we scale. As a HA, you’ll own high‑impact medical billing and insurance cases end‑to‑end. Our AI agent will handle the initial intake and information gathering, then hand cases to you when judgment, persistence, and human advocacy are needed to get to resolution. You’ll work on a small, high‑trust team and partner closely with Product and Engineering to turn frontline learnings into better workflows and a better user experience. What you’ll own: - You will own a case from handoff to resolution, including next steps, outreach strategy, documentation, and follow‑through. - You will decide how to route each situation (provider, insurer, collections, employer plan, or user education) and what “done” looks like. - You will be accountable for timely, accurate outcomes and a high‑quality user experience, even when the path is unclear. - You will drive improvements to playbooks and internal processes based on real case patterns. 🛠️ What You’ll Do - Resolve complex user cases end‑to‑end, from AI handoff through final outcome. - Contact providers and insurers via phone, email, and fax to verify coverage, correct claim and billing issues, and unblock next steps. - Investigate and triage issues across benefits, eligibility, claims, prior auth, billing codes, and payment responsibility. - Advocate for the user by pushing cases forward with persistence, clear escalation paths, and strong documentation. - Communicate clearly with users, setting expectations, sharing progress, and explaining options in plain language. - Maintain high-quality case notes so anyone can understand what happened, what changed, and what to do next. - Continuously learn healthcare regulations, payer behavior, and internal playbooks, and apply that learning quickly. - Improve how we operate, by collaborating with other healthcare advocates, identifying repeat issues, tightening workflows, and helping build playbooks that scale - in an early-stage environment. - Partner with Product and Engineering to turn real case patterns into product improvements and better automation. 👩‍💻 We’ll be most excited if youMust-haves: - 2+ years of experience in patient/healthcare advocacy, medical billing, or health insurance - Flexible schedule to work 40 hours between 7am - 8pm EST, 7 days/week. To start, you’ll either work: - Sunday – Thursday, 9am–6pm, or - Tuesday – Saturday, 10am–7pm - You are comfortable working directly with provider offices, health insurers and debt collection groups, including phone-heavy follow‑up and clear escalation when needed. - You communicate with empathy and clarity, especially when delivering hard news or complex explanations. - You thrive in ambiguity, and move cases forward with a bias for action, choosing the right next step, without perfect information. - You take documentation seriously and protect user privacy, with a solid working understanding of HIPAA and PHI handling. - You are mission-driven and are passionate about helping build a new standard for how people get help navigating U.S. healthcare. Nice-to-haves: - Early-stage (Series B or earlier) or healthtech startup experience - You helped drive real patient outcomes related to medical billing, e.g. denials overturned, bills corrected, balances reduced, coverage clarified. - In-depth understanding and ability to navigate healthcare in the US – able to identify and resolve issues across coverage, claims, and billing. - Insurance and billing experience with Medicare, Medicare Advantage and/or Medicaid plans Additional details: - In compliance with applicable pay transparency laws, the good-faith annual base salary typically starts at $50,000. Individual compensation will vary based on experience, relevant expertise, and geographic location. - Preferred hiring locations: New York, Texas, Ohio