HST Pathways

• Works to establish interfaces for surgery center clients and their business partners. • Follow project plans and gain an understanding of business and information technology. • Quality Assurance testing and application function verification may also be necessary when appropriate. • Install and maintain interfaces for surgery center clients and their business partners. • Proactively coordinate with internal teams, client IT teams, and HST vendors to obtain configuration information, coordinate and test interface installs. • Identify areas of improvement to streamline interface implementations. • Routinely manage and troubleshoot issues with live interfaces and escalate issues to the development team as needed. • Document interface install processes and process changes. • Support QA efforts for interface products in conjunction with the product and development teams.

Open Position: Software Engineer - Survey Application Location: Remote USA Full-time Reports To: Sr. Director of Data Science and Insights About Us: At HST Pathways, we’re passionate about transforming healthcare. Our innovative software empowers surgery centers to provide care that’s not only more cost-efficient but also leads to better outcomes for patients. Backed by Bain Capital, we’re a profitable, fully remote SaaS company that’s growing quickly and entering an exciting new stage of expansion. With that growth comes opportunity—for us, our customers, and the people who join our team. What We’re Looking For: We’re looking for someone who is authentic, inspiring, and motivated to grow. You’re a quick learner who enjoys working in a fast-paced, evolving environment. You value diversity and inclusion and want to be part of a company that puts people first. Our values resonate with you, and you’re ready to embody them in your daily work. In this role, you’ll roll up your sleeves and take on a high-volume workload with energy and enthusiasm. You are data-driven and results-oriented, but you also know the importance of building strong relationships and contributing to a positive team culture. Most importantly, you’re excited about the chance to make an impact—not only within our company but also in the broader healthcare community we serve. Why Join Us: At HST Pathways, you’ll find more than just a job — you’ll find a place to grow, contribute, and belong. We offer the flexibility of remote work and the stability of a well-backed, profitable company. You’ll collaborate with talented teammates who are passionate about healthcare innovation and committed to each other’s success. Responsibilities: We’re looking for a highly autonomous Full Stack Engineer to own and evolve a survey application built on Ruby on Rails. This role is ideal for someone who thrives in a high-ownership environment and is excited to leverage AI as a core part of the development workflow. You’ll be the primary technical driver of the product—designing, building, and scaling features end-to-end—while using modern AI tools to accelerate development and expand what a single engineer can accomplish. - Own the full lifecycle of the survey application (design, development, deployment, maintenance) - Build and maintain features using Ruby on Rails across the full stack - Architect and deploy cloud-native solutions on AWS (ECS, CloudFormation, load balancers, etc.) - Design scalable, reliable backend systems and responsive user experiences - Embrace an AI-first development strategy - Evaluate and integrate emerging technologies, including voice AI and conversational interfaces - Monitor performance, troubleshoot issues, and continuously improve system reliability - Establish best practices for code quality, testing, and deployment as a solo engineer - Deep experience using AI coding tools (e.g., Augment, ChatGPT, Cursor, Claude, etc.) in daily workflows - Ability to guide, review, and validate AI-generated code, not just generate it - Strong intuition for when and how to rely on AI vs. manual implementation - Interest in integrating AI capabilities (e.g., voice, NLP, automation) into products - Mindset & Ownership - Comfortable operating as the sole engineer on a product - Strong problem-solving skills and ability to make architectural decisions independently - Eagerness to learn new technologies quickly (especially in AI/voice space) - Pragmatic and product-focused—able to balance speed with quality Qualifications: - Strong experience with Ruby on Rails (5+ years preferred) - Full stack development experience (frontend + backend) - Hands-on experience building and deploying applications in AWS, including: - ECS (or similar container orchestration) - CloudFormation (or infrastructure-as-code equivalents) - Load balancers, networking, and scaling patterns - Experience designing and maintaining production-grade systems Preferred Qualifications: - Experience with voice AI platforms or conversational UX - Experience with frontend development, especially React and NextJS - Experience with CI/CD pipelines and DevOps best practices - Startup or early-stage product experience Team Culture + Values: - One Team: We win together, support each other, and share credit. - Inclusion: We respect differences and welcome every voice. - Transparency: We’re open, honest, and clear about our goals. - Agility: We move fast, test ideas, and learn as we go. - Empathy: We listen, care, and anticipate others’ needs. - Growth Mindset: We stay curious, keep learning, and aim to improve every day. - Proactivity: We act thoughtfully, own outcomes, and bring our best selves to work. Perks & Benefits: - Remote work environment - Health benefits paid for employees - Flexible Paid Time Off Policy - 11 company holidays per year - Paid parental leave - 401K with matching contributions - Learning and development allowance - A diverse, inclusive, and fun team! HST Pathways celebrates diversity and is steadfast in fostering an inclusive work environment where employees feel valued, respected, and engaged. We champion and nurture a culture where inclusiveness is instinctive and fuels innovation, connection, and a strong sense of “One Team”. HST is deeply committed to representing and reflecting the unique experiences, perspectives and viewpoints of our employees, customers, and the communities we serve.

• The Product Implementation Manager is responsible for ensuring the successful implementation and adoption of our Practice Management platform and associated product suite for Ambulatory Surgery Centers (ASCs). • This role guides clients through the end-to-end implementation process, providing expert support and training to enable efficient use of system features, including inventory management, preference cards, revenue cycle management (RCM), billing, scheduling, reporting, and EHR. • Key responsibilities include configuring system settings, coordinating and conducting both onsite and virtual training sessions, and developing tailored training materials that reflect ASC operations and adult learning principles. • The Product Implementation Manager also provides ongoing client support, addresses complex issues with sound judgment, and collaborates with internal teams to ensure a seamless onboarding experience. • Success in this role is measured by building strong client partnerships, driving confident adoption of our solutions, and ensuring sustained satisfaction through high CSAT scores and operational excellence. • Deliver onsite, classroom, and remote training on HST Pathways software products, using established tools and methodologies. • Lead training sessions for facility administrators, office managers, clinical staff, and physicians, focusing on daily use, administrative functions, and role-specific responsibilities within each application. • Create and maintain documentation and educational materials in partnership with the Learning and Development Team. • Contribute to curriculum design and training content for product upgrades and new releases. • Stay current with training best practices and adult learning methods to enhance learner engagement and knowledge retention. • Research third-party vendor integrations to provide operational expertise and ensure seamless interaction with HST Pathways applications. • Develop and update operational documentation, internal Knowledge Base content, and application Help Files to support staff and client learning. • Collaborate with internal departments to identify content gaps and implement process improvements in client education and implementation. • Partner with the implementation leadership team to support achievement of organizational OKRs and KPIs. • Troubleshoot and diagnose issues to determine whether they are application-related, escalating to the appropriate vendor when necessary. • Represent HST Pathways’ mission and values in all client and partner interactions, ensuring customer satisfaction throughout the implementation process. • Travel is up to 50% as required to deliver training and client support.

• Serve as the customer’s point of contact for all service and support related questions • Troubleshoot and resolve application and customer workflow problems • Deliver an exceptional client experience by identifying and documenting client needs and issues • Answer incoming customer inquiries, effectively applying problem solving techniques • Provide consistent, timely, professional and high-quality client support • Establish procedures to ensure client satisfaction and quality service delivery • Communicate and collaborate across teams to help solve issues • Participate in quality assurance and application testing of software

• An experienced Revenue Cycle Management Sales Specialist to help our Revenue Team grow bookings and expand adoption of HST’s revenue cycle management services. • This role will play a crucial part in helping execute revenue cycle management sales cycles. • Revenue Cycle Sales Support & Deal Execution Support Account Executives in selling HST’s revenue cycle management services into the Ambulatory Surgery Center market, serving as the RCM subject matter expert throughout the sales process. • Help qualify RCM opportunities within both new logo prospects and existing customer accounts, and partner with sellers to develop account strategies, opportunity plans, business cases, and deal execution plans. • Lead RCM-focused discovery conversations to understand billing operations, collections performance, denial trends, staffing challenges, payer issues, cash acceleration, and overall revenue cycle performance. • Present HST’s RCM services in a clear, consultative, and value-oriented manner, helping prospects and customers understand how improved revenue cycle performance can drive financial outcomes, operational efficiency, and better business visibility. • Quantify customer pain points and articulate the financial and operational impact of improving revenue cycle performance, bringing credibility and depth to discovery, solution positioning, and executive-level discussions. • Partner closely with Account Executives, sales leadership, demand generation, and operations teams to build and advance pipeline, support proposal development, pricing conversations, RFP responses, and executive presentations. • Follow and help improve HST’s sales methodology as it relates to consultative RCM selling, while maintaining accurate opportunity notes, activities, and pipeline information in Salesforce. • Cross-Functional Collaboration Collaborate with internal revenue cycle operations, implementation, customer success, product, and sales teams to align proposed solutions with customer needs. • Partner with internal teams to ensure prospect and customer feedback is communicated clearly and used to improve positioning, solution design, and go-to-market execution. • Work with a Revenue Team that prioritizes coaching, practice, and continuous improvement. • Sales Enablement & Market Expertise Provide input into sales enablement materials, talk tracks, discovery guides, objection handling, and competitive positioning for RCM services. • Train and coach sellers on how to identify RCM opportunities, ask effective discovery questions, and position HST’s RCM value proposition. • Stay current on ASC revenue cycle trends, payer dynamics, reimbursement challenges, outsourcing trends, and competitive offerings.

• The Junior Systems Engineer helps design, build, automate, and support infrastructure across our AWS first environment, with additional systems hosted in Azure, GCP, and our colocation facility. • This role is ideal for someone early in their engineering career who has foundational experience with cloud technologies, identity services, Windows/Linux systems, and basic automation—and who is ready to grow into a full systems engineer focused on architecture, performance, automation, and large scale systems work. • You will collaborate closely with other technical resources and cross functional teams to enhance the reliability, security, and scalability of our infrastructure while learning engineering best practices across cloud, identity, automation, and systems architecture. • Assist in the design, maintenance, and modernization of Microsoft Active Directory and related identity systems. • Support AD forest/domain structure, OU design, and Group Policy lifecycle management. • Troubleshoot complex identity and authentication issues involving AD, DNS, certificates, cloud identity connectors, and application integrations. • Participate in identity modernization projects such as: Azure AD/Entra ID integrations, Federation / SSO improvements, Conditional access and MFA hardening, Domain cleanup, consolidation, and lifecycle updates, Contribute to AD automation using PowerShell, DSC, or infrastructure as code patterns. • Assist in designing and implementing infrastructure in AWS (EC2, VPC, IAM, networking, storage). • Gain exposure to supporting parallel environments in Azure, GCP, and on prem/colo infrastructure. • Participate in planning and assisting with large system deployments, migrations, and upgrades, including: Hybrid → cloud migrations, SQL Server upgrades and data migrations, Identity modernization initiatives, Container platform upgrades (ECS/EKS, Kubernetes clusters) Support environment build outs including provisioning, validation, documentation, and post deployment testing. • Support Windows Server and Linux environments, including updates, troubleshooting, monitoring, and incident response.

• An experienced Account Executive to help our Revenue Team drive bookings growth. • You will play a crucial role in acquiring new business, building relationships with prospects and clients and ultimately reaching revenue goals. • Opportunity to sell market leading software solutions in healthcare. • Work closely with demand generation and sales development teams to build pipelines. • Our comp plan has attainable targets and an uncapped quota. • We invest in sales technology so you can focus on the highest value activities. • Partner with a Revenue Team that prioritizes coaching, practice, and continuous improvement. • Selling HST solutions into the Ambulatory Surgery Centers (ASC) market • Managing sales cycles from qualified leads to closed deals • Using/maintaining internal sales tools (salesforce.com) for CRM and pipeline management • Collaborating with different resources throughout the organization to drive the business forward • Prospecting into a territory to generate interest in HST products • Developing client proposals that effectively communicate our products and offer customized solutions • Following and improving HST’s sales methodology.

• Gain broad exposure to B2B marketing by supporting our events program, including an annual user conference and 35+ industry conferences • Learn foundational marketing skills by working closely with experienced marketers and leaders • Build confidence through hands-on execution of real projects that contribute to team goals • Develop transferable skills in organization, communication, and project coordination • See how marketing supports growth, customer engagement, and brand awareness in a SaaS company • Contribute to a company that is making a meaningful impact in healthcare • Be part of the Bain Capital family of companies, offering strong learning and career development opportunities

• Build and lead our content marketing, blend creativity with insights to grow engagement with our audience, and further our content and brand. • Lead and host our podcast episodes, strategy, and distribution • Lead the creation and promotion of our data benchmarks and insights reports, in collaboration with the Data Science team. • Lead social media publishing and engagement • Oversee the Marketing design process and brand cohesion, including overseeing the design agency we use • Run other content programs such as website bundles of our top resources by topic, customer webinars, branded emails for campaigns and newsletters, and client awards • Prep HST speakers at conferences and help prepare their presentations. • Ideal if you can become enough of an ASC expert over time that you’re invited to speak at conferences.

• Become immersed in the company’s existing technology frameworks and new software architectures. • Develop well designed, testable, high quality, efficient code meeting requirements and adhering to the company’s coding standards and best practices. • Execute and/or oversee the creation of design documents (including code samples/outlines) and detailed engineering specifications based on complex business, user, and non-functional (e.g., performance, reliability, balance, and controls) requirements. • Partner with the Product Manager to gather requirements and fully understand project goals, and then use this information to effectively plan and lead the development process for new features. • Lead the code review process to ensure development work adheres to standards and specifications. • Ensure all code is effectively unit tested prior to being released to the quality assurance team. • Assist the quality assurance team in identifying test cases and test plans to enable a thorough functional test of all development deliverables.