Entry Level -Software Developer – Web Development

Job Description

About Skylight Health
Skylight Health is transforming specialty care by connecting patients, clinicians, and payors through a value-based care platform. We are building the operating system for specialty care orchestration: helping patients navigate complex healthcare needs, supporting providers with better coordination and insights, and partnering with payors to improve outcomes and create measurable value. We’re backed by leading healthcare investors including Valtruis and a16z, and we’re a series A company with a growing team dedicated to solving the hardest problems in specialty care delivery.
Trusted Orchestration: We become the partner of choice by consistently helping patients, providers, and payers succeed, building meaningful relationships founded on mutual trust. We are a reliable connector that strengthens collaboration across the specialty care ecosystem.
We focus on solutions that create meaningful, measurable change in healthcare delivery and patient outcomes.
You’ll own core development on our referral platform that enables our team to define and orchestrate agentic healthcare referral workflows at scale. This role is on a small, high-agency team where you’ll work directly with the CTO and two other engineers on core platform capabilities.
In this role, you will build workflow orchestration engines, agent coordination logic, and backend/frontend infrastructure that lets our users define, test, and deploy multi-step referral workflows. Build and maintain healthcare referral workflow definitions, agent coordination logic, and integrations using browser agents within the platform. Incorporate internally developed intelligent routing and multispecialty intelligence into the referral engine.
Web app infrastructure: Develop backend APIs (Node.js, REST/GraphQL), web UI components (React or similar), and data models that create seamless human-on-the-loop and in-the-loop experiences for users.
Healthcare claims data integration & analytics: Use healthcare claims data from CMS and other sources to inform workflow behavior, build new data pipelines into the app, and maintain existing analyses that power workflow decisions.
Troubleshoot workflow failures, optimize data retrieval from healthcare sources, and improve platform reliability and performance at scale.
Work with data science, engineering, product, and clinical teams to understand healthcare referral workflows and translate requirements into technical solutions.
5 years of software development in production environments, with demonstrated ability to own systems end-to-end and strong system design judgment. Hands-on experience with agentic or AI systems — you’ve built, deployed, or maintained agents (LLM-based, workflow orchestration, or similar). JavaScript/TypeScript mastery — with an agent you ship clean, maintainable TypeScript/JavaScript across backend (Node.js, APIs), frontend (React or similar), and multiple contexts. You’re comfortable with modern web frameworks and tooling.
~ SQL & data engineering competency — you can understand complex queries, design data schemas, and build/iterate on ETL and data processing pipelines. Cloud Build, Cloud Run, Artifact Registry) or Databricks experience
PySpark for distributed data processing
Exposure to healthcare referral, prior authorization, or care coordination workflows
dbt familiarity for data transformation
Onboard on the platform codebase, understand the current referral workflow architecture, and get familiar with CMS healthcare claims data integration patterns.
understand the current customer use cases and roadmap.
Ship 3 bug fixes or feature refinements to the workflow engine.
Own and ship a meaningful feature or infrastructure improvement (ex. new workflow step type, improved state management, new API endpoint) that directly benefits customers.
Contribute to CMS healthcare claims data pipeline improvements or new analyses that feed workflow decisions.
new workflow capability, performance improvement, new customer workflow type) that improves customer adoption or referral success rates.
Contribute to product roadmap planning and help shape the platform’s technical direction.
We value clear ownership, high-trust collaboration, and direct communication.
We work across product, clinical, operations, data, and partnerships to solve complex healthcare problems.
We use technology responsibly and thoughtfully, especially when working with sensitive healthcare information.
Comprehensive health, dental, and vision coverage
Remote-first with occasional (2-3 times per year) in-person collaboration
Early-stage equity (stock options aligned with early employees)
We welcome candidates from all backgrounds and are committed to building an inclusive team where everyone can do meaningful work, grow, and contribute to better healthcare outcomes.