
Job Overview
Location
Remote (US); San Francisco, California, United States
Job Type
Full-time
Category
Backend Engineer
Date Posted
May 9, 2026
Full Job Description
đź“‹ Description
- • Thatch Health Inc. is rewiring how health benefits work by building software that gives employees real control over their benefits, and this Backend Software Engineer role is critical to designing and building the core systems that power the platform, ensuring money moves correctly, benefits remain compliant, and complex processes work reliably at scale.
- • Day to day, the engineer will design, build, and evolve backend systems for enrollments, payments, payroll, and benefits management; architect and maintain robust data models and fund flows for high-volume financial transactions; build integrations with payroll providers, banks, insurance carriers, and external partners; improve operational rigor through automation, tooling, monitoring, and observability; partner with product, operations, and other engineers to solve complex business problems; and take ownership of production systems including reliability, debugging, and long-term maintainability.
- • The engineering team is organized around the people served—members, employers, and partners—so teams own end-to-end experiences and ship with speed and accountability; Thatch is a fully distributed, early-stage company using technology to change healthcare in America, with a happy, friendly, high-velocity culture.
- • In this role, the engineer can learn and achieve deep expertise in healthcare and financial systems, gain experience building scalable, compliant backend infrastructure, influence technical direction, mentor others, and contribute to systems that have real operational and financial impact on real healthcare decisions.
🎯 Requirements
- • Experience building and maintaining backend systems in a production environment
- • A track record of shipping systems with complex business and operational implications
- • Strong ability to reason about data models, workflows, and edge cases
- • Comfort operating in ambiguous problem spaces with cross-functional tradeoffs
- • Experience mentoring other engineers or setting technical direction
- • Experience in healthcare, finance, or other complex or regulated domains
- • Experience with HR, payroll, payments, or partner-facing systems
- • Ownership of systems with real operational or financial impact
Skills & Technologies
About Thatch Health Inc.
Thatch Health operates a consumer health-benefits platform that enables employers to give employees a debit card and app for paying medical expenses. Funds are sourced from pre-tax HSA/FSA dollars or employer-funded stipends; the card automatically approves eligible providers and items. Users track spending, submit receipts, and access telehealth through the app, while employers see aggregate analytics and reduce payroll taxes. The company partners with banks and payment networks to issue FDIC-insured accounts and complies with IRS regulations for healthcare benefit administration.
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