Careers
No open roles posted. Write to us anyway.
We are three people. Publishing a careers page with invented job titles and a ping-pong table would be the first dishonest thing on this website, so here is the real situation instead.
What the work is
Federal billing rules, turned into software that refuses to break them.
The interesting engineering here is not the model. It is the state machine underneath it — the part that knows a month cannot be billed because a live patient call never happened, and holds the claim rather than filing it.
You would be reading the Physician Fee Schedule and turning paragraphs of it into gates that a clinic cannot accidentally walk around. You would be writing code where an audit is the real test suite, and where the cost of a confident wrong answer lands on a small practice that trusted us.
There is also a lot of ordinary craft: a console a nurse can move through quickly, integrations with EHRs that were not designed to be integrated with, and device plumbing that has to work in the home of a seventy-eight-year-old.
Every action that touches a patient, a chart, or a claim has a named human attached to it, with a timestamp.
People we would obviously want
Engineers who like constraints
You have built something where correctness was legally load-bearing — payments, medical devices, safety systems, compliance infrastructure — and you found that satisfying rather than tedious.
Someone who has run this work by hand
A nurse, care manager, or practice administrator who has personally enrolled patients, chased consent, and fought a denial. You would shape the product more than any engineer.
A clinician who wants to build
Practising primary care, curious about what happens when the documentation burden is treated as a software problem.
The other side of it
What we cannot offer you.
Joining a three-person company at this stage is a specific trade, and it is a bad one for most people. Here is the part a recruiter would leave out.
A large salary
We are early. Cash compensation will be below what you would earn at a company with a logo, and equity is a real but genuinely uncertain part of the offer.
Structure
No onboarding programme, no career ladder, no manager shielding you from ambiguity. You would be choosing what to work on more often than being told.
Certainty
We have a working product, a physician cofounder's practice as a proving ground, and no signed customers yet. That is honestly where we are.
A famous problem
You will explain what you do at parties and watch people's eyes glaze. The reward is that the work matters to the specific practices that use it.
How to apply
One email. Tell us what you would want to work on and show us one thing you built or ran. No cover letter, and please do not tailor your résumé — we would rather read three honest sentences.
A founder reads every one. If we are not hiring for what you do, we will say so quickly instead of leaving you in a pipeline — careers@itas.health.