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Natera logo
Natera

We are a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health.

Staff Software Engineer, RCM

Full-stack EngineerSoftware EngineerFull TimeRemoteLeadTeam 1,001-5,000Since 2004H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

60 days ago

Salary

$167.3K - $209.1K / year

Seniority

Lead

Bachelor DegreeEnglishAWSGrafanaGraphQLPythonReact

Job Description

Staff Software Engineer, RCM

Natera

• Design and deploy production-grade FastAPI services that wrap LLM calls, maintain stateful agent loops, and expose secure REST/GraphQL endpoints. • Build and orchestrate intelligent agents capable of handling unstructured documents (EOBs, medical records) using vision-augmented NLP and multimodal LLMs. • Develop agentic RAG pipelines (chunking, embeddings, vector search) to surface critical codes and payer-specific rules in real-time. • Containerize and operate the stack on AWS ECS/Fargate. Own the IaC pipelines to ensure seamless, high-frequency deployments (dev → staging → prod) multiple times a day. • Instrument services with OpenTelemetry, Grafana, and Sentry. Create dashboards to forecast denial rates, claim risks, and turnaround times. • Extend our React-based UI to allow human operators to launch agents, replay conversations, and inspect evaluation traces. • Ensure every feature is architected to meet HIPAA, SOC 2, and Natera’s internal security benchmarks.

Job Requirements

  • Expert-level Python developer with a focus on FastAPI for high-performance, asynchronous services.
  • Deep experience with LLM orchestration (LangGraph, CrewAI, or similar) and building agentic workflows.
  • Proficient in AI-augmented development using Claude Code, Gemini, and Cursor to accelerate delivery.
  • Solid experience with AWS (ECS/Fargate, Lambda, S3) and CI/CD best practices.
  • Direct experience in Revenue Cycle Management, medical billing, or healthcare tech.
  • Experience processing unstructured healthcare data and a solid grasp of multimodal AI (text + vision).
  • Ability to translate complex requirements from billing, compliance, and finance experts into resilient backend code.
  • A 'production-first' mentality—you don't just write code; you operate and monitor it.

Benefits

  • Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents.
  • Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits.
  • Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more.
  • We also offer a generous employee referral program!

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