Staff Product Engineer (Fullstack)

About Pair Team

Pair Team is building a new kind of healthcare system across Medicaid, Medicare, and public assistance programs: one that recognizes that access to housing, nutritious food, and reliable transportation are just as critical to health as having the right medications or seeing a doctor.

As a public benefit corporation and AI-enabled medical group, we partner with shelters, food pantries, and community organizations to deliver “whole-person” care to the 115 million Americans who rely on the safety net. We are currently the largest complex care provider in California with over 500 employees and are expanding nationally. Our model replaces fragmented healthcare and social services systems with one trusted relationship for all medical, behavioral, and social needs.  We improve access, build trust, and dramatically lower costs (52% fewer ER visits, 26% fewer hospitalizations). Our model is a rare combination of saving tax payer dollars ($150B annually at scale) while putting people on an upward life trajectory. At national scale, this approach would save taxpayers.

These outcomes are driven by the AI-first, whole-person infrastructure we are building — a platform that connects healthcare and social-service organizations into a unified network. Leveraging our vast data and years of operational experience, we are building the agentic infrastructure for the safety net to coordinate care, automate operations, and learn from every patient interaction to continuously improve outcomes.

Check out the AI-First Medicaid System we are building here.

• Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
• TechCrunch: Building for Medicaid’s regulatory moment with Neil Batlivala from Pair Team
• Journal of General Internal Medicine: A Novel Intervention for Medicaid Beneficiaries with Complex Needs

About the Role

As a Staff Product Engineer at Pair Team, you’ll be a key technical leader driving the evolution of our care delivery platform. You’ll take ownership of complex, cross-functional initiatives that directly impact our patients and clinical partners—designing scalable systems, shaping architectural direction, and mentoring engineers along the way.

In this role, you will:

• Lead the development of end-to-end product features, with a focus on long-term scalability, performance, and impact
• Set technical direction and architectural standards across projects and pods
• Identify and solve high-leverage technical problems, balancing speed with thoughtful design
• Collaborate closely with product, design, clinical, and operations teams to deliver cohesive, patient-centered solutions
• Serve as a technical mentor and multiplier—uplifting the team’s capabilities and contributing to our engineering culture
• Drive alignment between technical execution and business goals, ensuring measurable outcomes

This is a high-impact opportunity for someone excited to blend deep technical leadership with mission-driven product work—building systems that improve access to care for underserved communities.

Who You Are

• Leadership & Influence: A recognized leader, respected for technical ability, direction-setting, and ability to navigate ambiguity. Leads cross-team initiatives and influences without authority across engineering, product, operations, and medical.
• Technical Expertise: recognized as an expert in their domain area but able to operate effectively in other domains when needed
• Execution & Ownership: Owns high-impact, cross-system projects. Drives progress across a domain and ensures delivery on both technical and business outcomes.
• Force Multiplier: Uplifts not only engineers but also PMs and designers. Leads by example to raise the bar across disciplines.
• Communication & Alignment: Communicates clearly across technical and non-technical audiences. Aligns stakeholders even when goals and definitions are evolving; creates clarity from chaos.
• Systems Thinking: Designs scalable solutions with a deep understanding of interconnected systems. Anticipates downstream effects and communicates complex dynamics clearly.
• Business Impact: Deeply understands business and operational goals. Connects them to day-to-day technical work, ensuring alignment and measurable outcomes.
• Player & Coach: Seamlessly shifts between strategy and execution — no problem too big or small. Equally effective leading execution (e.g., as a pod lead) or through deep technical contributions.
• Analytical & Data-Driven: Extracts and analyzes data independently. Synthesizes KPIs and qualitative insights to inform decisions and improve products.
• Growth-Oriented: Continuously seeks new challenges and growth. Acts as a multiplier for the team’s impact and helps shape the technical culture.
• Bias for Action: Delivers value iteratively, avoiding over-engineering. Breaks down complex problems into shippable steps and balances planning with execution.

Job Requirements

• 5+ years of experience as a high-impact individual contributor, building and scaling user-facing products in a startup or similarly fast-paced environment
• Proven ability to design and deliver complex, full-stack web applications across both frontend and backend systems
• Strong experience with relational database design and data modeling
• Proficiency with modern web frameworks—React and Ruby on Rails experience required
• Familiarity with cloud infrastructure and deployment (AWS preferred)
• Excited to leverage AI tooling for software development
• Comfortable navigating ambiguity, owning technical decisions end-to-end, and aligning solutions with product and operational goals
• Deeply mission-aligned—motivated to build technology that serves individuals facing complex needs such as homelessness, severe mental illness, and substance use disorder

Our Values

• Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
• Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.
• Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.
• Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.
• Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.

Because We Value You

• Competitive salary: $190,000 - $240,000
• Equity compensation package
• Flexible vacation policy – take the time you need to recharge
• Comprehensive medical, dental, and vision coverage
• 401(k)
• 100% company-sponsored short and long-term disability and life insurance
• Subsidized backup childcare and caregiver supports through Wellthy
• Work from the comfort of your own home with opportunities to meet colleagues in person
• Monthly $100 work from home expense stipend 
• We provide the equipment needed for the role
• Opportunity for rapid career progression with plenty of room for personal growth!