Our software provides doctors and healthcare providers with the tools they need to operate and administer their own health plans, cutting out health insurance and making higher quality, lower cost healthcare possible.
We've grown revenue 60-70% year on year primarily from the word of mouth of our extremely happy (NPS of 70+) customers. At our current revenue growth we're on track for profitability in 12-18 months.
We're the #1 product for managing provider based healthcare plans, and are solving a real unmet need that is letting our customers focus on delivering great healthcare and growing their businesses.
We have hundreds of thousands of patients on our platform and are playing an increasingly vital role in automating and removing cost from how healthcare is delivered.
We work in two week cycles. Each cycle begins with a meeting to discuss which engineers will be working on which projects and to discuss time estimates. We do retrospectives after each cycle and demo new features at our company all-hands. Engineers typically work closely with product to spec out the features in a project and break each one down into small, releasable pieces of work. Engineers will often work together to come up with the technical design, then divide and conquer the components. Pairing is required for new team members and for complex areas of the code, however most engineers tend to work independently. We use BDD for our backend code and rely heavily on our test coverage to catch regressions, making large-scale refactors possible (though still a bit scary). When a feature (or partial feature) gets completed, the branch gets pull requested to master and the code is deployed to it's own review app. Once the feature is QA'd, code reviewed and product reviewed it gets merged to master and immediately deployed to production. We often deploy to production several times a day and make heavy use of feature flags until a feature is ready for GA.
Most of our technical challenge is in building a complex application that supports the needs of our customers, including features around messaging, enrollment, billing, utilization tracking and reporting, across a rapidly growing customer base.
We are reaching the limits of what we can handle within a Rails monolith and will be relying more heavily on message systems, asynchronous processing and data warehousing to address the scaling requirements over the next year.
Creating a novel way for healthcare providers to track the services they deliver and value they provide to patients and employees.
Develop a consolidated data warehouse that our customers can use to do data analysis and reporting.
Massively improve and simplify patient enrollment into a plan, potentially integrating with e-signature platforms and medical intake platforms.
Integrated Partnersinto an
app storethat can automate the setup and billing of the third party applications on our platform.
We try to stay focused on delighting our customers and earning their trust. We strive for excellence but acknowledge that we are going to make mistakes, and that there is always room for us to learn and improve.
We have a remote-friendly culture where working from home or another part of the country/world is accepted and normal.
We host an annual conference in SF that brings our team and customers together, as well as a (roughly) annual company retreat, most recently in Tahoe.
We provide health, vision and dental coverage.
We provide free lunches in the office from rotating set of local restaurants every day. As a healthcare company we promote good health internally as well as externally, and believe that good nutrition is a key to health.
We try to have the entire team online between about 9:30 and 2pm PST but what hours you work outside of that is up to you. We care about what you can get done, not how late you work.
We encourage our engineers to go onsite with customers and are happy to fly them out for a visit. We'll also sponsor engineers traveling to and working out of our Uruguay office.
We currently have an unlimited vacation policy.
We regularly plan office events that try to focus less on alcohol. We've gone on hikes, played mini-golf, done karaoke and went out for ice-cream.
We allow a 3-month, fully covered maternal and paternal leave.
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