Founding Engineer
Summary
Engineer #1 at Kanurra, an early-stage healthcare startup building an open platform where pharmacy claims are priced, paid, and audited, working onsite in New York alongside the founder. Day-to-day work centers on exactly-once claim payments, a versioned public API, Postgres data isolation, and explainable retroactive drug pricing, using Python, TypeScript, Postgres, and GCP.
Every prescription filled on a health plan gets priced and paid at the pharmacy counter in seconds, passing through four or five companies, and the employer paying for it almost never sees what it cost. We're building the platform those claims are priced, paid and audited on, in the open. TPAs and brokers build on it.
I'm the founder and an engineer, and I've written most of what exists. Hiring engineer #1. The problems: paying the same claim exactly once across reversals, rebills and retries; a versioned API that outside companies build their business on; isolating each customer's health data, enforced in Postgres; and drug prices that change retroactively but still have to be explainable. Stack: Python, TypeScript, Postgres, GCP. No healthcare experience needed.
Email me at hello@kanurra.com with something you built and the one thing in it you'd never let change.