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Lead Engineer (Data/Integrations)

Onoshealth
CompanyOnoshealth
CategoryEngineering
LocationSan Francisco
RemoteHybrid
EmploymentNot stated
LevelLead
SalaryUSD 200k–250k
Posted26 Mar 2026
Last verified3 Aug 2026
SourceEmployer ATS (ashby)
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Description
ABOUT ONOS HEALTH Onos Health’s mission is simple but ambitious: ensure every healthcare dollar goes toward delivering the highest quality care. Today, 30% of total U.S. healthcare spending is wasted due to ineffective care and administrative burden caused by misalignment between providers and payers. Onos is addressing this by building the largest AI-driven healthcare data platform. Our models enables payers to make faster, more accurate decisions across their populations. By guiding members to the right care, Onos is channeling more dollars to high-quality care that drives better outcomes while making healthcare more affordable. Onos is well-funded by some of the best healthcare investors and is working with the nation’s largest health plans. Come join a category-defining company and help reimagine healthcare for the better. WHY ONOS? - Meaningful impact: Help fix what is fundamentally broken in healthcare - Direct collaboration: Work alongside experienced founders with deep healthcare and data expertise - Culture: Join a high-performing, transparent, and results-oriented team - Ownership: Significant responsibility and autonomy from day one - Opportunity: Play a pivotal role in building a fast-growing, category-defining healthcare AI company THE ROLE We're seeking an experienced data engineering leader who is motivated to meaningfully improve the way healthcare is administered in the country. You'll own the architecture and implementation of our integrations with claims and utilization management systems at the nation's largest health plans. As an early team member, you'll build the data infrastructure that powers the entire Onos platform and establish the best practices for a growing data engineering team. This role is a hybrid role based in San Francisco, where you'll be expected to work at our office in person 3 times per week. WHAT YOU’LL BE DOING AT ONOS: - Lead the architecture and implementation of data integrations with major healthcare payers, including claims feeds, utilization management authorization data, eligibility files, and provider rosters - Build an integration framework that makes onboarding each new payer faster and more reliable over time - Work across healthcare data formats and exchange methods - Build monitoring, reconciliation, and data quality systems, including defining requirements, test scenarios, and acceptance criteria for each integration - Build and scale data pipelines for our AI/ML systems and analytics dashboards for behavioral and mental health quality and cost - Establish engineering best practices and technical foundations for future team growth TECHNICAL CHALLENGES AT ONOS: - Build a payer integration framework that makes each new national and regional health plan onboarding faster and more reliable than the last - Develop fault-tolerant data pipelines that process millions of claims records while maintaining strict data quality, security, and compliance requirements - Design normalization layers that translate varied payer data formats into a unified data model for AI/ML and analytics - Architect robust monitoring and alerting systems that detect data quality issues, feed disruptions, and schema drift before they impact downstream systems - Establish best practices for using AI tooling across the engineering workflow to ship faster without sacrificing quality TECH STACK: At Onos, we work with a modern tech stack where we continuously evaluate and adopt cutting-edge technologies as we scale. - Infrastructure/Systems: AWS (ECS, Bedrock, Glue, etc.), Docker, Github Actions, Terraform - Languages/Frameworks - Backend: Python, Django, Celery / Celery Beat, django-ninja, django-tenants - Frontend: NextJS, Typescript, Tanstack Query, Shadcn UI, Zod, Nuqs - Database/Storage: PostgreSQL (AWS RDS), S3, Clickhouse - Development Tools: Github, Jira, Claude Code, CoderabbitAI, Tusk WHAT WE’RE LOOKING FOR: