Fira Health
Fira Health
Founding Product Engineer - exclusive
Apply
Full-time
Hybrid
$180k - $250k
About this role

Fira Health is building agentic AI tools to transform administrative workflows at healthcare organizations. We’ve started with home health, where we help agencies reduce administrative burden, get paid faster, and focus more on patient care — not paperwork. Our platform automates workflows like prior auth, eligibility checks, and benefit verification by integrating deeply into providers' operations and systems.

We’re a fast-moving, founder-led startup backed by top-tier investors and built by a team with deep experience in healthcare, operations, and applied AI.

About the Role

We’re hiring a hands-on Product Lead Engineer who will own an entire slice of our AI platform. You’ll pair your product intuition with engineering chops to design and ship automation in one of our critical healthcare domains, such as accounts receivable.

You’ll partner daily with our engineers and RCM subject-matter experts to translate real-world edge cases into clear specs and measurable wins.

We expect the right candidate to evolve from this role into a full-fledged Director of Product Engineering with responsibility for their healthcare domain of ownership.

Specifically for this role, have strong preference for candidates with expertise in one (or more) of the following domains: 1) Voice Scribe, 2) LLM-based Medical Coding, 3) Accounts Receivable / Billing

Responsibilities

End-to-End Automation Vision

You connect the dots from clinician note to paid claim

  • Map user journey flow and turn it into a clear product roadmap

  • Define success metrics and set OKRs around them

  • Prioritize work in thin, testable slices in each release

Design & Ship Cross-Domain Features

You translate ideas into shipped products that move numbers

  • Lead discovery sessions, quick prototypes, and spec writing for product workflows (e.g., voice capture workflow for Voice Scribe product)

  • Pair with engineering teams to choose the right models, rules, or APIs

  • Run customer pilots, gather structured feedback, and iterate

Drive Quality, Compliance, & Continuous Improvement

You keep the system accurate, secure, and always learning

  • Instrument live dashboards for accuracy, latency, and cash-flow KPIs; investigate outliers and ship rapid fixes

  • Build human-in-the-loop reviews where needed, feeding every approve/edit/reject back into model or rule tuning

  • Help to bake in HIPAA controls, audit trails, and payer-rule updates into each release

Qualifications

  • Data-driven mindset—you monitor accuracy, denial impact, and cycle time, then iterate rapidly to lift the numbers

  • Clear communicator who can interview coders, present trade-offs to leadership, and document decisions for engineers

  • Security & privacy savvy, designing features that protect PHI and withstand payer or regulatory audits

  • Growth potential: eager to own the coding-automation roadmap now and evolve into a team-lead or product-lead role as Fira scales to new specialties

relevant product engineering experience with demonstrated ownership in building and shipping healthcare products from concept to deployment. Lead engineer or team lead experience preferred (titles like "Lead Engineer," "Team Lead," or similar)
Salary
$180k - $250k
Equity
competitive
Visa sponsorship not available
Hybrid work policy
This role is in-person 3-5 days a week in our New York City office
Full-time position
Location
New York
Tech stack
Infra/Ops: AWS, Terraform, Docker, Datadog, Sentry, Modal, Frontend: Next JS, React, Posthog, Amplify AWS, Backend: FastAPI, Pydantic, PostgreSQL
About Fira Health

Fira Health is building agentic AI tools to transform revenue cycle operations for home health providers. We help agencies reduce administrative burden, get paid faster, and focus more on patient care — not paperwork. Our platform automates workflows like prior auth, eligibility checks, and benefit verification by integrating deeply into providers' operations and systems.


We’re a fast-moving, founder-led startup backed by top-tier investors and built by a team with deep experience in healthcare, operations, and applied AI.

Team size

20 people

Industry

Healthcare, AI

Founded

2025

LinkedIn

Visit

Office locations

NYC

Company locations

NYC
Fira Health company image - 1
The team
About the team
Tech stack
Infra/Ops: AWS, Terraform, Docker, Datadog, Sentry, Modal, Frontend: Next JS, React, Posthog, Amplify AWS, Backend: FastAPI, Pydantic, PostgreSQL
Employee benefits
Comprehensive medical, dental, and vision coverage
Flexible time off policy — take the time you need to recharge
In-office lunches, dinners, and snacks to fuel your focus and well-being
Apply for this role
Linkedin profile url
Please ensure the Linkedin url is valid
Full name
Resume
Hiring managers prefer resumes not generated from LinkedIn
Email
Portfolio url
(optional)
What interests you about joining Fira Health?
Can you work 3-5 days in office in NYC?
How did you measure success for the healthcare products you built? Can you share specific metrics or outcomes you achieved?
Apply