Senior Software Engineer

About Wisdom

Wisdom blends industry expertise with advanced technology to make dental practices work better for everyone involved. We believe dentistry is about people, and we exist to make the future of dentistry stronger and more sustainable for dentists, their teams, and the patients they serve. We match administrative teams with expert billers and custom-built technology to take on the heavy lifting of dental billing while maximizing dentists’ time in-office, and their bottom line.
About The Role

The roadmap isnt handed to you here. Youll help write it.
As a Senior Software Engineer at Wisdom, youll own hard problems end-to-end — from schema design to agentic billing pipelines to the React surfaces that billers and practice operators rely on every day. Youll work on a small, high-trust team where your technical decisions have real consequences, the feedback loop with users is short, and your fingerprints are on the product.
Wisdoms stack is TypeScript, Node.js, React, Postgres, and AWS. The problems were solving — reliable integrations with inconsistent insurance systems, AI-driven billing decisions that have to be right, HIPAA-compliant infrastructure that cant fail — are legitimately hard. Wed rather have someone energized by that than simply tolerant of it.
In your first year, youll have shipped core pieces of our agentic billing infrastructure, established deep ownership over at least one major product surface, and helped raise the bar for how this team builds. This is a fully remote role reporting directly to the Head of Engineering.
What Youll Own

Design and ship production-grade features across the full stack — backend services, cloud infrastructure, and user-facing React interfaces
Build and evolve AI-powered agentic workflows that automate complex, high-stakes billing decisions at scale — not prototypes, production systems
Architect resilient integrations with dental insurance carriers and practice management systems (Dentrix, Eaglesoft) — poorly documented, inconsistent, and absolutely critical to get right
Work directly with dental billers and practice operators to understand problems at ground level, then translate that into software decisions
Hold a high bar for code quality, reliability, and operational health across the codebase — including code review and technical documentation that actually gets used
Take on ambiguous, undefined problems and drive them to resolution without waiting for permission or a perfect brief
Who You Are

5+ years shipping production software in environments where reliability and quality had real consequences — not just feature velocity
Youve built systems under pressure: integrations that had to stay up, services that had to scale, and code that had to be owned and maintained beyond your tenure
Hands-on production experience with at least one major LLM API — OpenAI, Anthropic (Claude), or Google Vertex AI — including tool use, prompt architecture, structured outputs, and handling model behavior in live systems
Strong command of TypeScript/JavaScript; familiarity with Python or C# is a plus
Deep experience with relational databases — schema design, query optimization, and reasoning about data integrity under load
Cloud infrastructure experience in AWS or GCP, including deploying and operating services at production scale
You default to ownership and move toward hard problems rather than away from them
Youre direct, intellectually honest, and collaborative — you surface bad news early, change your mind when the evidence warrants it, and make the people around you sharper
You\ll Stand Out If You Have

Experience with the Mastra agent framework or comparable orchestration tools (LangChain, LlamaIndex, CrewAI)
Working knowledge of HIPAA compliance and what it means to build software responsibly in a healthcare context
Experience at a Series A or early-stage startup where high autonomy and undefined problems were the norm, not the exception
Wisdom is an equal opportunity employer. We provide employment opportunities without regard to age, race, color, ancestry, national origin, religion, disability, sex, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable law.

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