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Help us fix medical billing

Medical billing is a $4 trillion system riddled with errors that cost patients billions every year. We are building the technology to change that. Join us.

What we believe

Evidence over opinion

Every claim we make is backed by data. Our analysis engine compares bills against millions of data points — not hunches. We bring the same rigor to internal decisions.

Privacy by design

We handle sensitive health and financial data. Privacy is not an afterthought or a compliance checkbox — it is built into every system, every API, every process from day one.

Ship like a pro

We build for millions, even when we are serving thousands. No shortcuts, no duct tape. Every deployment is tested, every decision is intentional, every line of code is something we would be proud to show.

Patients first

We exist because medical billing is broken and patients bear the cost. Every feature we build, every decision we make, starts with the question: does this help the patient?

Open positions

Senior Full-Stack Engineer

Engineering · Remote (US) · Full-time

Build and scale the core BillRazor platform — from the bill scanning engine to the patient dashboard. You will work across the entire stack: Next.js frontend, FastAPI backend, PostgreSQL, and cloud infrastructure. We need someone who ships fast, writes clean code, and cares about the details.

What we're looking for

  • 5+ years full-stack experience
  • Strong TypeScript and Python
  • Experience with PostgreSQL and Redis
  • Comfort with cloud infrastructure (AWS)
Apply for this role

Backend Engineer — Data Pipeline

Engineering · Remote (US) · Full-time

Own the data pipeline that powers BillRazor — from ingesting CMS pricing data to running benchmark comparisons against millions of records. You will build systems that process medical bills accurately and at scale.

What we're looking for

  • 3+ years backend engineering
  • Python, SQL, and data pipeline experience
  • Experience with large dataset processing
  • Familiarity with healthcare data a plus
Apply for this role

ML/NLP Engineer

Engineering · Remote (US) · Full-time

Improve the accuracy of our bill extraction and analysis engine. Work on OCR post-processing, medical code classification, and document understanding. Your work directly impacts whether we catch billing errors or miss them.

What we're looking for

  • 3+ years ML/NLP experience
  • Experience with document understanding or OCR
  • Python and modern ML frameworks
  • Healthcare or billing domain knowledge a plus
Apply for this role

Product Designer

Design · Remote (US) · Full-time

Design the experience patients have when they discover errors on their medical bills. From the first scan to case resolution, you will shape how people interact with complex billing data in a way that feels simple and trustworthy.

What we're looking for

  • 4+ years product design experience
  • Strong Figma skills and design systems thinking
  • Experience designing for trust-sensitive products
  • Ability to simplify complex information
Apply for this role

Medical Billing Specialist

Operations · Remote (US) · Full-time

Review flagged billing errors, validate findings against coding rules, and support the negotiation process with providers. You are the domain expert who ensures our analysis is accurate and our dispute letters are effective.

What we're looking for

  • 3+ years medical billing or coding experience
  • CPC, CCS, or equivalent certification preferred
  • Knowledge of CPT, HCPCS, ICD-10, and DRG systems
  • Experience with payer negotiations a plus
Apply for this role

Growth Marketing Manager

Marketing · Remote (US) · Full-time

Drive patient acquisition through SEO, content marketing, partnerships, and paid channels. You will own the growth strategy from awareness to conversion — helping patients discover that their bill might have errors.

What we're looking for

  • 3+ years growth or performance marketing
  • SEO and content marketing experience
  • Data-driven — comfortable with analytics
  • Healthcare or fintech marketing a plus
Apply for this role

Customer Success Lead

Operations · Remote (US) · Full-time

Be the voice of the patient inside BillRazor. Help customers understand their billing review, guide them through the negotiation process, and ensure every case reaches the best possible outcome.

What we're looking for

  • 2+ years customer success or support experience
  • Excellent written and verbal communication
  • Empathy and patience with complex situations
  • Healthcare experience a plus
Apply for this role

Content Writer — Healthcare

Marketing · Remote (US) · Contract

Write clear, accurate, and helpful content about medical billing — blog posts, guides, FAQs, and educational resources. You will help patients understand their rights and make informed decisions about their bills.

What we're looking for

  • 2+ years writing about healthcare or finance
  • Ability to explain complex topics simply
  • SEO awareness
  • Portfolio of published healthcare content
Apply for this role

Don't see your role? Send your resume to [email protected]

Benefits

Remote-first

Work from anywhere. We are a distributed team and always will be.

Equity

Meaningful equity grants so you own a piece of what you build.

Health insurance

Comprehensive medical, dental, and vision coverage.

Unlimited PTO

Take the time you need. We trust you to manage your schedule and deliver great work.

Equipment budget

Get the tools you need — laptop, monitor, chair, whatever makes you productive.

Learning budget

Annual stipend for courses, conferences, books, and professional development.

About BillRazor

BillRazor is a medical bill review and negotiation platform built by PioneerQ LLC, headquartered in Austin, Texas. We review medical bills, compare charges against federal pricing benchmarks, identify billing errors, and negotiate with providers on behalf of patients. Our mission is to make fair medical billing accessible to everyone.