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Highlight HEALTH is a brand dedicated to exploring the Science of Health. We understand that healthcare decisions are now grounded in evidence from scientific research, rather than mere opinion or experience. Our goal is to provide credible and reliable health information in a sea of misinformation on the internet. We aim to bridge the gap between complex medical research and everyday health practices, empowering you to lead a happier, healthier life.

At Highlight HEALTH, we prioritize transparency and integrity. Our funding comes from advertising, clearly labeled as such, to support our operations and compensate our writers. We believe in open dialogue and encourage you to never stop asking "why". Our brand is here to complement, not replace, the relationship between you and your physician. Explore our content to discover the latest in healthcare, wellness, and medical advancements. Trust Highlight HEALTH for science-backed insights into your well-being.

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Highlight Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. Highlight Health engineers new ways to protect consumer rights and control healthcare costs for self-funded employers.

**Overview**

Highlight Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. We are a profitable, fast-growing company without private equity investors.

We are currently upgrading our core operations into a sophisticated, proprietary **Claims** **Intelligence Platform**. This isn’t a prototype; it is an innovative system of record handling protected health information (PHI) and generating financial recommendations with real-world legal and economic weight.

Highlight Health engineers new ways to protect consumer rights and control healthcare costs for self-funded employers. Nearly every American has felt the pain of the skyrocketing cost of healthcare. Highlight Health brings them solutions. We use our subject-matter expertise to reduce costs for employers and relieve ordinary Americans of burdensome medical costs. Highlight Health is proud of its inclusive workplace that brings together highly skilled leadership and employees from all walks of life.

At Highlight Health, the output of your work matters. You will be the technical authority on a platform where the “correctness bar” is exceptionally high — because the results directly affect what employers pay for healthcare. If you want to own the quality standard and build something that genuinely matters, we would love to hear from you.

**Essential Duties and Responsibilities – First 90 Days**

- Establish the modular architecture scaffold, module boundaries, and CI/CD pipeline before any feature code ships
- Design and build the core PostgreSQL schema and entity data model — the canonical structure that every module writes to and reads from, with migrations configured from day one
- Define and publish interface contracts for every module
- Design and implement the multi-tenant data access layer with security enforced at both the application and database layers
- Produce the coding standards document covering naming conventions, error handling, logging discipline, and pull request review criteria
- Review every pull request touching core data access patterns, financial logic, or module boundaries throughout the engagement
- Triage and unblock workstreams for the development team
- Transfer architectural knowledge to the engineering team continuously, not just at the end

**The Technical Stack**

- **Backend:** Python 3.12, FastAPI, async SQLAlchemy 2.0, Alembic migrations
- **Database:** Azure Database for PostgreSQL — HIPAA-eligible, zone-redundant, row-level security enforced at both application and database layers
- **Infrastructure:** Azure Container Apps (dev / staging / prod), Azure Service Bus for async job processing, Azure DevOps CI/CD, Azure Blob Storage
- **Frontend:** React 18 / Vite SPA for the internal application; Next.js for the external client portal
- **AI and OCR:** Anthropic Claude via Azure AI Foundry for document extraction; Azure Document Intelligence for OCR processing
- **Quality:** pytest, Ruff linting, automated module boundary enforcement in CI

**Experience and Qualifications**

- **Experience:** 15+ years in software architecture, with at least 5 years in a senior or principal individual contributor capacity.
- **Technical depth:** Proven track record shipping Python / PostgreSQL backends in production. You can design a data access layer, write a migration strategy, and configure a CI/CD pipeline from scratch.
- **Regulated environments:** You understand the nuances of working with sensitive data (HIPAA, SOC 2, or PCI) and prioritize audit trails and data access controls.
- **Consultative mindset:** You have done fractional or consulting engagements before. You know how to drive high impact and hand off cleanly.
- **Modern development workflow:** You are comfortable governing teams using AI-assisted tools like Cursor and Claude Code to maintain high quality at a fast pace.

**Engagement**

- 90-day FT intensive build phase, followed by a 90-day PT engagement
- Possibility for FT engagement after 180 days

**Compensation and Benefits**

- Starting Compensation: $20,000/monthly
- If you are based in the Philadelphia area, you will have the option of working in-office on a flexible schedule.

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A clear and powerful object-oriented programming language, comparable to Perl, Ruby, Scheme, or Java.

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A high performance, easy to learn, fast to code, ready for production web framework

FastAPI

Integrated cloud services and infrastructure to support computing, database, analytics, mobile, and we...

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Principal Engineer

Highlight Health is a mission-driven company that engineers new ways to protect consumer rights and control healthcare costs for employers. Nearly every American has felt the pain of the skyrocketing cost of healthcare. Highlight Health does the research to bring them solutions. We use our subject-matter expertise to reduce costs for employers and relieve ordinary Americans of burdensome medical costs. Highlight Health is proud of its inclusive workplace that brings together highly skilled leadership and employees from all walks of life. Our company is headquartered in two cities along the Northeast Corridor with an affordable cost of living: Philadelphia, PA and Newark, NJ. 

Highlight Health

**Overview**

  

Highlight Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. We are a profitable, fast-growing company without private equity investors.

  
  

We are currently upgrading our core operations into a sophisticated, proprietary
**Claims**
**Intelligence Platform**
. This isn’t a prototype; it is an innovative system of record handling protected health information (PHI) and generating financial recommendations with real-world legal and economic weight.

  
  

Highlight Health engineers new ways to protect consumer rights and control healthcare costs for self-funded employers. Nearly every American has felt the pain of the skyrocketing cost of healthcare. Highlight Health brings them solutions. We use our subject-matter expertise to reduce costs for employers and relieve ordinary Americans of burdensome medical costs. Highlight Health is proud of its inclusive workplace that brings together highly skilled leadership and employees from all walks of life.

  
  

At Highlight Health, the output of your work matters. You will be the technical authority on a platform where the “correctness bar” is exceptionally high — because the results directly affect what employers pay for healthcare. If you want to own the quality standard and build something that genuinely matters, we would love to hear from you.

  
  

**Essential Duties and Responsibilities – First 90 Days**

  

  
- Establish the modular architecture scaffold, module boundaries, and CI/CD pipeline before any feature code ships
  
- Design and build the core PostgreSQL schema and entity data model — the canonical structure that every module writes to and reads from, with migrations configured from day one
  
- Define and publish interface contracts for every module
  
- Design and implement the multi-tenant data access layer with security enforced at both the application and database layers
  
- Produce the coding standards document covering naming conventions, error handling, logging discipline, and pull request review criteria
  
- Review every pull request touching core data access patterns, financial logic, or module boundaries throughout the engagement
  
- Triage and unblock workstreams for the development team
  
- Transfer architectural knowledge to the engineering team continuously, not just at the end
  

  
  

**The Technical Stack**

  

  
- **Backend:**
   Python 3.12, FastAPI, async SQLAlchemy 2.0, Alembic migrations
  
- **Database:**
   Azure Database for PostgreSQL — HIPAA-eligible, zone-redundant, row-level security enforced at both application and database layers
  
- **Infrastructure:**
   Azure Container Apps (dev / staging / prod), Azure Service Bus for async job processing, Azure DevOps CI/CD, Azure Blob Storage
  
- **Frontend:**
   React 18 / Vite SPA for the internal application; Next.js for the external client portal
  
- **AI and OCR:**
   Anthropic Claude via Azure AI Foundry for document extraction; Azure Document Intelligence for OCR processing
  
- **Quality:**
   pytest, Ruff linting, automated module boundary enforcement in CI
  

  
  

**Experience and Qualifications**

  

  
- **Experience:**
   15+ years in software architecture, with at least 5 years in a senior or principal individual contributor capacity.
  
- **Technical depth:**
   Proven track record shipping Python / PostgreSQL backends in production. You can design a data access layer, write a migration strategy, and configure a CI/CD pipeline from scratch.
  
- **Regulated environments:**
   You understand the nuances of working with sensitive data (HIPAA, SOC 2, or PCI) and prioritize audit trails and data access controls.
  
- **Consultative mindset:**
   You have done fractional or consulting engagements before. You know how to drive high impact and hand off cleanly.
  
- **Modern development workflow:**
   You are comfortable governing teams using AI-assisted tools like Cursor and Claude Code to maintain high quality at a fast pace.
  

  

**Engagement**

  

  
- 90-day FT intensive build phase, followed by a 90-day PT engagement
  
- Possibility for FT engagement after 180 days
  

  
  

**Compensation and Benefits**

  

  
- Starting Compensation: $20,000/monthly
  
- If you are based in the Philadelphia area, you will have the option of working in-office on a flexible schedule.

Philadelphia

The role involves establishing a modular architecture, designing a PostgreSQL schema, and implementing a multi-tenant data access layer. It requires 15+ years of experience in software architecture, particularly with Python and PostgreSQL, and experience in regulated environments. The engagement is a 90-day full-time build phase followed by a 90-day part-time engagement, with potential for full-time conversion.

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