Marble Health

    Tech Lead, RCM

    Marble Health
    Posted 11/14/2025Senior Level
    Full-time
    Technology
    Backend Engineering
    Revenue Cycle Management
    Billing Systems
    Scalable Systems
    CI/CD Pipelines

    Job Description

    About the Role We’re looking for a senior/staff level backend leaning tech lead to own revenue cycle management (RCM) at Marble. You’ll be a technical lead of a team of engineers & operations building the infrastructure, product, and processes that power RCM. You’ll own a high-leverage surface area that directly impacts our ability to grow, and help build a world-class engineering culture from the ground up.

    What You’ll Do Own and evolve Marble’s RCM / billing systems Build and maintain the systems that ensure Marble gets paid. This is a huge surface area that includes things like, payer contract configuration management, insurance collection, automated eligibility checks, workflows to handle newly ineligible insurance, claim submissions, reimbursement flows, and reporting. RCM is a core pillar of our business, and you'll own it end-to-end. Build core platform infrastructure While RCM will be your primary focus, we’re still a small team and you’ll be a leader of our general core platform infrastructure. As we move from a single monolith to a more scalable architecture, you’ll help lead the design and implementation of our platform foundation — including event-driven systems, internal tooling, data pipelines, and DevX / infra improvements. Up-level engineering standards and provide mentorship Be a senior voice on the team. Mentor engineers, set the standard for clean, maintainable code and champion best practices. Mentor teammates and help grow a strong, thoughtful engineering culture. Be a cross-functional partner Collaborate closely with product, operations, and clinical teams to ensure we’re working on the problems that truly matter and delivering solutions that really work.

    Qualifications Requirements 6+ years of backend leaning engineering experience Deep expertise in building reliable, scalable systems and dealing with business complexity Hands on experience with CI/CD pipelines & IaC tooling (such as Terraform, AWS CDK, etc.) NYC based & able to come into our SOHO office 3 days a week Bonus Prior startup or early-stage experience is strongly preferred Prior management experience Prior experience in the healthtech space Expertise with the Node.js ecosystem

    Marble Must Have Traits 🏃 Relentless Drive You’re the hardest worker in the room who takes full responsibility for outcomes and tackles any task, no matter how small.⁠⁠ 🧑‍🤝‍🧑 Introspective Team Player You invest in relationships and team morale while actively seeking feedback and self-evaluating to continuously improve.⁠⁠ 🧭 Operationally Excellent You communicate clearly, think logically, and execute efficiently & effectively.

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