Senior AI-Driven Full Stack Software Engineer System-Driven Process Owner (SDPO) Location: Upstate New York Schedule: Full-Time Hybrid Compensation: $175,000+ DOE About the Opportunity A rapidly growing medical billing organization is seeking a highly experienced Senior Full Stack Software Engineer to help transform healthcare operations through artificial intelligence, automation, and innovative software solutions. Medical billing involves complex workflows, large amounts of data, insurance processes, claims management, and repetitive operational tasks. The company is building the next generation of AI-powered systems designed to automate manual processes, improve efficiency, and create smarter workflows for healthcare operations. This is an opportunity for an experienced developer who enjoys solving real-world business problems and building technology that creates measurable impact. About the Role The System-Driven Process Owner (SDPO) is a unique engineering role designed for a highly capable developer who can take ownership of the entire software development lifecycle. This is not a traditional software engineering role where requirements are handed down and tasks are assigned. The ideal candidate will work directly with business teams to understand operational challenges, identify opportunities for automation, and build intelligent software solutions that improve medical billing workflows. You will own projects from initial discovery through development, testing, deployment, and continuous improvement. Using modern AI development tools such as Claude Code, GitHub Copilot, Cursor, and similar technologies, you will accelerate development and build powerful automation solutions. Key Responsibilities AI-Powered Workflow Automation Analyze existing medical billing processes and identify opportunities for automation. Transform manual workflows into intelligent, software-driven systems. Build solutions that improve efficiency across billing, claims, and operational processes. Develop systems where AI can handle repetitive tasks while involving human users when needed. Full Product Ownership Work directly with internal users to understand challenges and business needs. Translate business problems into effective software solutions. Design application architecture, workflows, and database structures. Build, test, deploy, and continuously improve applications. Gather feedback from users and iterate quickly. AI-Assisted Software Development Utilize AI development tools to increase development speed and productivity. Leverage AI for prototyping, coding, testing, and documentation. Stay current with evolving AI development methodologies. Build modern applications using AI-enhanced development practices. Qualifications 5+ years of professional software development experience. Strong full-stack development experience. Proficiency with: React Node.js SQL / relational databases Modern web application development Experience building SaaS applications, workflow systems, internal tools, or automation platforms. Strong problem-solving skills with the ability to work independently. Comfortable taking ownership of projects from concept to completion. Preferred Experience Experience in any of the following is highly preferred: Healthcare technology Medical billing software Revenue Cycle Management (RCM) EHR/EMR systems Healthcare SaaS platforms Workflow automation AI-powered applications Ideal Candidate The ideal candidate is someone who: Thinks like a product builder, not just a coder. Enjoys understanding business problems and creating solutions. Can take an idea from concept to a working product. Uses AI tools as a development partner. Thrives in a fast-moving, innovative environment. Is comfortable experimenting, improving, and rebuilding when necessary. This Role Is Not A traditional developer role waiting for detailed requirements. A position focused only on maintaining existing systems. A role where every task is assigned step-by-step. A people-management position. Benefits Comprehensive benefits package including: Medical, Dental, and Vision Insurance 401(k) with company match Group Life Insurance Extended Disability Coverage Profit Sharing Program