Senior Product Engineer, RCM Operations

Senior Product Engineer at Duet

Independent primary care is disappearing, swallowed by hospital systems and private equity roll-ups, often pulling out of the communities that need it most. But 31 states now support autonomous NP practice, and the results back up what we've long believed. We built the first value-based care contracts for NPs with major payors, taking on real financial risk for outcomes. In our anchor market in New Hampshire, our network outperformed the state on total cost of care by 19%, proof that a solo NP in an underserved area can outperform a system ten times their size and get rewarded for it.

About the Role

As a Senior Product Engineer on Billing Operations, you'll own the engineering behind Duet's revenue cycle products. You'll build the systems that move a claim from charge capture through submission, adjudication, denial, appeal, and collection, across three surfaces:

This is a deeply hands-on, full-stack role with backend as your center of gravity. You’ll own reliability of API connections between billing systems and clearinghouses, work with data to ensure data accuracy, and build dashboards that our customers and internal ops team consumes.

You'll work closely with our billing operations and product teams, partnering with people who do this work manually today to turn their hard-won knowledge into durable software.

Experience integrating with specific EHR or practice management systems, or with clearinghouses, maps directly to what we're doing. Familiarity with workflow automation or rule-based systems is a strong plus. Exposure to value-based care or programs like APCM (Advanced Primary Care Management) will accelerate your impact. So will experience turning internal tools or managed services into self-serve customer-facing products.

Our Stack

Python and React/Next.js, RESTful APIs, cloud data warehouse.

This role is hybrid in NYC (in office Monday-Wednesday).

The salary range for this role is $160,000-$185,000 per year plus equity.