Payer Integrations Engineer

We're building a new healthcare clearinghouse Stedi is the only headless clearinghouse and RCM engine. Headless means every part of our product is accessible via API. Developers and AI agents build their own interface on top of it. By offering modern, AI-ready APIs alongside traditional real-time and batch EDI processes, we enable both healthcare technology businesses and established players to exchange mission-critical transactions. Our clearinghouse product and customer-first approach have set us apart. Stedi was ranked by Ramp as one of the fastest-growing SaaS vendors.

Stedi has lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting the company's infrastructure; a passion for automation and eliminating toil; and $142 million in funding from top investors like Stripe, Addition, USV, Bloomberg Beta, First Round Capital, and more.

To see what we ship, watch the 2026 Stedi Keynote. To learn more about how we work, watch our founder Zack's interview with First Round Capital.

The Role We are looking for a Payer Integrations Engineer to join our growing Payer Strategy & Operations team. In this role you will be the primary technical owner of every integration we build directly with payers and other clearinghouses. Our goal is to increase our direct payer integrations 100x over the next 12 months. This is a complex problem that involves massively parallelizing a process across many payers simultaneously – a process that includes legal agreements, technical implementation and testing, relationship building, and a general do-whatever-it-takes approach to keep the payers moving through the pipeline.

What you'll do

• Lead the technical integration and implementation process with hundreds of payers

• Establish and continuously improve Stedi’s “payer integration playbook”

• Create and maintain organized documentation of new payer integrations and track implementation progress

• Collaborate with engineering, customer operations, finance, product, and legal to get each integration across the line

• Build and foster relationships with key stakeholders at payers as you navigate implementations

Who you are

• Experience in a customer-facing technical role, ideally in implementation, onboarding, solutions engineering, or technical support

• Hands-on experience integrating with APIs: you are familiar with REST/SOAP APIs and have hands-on experience building integrations to backend systems and applications.

• You are exceptional at staying on top of many open threads simultaneously. You are hyper-responsive, organized, and thorough. You almost never drop balls.

• You have a systems mindset. You go beyond helping with the task at hand. You are able to intuitively understand gaps as you work through implementations and are able to articulate those to both the network operations and engineering team.

• You are a creative problem solver and you don’t stop at solving the problem once. You build tools and automate your own workflows so the next ten payers move faster than the last one.

• You do what it takes to get the job done. You are resourceful, self-motivating, self-disciplined, and don’t wait to be told what to do. You put in the hours.

• You move quickly. We move quickly as an organization. This requires an ability to match our pace and not get lost by responding with urgency (both externally to payers and internally to stakeholders), communicating what you are working on, and proactively asking for help or feedback when you need it.

A note on experience level: We're open to candidates across a range of experience levels. What matters most to us is finding self-starters and hard workers who are excited about this kind of high-ownership, fast-paced work. If this role resonates with you, we encourage you to apply even if you're not sure you check every box. Our recruiting team will work with you to figure out the right level and scope based on your background.

We’ve been made aware of individuals impersonating the Stedi recruiting team. Please note:

• All official communication about roles at Stedi will only come from an @stedi.com email address, or from our official identification verification partner, Persona, @frompersona.com.

• If you’re unsure whether a message is legitimate or have any concerns, feel free to contact us directly at [email protected].

We appreciate your attention to this and your interest in joining Stedi.

At Stedi, we're looking for people who are deeply curious and aligned to our ways of working. You're encouraged to apply even if your experience doesn't perfectly match the job description.