Sana’s vision is simple yet bold: make healthcare easy.
We all know navigating healthcare in the U.S. is confusing, costly, and frustrating -- and our members are used to feeling that pain. That’s why we’re building something different: affordable health plans designed around Sana Care, our integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them.
Whether it’s a quick prescription refill or guidance through a complex medical journey, Sana Care makes it feel effortless to get the right care at the right time. And for employers and brokers, we’ve built intuitive tools to make managing health benefits just as seamless.
Sana is looking for a Senior Software Engineer to join our small but growing team. In this role, you’ll directly influence how small businesses and their employees access affordable, high-quality care. We’re looking for someone who has demonstrated the ability to build, deploy, and maintain high-quality applications. You understand and use automated testing and know how to write clean, readable code. You are someone looking to push the boundaries of delivering convenient, simple, and personalized high-quality health benefits and care. If you’re ready to help thousands of members navigate the healthcare system with fewer headaches and lower costs, let’s talk!
We work primarily in Ruby on Rails and JavaScript but are open to those with differing backgrounds. You should have a solid understanding of how to build software that goes beyond the ability to use these tools.
If you love solving hard problems that make people’s lives easier, come build with us.
What you will do:
Build products that will help guide members through an evolving and complicated healthcare system
Integrate data from claims, eligibility, and healthcare partners to deliver a seamless member experience
Work on a team of talented product managers, designers, data scientists, and operations teams to solve problems together in a collaborative and creative environment
Help maintain and extend internal products that accelerate growth, improve customer experience, and help keep our operations as efficient as possible
Mentor and lead by sharing knowledge, setting best practices, and helping grow a culture of experimentation and innovation
Participate in business problem solving and technical de-risking as appropriate as part of cross-functional teams
Collaborate with product managers and stakeholders to identify high-leverage AI use cases.
Translate ambiguous problems into well-defined projects with measurable outcomes.
About you:
4+ years of professional full-stack engineering experience.
Strong skills in object-oriented design and modern programming practices.
Proficiency in Ruby on Rails and JavaScript/React (or strong interest and willingness to learn).
Experience working in cloud environments (AWS) and with modern tooling (Docker, Elasticsearch, Postgres, Git, Linux).
Excellent communicator who thrives in collaborative, fast-paced settings.
A systems thinker who enjoys tackling complex challenges in healthcare, fintech, or similarly regulated industries.
Bonus points if you have a background in healthtech, insurtech, or experience working with claims, eligibility, or healthcare data.
Tech we use:
Rails
React
Docker
Elasticsearch
AWS
Linux
Postgres
Git
Benefits:
Remote company with a fully distributed team – no return-to-office mandates
Flexible vacation policy (and a culture of using it)
Medical, dental, and vision insurance with 100% company-paid employee coverage
401(k), FSA, and HSA plans
Paid parental leave
Short and long-term disability, as well as life insurance
Competitive stock options are offered to all employees
Transparent compensation & formal career development programs
Paid one-month sabbatical after 5 years
Stipends for setting up your home office and an ongoing learning budget
Direct positive impact on members’ lives – wait until you see the positive feedback members share every day
About Sana
Founded in 2017, Sana is a health plan solution built for small and midsize businesses — designed around our integrated primary care service, Sana Care. It’s the foundation of everything we build: ensuring members can easily access high-quality, affordable care while employers and brokers have the tools they need to manage company benefits with confidence.
We’ve been remote-first since day one, with a fully distributed team across the U.S. We value curiosity, ownership, and speed — and we build in the open, together. If you’re energized by solving complex, meaningful problems and want to help reshape how healthcare works from the inside out, we’d love to meet you.
