Staff Software Engineer, RCM

Position Summary: We need a Staff Software Engineer to build AI services for our Revenue Cycle Management (RCM) systems. You will build autonomous agents to process Explanation of Benefits (EOBs), navigate payer rules, and automate billing workflows. Your work directly impacts how smoothly patients access our genetic testing by removing friction from the billing process.

Primary Responsibilities

• Design and deploy FastAPI services that wrap LLM calls, maintain stateful agent loops, and expose REST/GraphQL endpoints.
• Build intelligent agents to handle unstructured medical documents using vision-augmented NLP and multimodal LLMs.
• Develop agentic RAG pipelines to surface billing codes and payer-specific rules.
• Containerize and operate the stack on AWS ECS/Fargate.
• Own the infrastructure as code pipelines for daily deployments.
• Instrument services with OpenTelemetry, Grafana, and Sentry to track denial rates and turnaround times.
• Extend our React UI to let human operators launch agents and inspect evaluation traces.
• Ensure all features meet HIPAA, SOC 2, and internal security benchmarks.

Qualifications

• Advanced Python development experience with a focus on FastAPI for asynchronous services.
• Experience with LLM orchestration (LangGraph, CrewAI) and building agentic workflows.
• Proficiency using AI-augmented development tools (Claude Code, Gemini, Cursor).
• Experience with AWS infrastructure (ECS/Fargate, Lambda, S3) and CI/CD pipelines.
• Experience in medical billing, RCM, or healthcare technology.
• Ability to process unstructured healthcare data and work with multimodal AI.
• Clear communication skills to align requirements across compliance, finance, and engineering.
• A production-first mindset. You operate and monitor the code you write.
• Ability to build inside regulated healthcare frameworks. We treat quality and compliance as features.

Nice to Have

• Experience integrating external applications with a LabVantage LIMS.
• Experience configuring and upgrading LabVantage LIMS to support order-to-result workflows.
• Front-end web programming experience with modern JavaScript frameworks (React, Angular).
• Knowledge of Typescript and relational databases (Oracle).

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.