Our healthcare system is the leading cause of personal bankruptcy in the U.S. Every year, over 50 million Americans suffer adverse financial consequences as a result of seeking care, from lower credit scores to garnished wages. The challenge is only getting worse, as high deductible health plans are the fastest growing plan design in the U.S.
Cedar’s mission is to leverage data science, smart product design and personalization to make healthcare more affordable and accessible. Today, healthcare providers still engage with its consumers in a “one-size-fits-all” approach; and Cedar is excited to leverage consumer best practices to deliver a superior experience.
As a Senior Software Engineer on our Data Acquisition team, you’ll play a key role in one of the most technically challenging and strategically important areas of our platform: integrating Cedar with the complex and fragmented healthcare data ecosystem.
The Integrations team is building a platform to ingest and normalize healthcare billing data to power multiple Cedar products. It’s a high-impact, high-complexity space involving real-time data flows, and an ever-changing web of EMRs, hospital workflows, and third-party systems.
You’ll thrive in this role if you enjoy solving for ambiguity, building durable systems in regulated environments, and working at the intersection of product, data, and healthcare infrastructure.
Why This Role Matters:The biggest blocker to innovation in healthcare is often access to data. Every hospital system, EMR, and billing vendor does things slightly differently. That complexity makes innovation hard to scale.
This role is part of Cedar’s strategic push to fix that. You’ll help evolve our integration layer into a modern, flexible platform—one that can serve as a foundation for every product Cedar builds going forward.
The Work You’ll Lead:- Design and implement resilient, secure data ingestion systems that integrate with hospital EMRs, billing vendors, and third-party platforms
- Help transition from batch ETL to real-time streaming integrations using standards like HL7, FHIR, and 835s
- Work closely with product, delivery, and commercial teams to understand integration requirements and translate them into durable solutions
- Allow Cedar to grow as a company by building a platform that empowers Product teams to acquire and manage their own data
- Collaborate on evolving the integrations architecture into a shared data platform powering multiple Cedar product lines
- Build tooling to accelerate the pace and reliability of new client integrations
- Lead technical design and execution for critical integration initiatives
- Own systems end-to-end: from client data specs to deployment and monitoring
- Mentor engineers across the team through code review, pairing, and shared design
- Contribute to Cedar’s engineering culture by sharing your experience around interoperability, data pipelines, API design, or testing standards
- 7+ years of backend engineering experience, ideally in healthcare or similarly complex and highly regulated data environments
- Experienced in designing, building, and maintaining robust data integrations
- Expertise in at least one major coding language
- Comfortable navigating ambiguity, legacy systems, and evolving requirements
- Able to work cross-functionally with product managers, client stakeholders, and commercial partners
- Skilled at breaking down complex technical concepts into clear, actionable communication
- Passionate about improving healthcare through better software
- Experience working directly with EMRs, clearinghouses, or healthcare billing systems
- Familiar with HL7, FHIR, 835/837, or similar interoperability standards is bonus
- Familiarity with real-time streaming tools (Kafka, Flink, etc.)
- Prior experience in regulated domains like healthcare, fintech, or insurance
- Exposure to platform-level thinking (e.g. designing shared systems across products)
- Comfortable using BI tools (e.g. Looker, Snowflake) to investigate data-level issues
Compensation Range and Benefits:
- Salary/Hourly Rate Range*: $195,500 - $247,250
- This role is equity eligible
- This role offers a competitive benefits and wellness package
*Subject to location, experience, and education
#LI-TK1
#LI-REMOTE
What do we offer to the ideal candidate?
- A chance to improve the U.S. healthcare system at a high-growth company! Our leading healthcare financial platform is scaling rapidly, helping millions of patients per year
- Unless stated otherwise, most roles have flexibility to work from home or in the office, depending on what works best for you
- For exempt employees: Unlimited PTO for vacation, sick and mental health days–we encourage everyone to take at least 20 days of vacation per year to ensure dedicated time to spend with loved ones, explore, rest and recharge
- 16 weeks paid parental leave with health benefits for all parents, plus flexible re-entry schedules for returning to work
- Diversity initiatives that encourage Cedarians to bring their whole selves to work, including three employee resource groups: be@cedar (for BIPOC-identifying Cedarians and their allies), Pridecones (for LGBTQIA+ Cedarians and their allies) and Cedar Women+ (for female-identifying Cedarians)
- Competitive pay, equity (for qualifying roles), and health benefits, including fertility & adoption assistance, that start on the first of the month following your start date (or on your start date if your start date coincides with the first of the month)
- Cedar matches 100% of your 401(k) contributions, up to 3% of your annual compensation
- Access to hands-on mentorship, employee and management coaching, and a team discretionary budget for learning and development resources to help you grow both professionally and personally
About us
Cedar was co-founded by Florian Otto and Arel Lidow in 2016 after a negative medical billing experience inspired them to help improve our healthcare system. With a commitment to solving billing and patient experience issues, Cedar has become a leading healthcare technology company fueled by remarkable growth. "Over the past several years, we've raised more than $350 million in funding & have the active support of Thrive and Andreessen Horowitz (a16z).
As of November 2024, Cedar is engaging with 26 million patients annually and is on target to process $3.5 billion in patient payments annually. Cedar partners with more than 55 leading healthcare providers and payers including Highmark Inc., Allegheny Health Network, Novant Health, Allina Health and Providence.
Top Skills
Similar Jobs at Cedar
What you need to know about the Charlotte Tech Scene
Key Facts About Charlotte Tech
- Number of Tech Workers: 90,859; 6.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lowe’s, Bank of America, TIAA, Microsoft, Honeywell
- Key Industries: Fintech, artificial intelligence, cybersecurity, cloud computing, e-commerce
- Funding Landscape: $3.1 billion in venture capital funding in 2024 (CED)
- Notable Investors: Microsoft, Google, Falfurrias Management Partners, RevTech Labs Foundation
- Research Centers and Universities: University of North Carolina at Charlotte, Northeastern University, North Carolina Research Campus
