Staff Engineer

Alluvium Health

About The Position

The Staff Engineer is a senior individual contributor responsible for shaping technical direction, driving architectural consistency, and solving the organization’s most complex engineering challenges. This role plays a critical part in ensuring our systems are scalable, reliable, and aligned with long-term business and product strategy. As a technical subject matter expert (SME), the Staff Engineer operates across teams and domains, influencing design decisions, elevating engineering standards, and providing guidance on complex system design and implementation. This role brings a forward-looking perspective, identifying risks, opportunities, and improvements that strengthen the overall platform and developer experience. The Staff Engineer partners closely with the CTO and Head of Architecture to translate strategic priorities into executable technical solutions, ensuring alignment across systems and teams. While this role has broad organizational impact, it does not include direct people management responsibilities and instead drives outcomes through technical expertise, collaboration, and influence. We are seeking individuals who are interested in joining our team in transforming healthcare technology and make a significant impact on the industry. Be a key player in our journey to deliver innovative solutions that enhance the blockit platform and improve the healthcare experience for all.

Requirements

Technical Depth & System Design
Deep expertise in designing and building distributed systems, APIs, and scalable backend services
Strong understanding of system architecture, data flow, and integration patterns
Ability to evaluate tradeoffs and design for long-term scalability and maintainability
Problem Solving & Critical Thinking
Exceptional ability to break down complex, ambiguous problems into clear, actionable solutions
Strong debugging and root cause analysis skills across systems and services
Ability to anticipate risks and proactively mitigate issues
Influence Without Authority
Demonstrated ability to drive alignment and influence technical decisions across teams without formal authority
Strong communication skills with the ability to clearly articulate complex technical concepts
Builds credibility through expertise, consistency, and thoughtful decision-making
Execution & Ownership
Ability to lead large, ambiguous technical efforts from concept through implementation
High accountability for outcomes, quality, and system performance
Comfortable operating in a fast-paced, evolving environment with shifting priorities
Engineering Excellence & Craftsmanship
Commitment to high-quality code, testing, and documentation standards
Strong focus on observability, reliability, and performance optimization
Continuously seeks to improve systems, processes, and engineering practices
Business & Product Alignment
Ability to connect technical decisions to business impact and product outcomes
Understands how system design choices affect customers, scalability, and operational efficiency
Partners effectively with Product, Engineering, and Leadership to deliver meaningful outcomes
Bachelor’s or Master’s degree in Computer Science, Software Engineering, or a related field preferred
10+ years of professional software development experience, with a proven track record of successful project leadership required
Proficient in multiple programming languages such as Elixir, Phoenix, React required
Strong understanding of software development methodologies (e.g., Agile, Scrum) and tools (e.g., JIRA, Confluence).
Experience with cloud platforms (AWS, Azure, Google Cloud) and continuous integration/continuous deployment (CI/CD) pipelines.
Ability to work with frontend and backend systems is a plus.

Nice To Haves

Experience working in a SaaS, healthcare technology/IT, or healthcare B2B environment highly preferred
Experience working in a startup environment is desirable

Responsibilities

Architectural Direction & System Design
Drive architectural alignment across services, integrations, and platform components in partnership with the CTO and Head of Architecture
Design scalable, resilient systems that support long-term product and business strategy
Identify and address architectural gaps, technical debt, and system risks proactively
Complex Problem Solving & Execution
Lead the design and delivery of highly complex, cross-functional initiatives spanning multiple systems
Own resolution of critical technical challenges, including production incidents and performance bottlenecks
Make high-quality technical tradeoff decisions with long-term impact in mind
Technical Standards & Engineering Excellence
Establish and reinforce best practices for system design, testing, observability, and reliability
Improve consistency across codebases, services, and integration patterns
Contribute to critical areas of the codebase where deep expertise is required
Cross-Team Collaboration & Influence
Partner with engineer tech leads to align on technical approaches and shared standards
Provide thoughtful guidance on design decisions, architecture, and implementation strategies
Influence technical direction through expertise, clear communication, and strong rationale
Platform & Integration Strategy
Guide the design and evolution of APIs, integrations, and external system interactions (e.g., EMR/vendor integrations
Ensure systems are designed for flexibility, scalability, and maintainability across clients and use cases
Continuous Improvement & Innovation
Identify opportunities to improve system performance, developer experience, and delivery efficiency
Evaluate and introduce new technologies or patterns where appropriate
Raise the overall technical bar through pragmatic, high-impact improvements