Senior Software Engineer - ai automation medical billing platform

Relentless Talent is hiring a Senior Software Engineer for a hybrid role in Buffalo, NY (with occasional travel). You’ll work on a Medical Billing Automation SaaS platform, enhancing backend systems that connect Python, AI/LLMs, and EDI to automate complex billing workflows. The role reports directly to the CTO, with opportunities for direct interaction with the Founder/CEO.

What you’ll get

• Salary: $130,000 - $160,000 per year
• Hybrid location: Buffalo, NY (hybrid), with a few days per quarter at most
• 401(k)
• Health insurance
• Dental insurance
• Vision insurance

Responsibilities

• Lead development of backend systems in Python, supporting robust integration with AI models, LLMs, and EDI to automate complex billing tasks
• Design and implement scalable microservices architectures using AWS or Azure for high-volume data processing
• Collaborate with cross-functional teams to build RESTful APIs and web services that enable communication between internal components and external systems
• Build user-facing experiences using React, Angular, or similar front-end frameworks to support billing workflow usability
• Apply system design and data modeling to create efficient database schemas in SQL Server, PostgreSQL, or MySQL, and support MongoDB when appropriate
• Implement rigorous testing and debugging practices (including unit and integration testing) aligned with SDLC standards
• Participate in Agile execution using Scrum or Kanban, including sprint planning and stand-ups

Requirements

• Extensive experience with Python for backend development and AI integration
• Strong knowledge of AI technologies, including Large Language Models (LLMs), for automation use cases
• Proficiency with EDI standards and protocols for healthcare data exchange
• Expert Python capability for ETL/ELT and automation, including pandas, pydantic, and SQLAlchemy
• Production experience with a workflow orchestration platform such as Prefect, Airflow, or Dagster
• Strong SQL skills across SQL Server and PostgreSQL, plus familiarity with cloud data warehouses such as Snowflake and transformation tooling like dbt
• Disciplined delivery practices, including pytest (or equivalent), GitHub Actions (or similar CI), Docker, and Git-based code review
• Working knowledge of cloud infrastructure and services, with Azure preferred
• Effective, verified use of AI-assisted development tools as part of daily engineering practice

Notes on travel and support

This is a hybrid role with remote work and occasional travel. The company indicated occasional travel to the come in East Dallas, with a few days per quarter at most. No work sponsorship or relocation assistance is offered for this role.