Senior Software Engineer
About PayZen
PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow and administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.
About the Role
We are looking for a Senior Software Engineer — an individual contributor who owns a product surface end-to-end. At this level, you work independently on your surface and are guided on novel domains.
You own a product surface within Care Finance's provider and partner platform — the systems that connect PayZen to health systems and partners — on a weeks-long horizon, in an environment governed by HIPAA, PCI-DSS, and SOC 2.
Responsibilities
Deliver Reliable Craft on Your Surface
Deliver reliable, high-quality craft on your surface, with AI-native output as the standard. Deepen your fluency with HIPAA, PCI-DSS, and SOC 2 as you build.
Identify Gaps and Frame Problems
Identify gaps in your surface and contribute to framing the problems worth solving, considering data and compliance implications.
Deliver Dependably
Deliver reliably on your surface, manage your own dependencies, and escalate with context — not just problems.
Create Clarity Through Writing
Create clarity through writing that stakeholders can act on, communicate tradeoffs to non-engineering partners, and align the people closest to your work.
Give Feedback and Mentor
Give timely peer feedback, start mentoring more junior engineers on craft, and take part in hiring independently.
Automate and Contribute to Shared Tools
Automate recurring manual steps, and contribute to shared tooling and internal libraries.
Requirements
5+ years of software engineering experience delivering production systems.
Ability to own a product surface end-to-end and work independently, seeking guidance on novel domains.
Reliable, high-quality craft with an AI-native approach to output.
Experience managing your own dependencies and escalating with context, not just problems.
Hands-on proficiency in at least one of Java, Go, Python, or TypeScript.
Clear written communication that helps stakeholders act, including non-engineering partners.
Growing fluency with application security and compliance-regulated environments; HIPAA, PCI-DSS, or SOC 2 exposure a plus.
Staff Software Engineer
About PayZen
PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow and administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.
About the Role
We are looking for a Staff Software Engineer — a senior individual contributor who works across multiple systems on open-ended problems, in close collaboration with peers. At this level, your impact reaches well beyond your own workstream.
You work across Care Finance's provider and partner platform — the systems that connect PayZen to health systems and partners — on a months-long horizon, keeping them reliable under HIPAA, PCI-DSS, and SOC 2 controls.
Responsibilities
Set the Craft Standard
Bring expert craft and systems thinking, and teach others as you go. Use AI-native approaches to make work that was impossible a quarter ago the new baseline.
Find the Problems Others Miss
Find the problems others miss, and shape solutions that strengthen PayZen's data asset and expand what the platform can own across the patient financial lifecycle.
Drive Workstreams End-to-End
Drive workstream delivery end-to-end. Set ambitious but feasible milestones, sequence work to deliver value early, and unblock others proactively.
Shape Direction Cross-Functionally
Shape the direction of your product surface with cross-functional partners, and adjust your approach through pivots without losing momentum.
Coach and Give Feedback
Coach others on compounding their impact, give actionable feedback across workstreams, and advocate for strong candidates at the hiring bar.
Build Leverage for the Team
Build tools and systems that create structural leverage for the team, multiplying your impact well beyond your own workstream.
Requirements
8+ years of software engineering experience building and operating production systems at scale.
Expert craft and strong systems thinking across multiple systems or surfaces.
A track record of finding high-impact problems others miss and driving solutions end-to-end.
Experience setting ambitious but feasible milestones and sequencing work to deliver value early.
Hands-on proficiency in at least one of Java, Go, Python, or TypeScript; you write and review code daily.
Experience building tools or shared systems that make a whole team faster.
Working knowledge of application security and compliance-regulated environments; HIPAA, PCI-DSS, or
SOC 2 exposure preferred.
A habit of coaching peers and giving actionable feedback.
Vice President, Strategic Finance
About PayZen
PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.
About the Role
We are seeking a strategic, AI, data-savvy, and execution-driven leader to serve as our Vice President, Strategic Finance. This is a high-impact leadership role for a high-agency operator who thrives in ambiguity and brings analytical rigor to complex financial challenges and enjoys scaling a high-growth company. You will act as a primary architect of our financial strategy, ensuring our long-term growth is supported by robust planning and actionable insights.
In this role, you will report to the Chief Financial Officer and lead a dedicated team. You will collaborate closely with Accounting, Capital Markets, Go-To-Market (Sales & Marketing), Product, and Human Resources to drive company-wide alignment and performance. This position is based in our San Francisco headquarters with in-office days on Mondays, Tuesdays, and Thursdays.
Responsibilities
Lead company-wide financial planning and analysis (FP&A), including the annual budgeting process, long-range planning, liquidity forecasting, and ongoing business performance reviews.
Design and manage the internal operating cadence for financial reporting, providing the executive team and board with data-driven visibility into business health and risk.
Partner with Go-To-Market and Product leaders to develop sophisticated pricing models, unit economic analyses, and impact sizing for new strategic initiatives.
Serve as a strategic project leader for high-priority corporate initiatives, including capital raises, ensuring cross-functional accountability and rigorous financial execution.
Build and scale the Strategic Finance function, managing and mentoring a high-performing team and implementing scalable financial systems and dashboards.
Champion the adoption of AI tools and automation across the Strategic Finance function, identifying opportunities to streamline reporting, forecasting, and analysis workflows and building a culture of continuous innovation within the team.
Requirements
10+ years of experience in a blend of strategic finance, investment banking, consulting, or corporate strategy—ideally within high-growth fintech, tech, or healthcare environments.
Proven track record of managing complex financial performance, KPI ownership, and facilitating decision frameworks for executive leadership.
Exceptional analytical capabilities with the ability to translate large datasets into compelling strategic narratives and business cases.
Demonstrated ability to lead with empathy, build trust, and drive clarity across executive, technical, and operational teams in high-ambiguity environments.
Strong organizational skills with a focus on doing things the right way and maintaining a high personal standard of excellence.
Why PayZen?
An opportunity to positively affect the lives of thousands of patients
A chance to join a high-growth company at an early stage
Contribute to the development of a product that revolutionizes medical payments in ways never seen before
Become a key member of a collaborative, high performing team, shaping its growth and success
Competitive pay, benefits and stock options
Strategic Account Executive - West
Please note that this is a pipeline requisition; while we may not have an immediate seat open today, we are continuously reviewing applications to build our roster for upcoming territory expansions.
About PayZen
PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.
About the Role
As we continue our expansion into the nation's most complex health systems, we are continuously looking to connect with strategic and results-oriented Account Executives. We’re building the operating system for the next trillion dollars in healthcare payments—creating a world where patients can transact autonomously and securely across real-world systems.
We are always looking for people who match the ambition of this mission. When you join the Sales Team, you will collaborate closely with Provider Success, Marketing, and Implementation to drive massive growth. This is a US Remote role.
What You'll Do
Ownership of an assigned territory focused on closing new logos
Selling into large health systems and complex environments
Source and develop new pipeline opportunities working closely with Marketing & Demand Generation
Articulate the value prop of PayZen’s affordability suite to target accounts
Collaborate with the analytics and implementation teams to deliver an account specific proposal and customized ROIs to prospective clients
Tightly manage the enterprise account decision making processes with multiple stakeholders (different functions & levels of seniority)
Deliver clear and realistic updates on pipeline forecast as an input for planning
Travel, when appropriate, for client visits, presentations, and events
What We're Looking For
6+ years of experience selling enterprise SaaS solutions, specifically to hospital systems and physician groups.
Strategic Mindset: Proven ability to solve unique problems and develop creative approaches to achieve organizational goals.
Industry Expertise: Prior experience selling Revenue Cycle Management (RCM) solutions is a strong plus.
Executive Presence: The gravitas and communication skills necessary to engage and influence C-suite executives at large enterprises.
High Agency: A self-starter who thrives in a dynamic startup environment and possesses a "builder's mentality".
Outcome Oriented: A track record of achieving and exceeding quotas in high-growth technology companies.
Why PayZen?
An opportunity to positively affect the lives of thousands of patients.
A chance to join a high-growth company at an early stage.
Contribute to the development of a product that revolutionizes medical payments.
Become a key member of a collaborative, high-performing team.
Competitive pay, benefits, and stock options.
Strategic Account Executive - Northeast
Please note that this is a pipeline requisition; while we may not have an immediate seat open today, we are continuously reviewing applications to build our roster for upcoming territory expansions.
About PayZen
PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.
About the Role
As we continue our expansion into the nation's most complex health systems, we are continuously looking to connect with strategic and results-oriented Account Executives. We’re building the operating system for the next trillion dollars in healthcare payments—creating a world where patients can transact autonomously and securely across real-world systems.
We are always looking for people who match the ambition of this mission. When you join the Sales Team, you will collaborate closely with Provider Success, Marketing, and Implementation to drive massive growth. This is a US Remote role.
What You'll Do
Own a territory: Focus exclusively on closing new logos within health systems and physician groups with >$100M in revenue.
Drive the mission: Identify and manage complex enterprise sales cycles from initial discovery to close.
Articulate value: Deliver account-specific proposals and customized ROIs that demonstrate how PayZen revolutionizes patient affordability.
Navigate complexity: Manage multi-stakeholder decision processes across different functions and seniority levels.
Strategic forecasting: Provide clear, data-driven pipeline updates that inform company-wide planning and growth.
Collaborate cross-functionally: Work alongside Analytics and Implementation to ensure a seamless transition from prospect to long-term partner.
What We Typically Look For
6+ years of experience selling enterprise SaaS solutions, specifically to hospital systems and physician groups.
Strategic Mindset: Proven ability to solve unique problems and develop creative approaches to achieve organizational goals.
Industry Expertise: Prior experience selling Revenue Cycle Management (RCM) solutions is a strong plus.
Executive Presence: The gravitas and communication skills necessary to engage and influence C-suite executives at large enterprises.
High Agency: A self-starter who thrives in a dynamic startup environment and possesses a "builder's mentality".
Outcome Oriented: A track record of achieving and exceeding quotas in high-growth technology companies.
Why PayZen?
An opportunity to positively affect the lives of thousands of patients.
A chance to join a high-growth company at an early stage.
Contribute to the development of a product that revolutionizes medical payments.
Become a key member of a collaborative, high-performing team.
Competitive pay, benefits, and stock options.
Strategic Account Executive - South
Please note that this is a pipeline requisition; while we may not have an immediate seat open today, we are continuously reviewing applications to build our roster for upcoming territory expansions.
About PayZen
PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.
About the Role
As we continue our expansion into the nation's most complex health systems, we are continuously looking to connect with strategic and results-oriented Account Executives. We’re building the operating system for the next trillion dollars in healthcare payments—creating a world where patients can transact autonomously and securely across real-world systems.
We are always looking for people who match the ambition of this mission. When you join the Sales Team, you will collaborate closely with Provider Success, Marketing, and Implementation to drive massive growth. This is a US Remote role.
What You'll Do
Own a territory: Focus exclusively on closing new logos within health systems and physician groups with >$100M in revenue.
Drive the mission: Identify and manage complex enterprise sales cycles from initial discovery to close.
Articulate value: Deliver account-specific proposals and customized ROIs that demonstrate how PayZen revolutionizes patient affordability.
Navigate complexity: Manage multi-stakeholder decision processes across different functions and seniority levels.
Strategic forecasting: Provide clear, data-driven pipeline updates that inform company-wide planning and growth.
Collaborate cross-functionally: Work alongside Analytics and Implementation to ensure a seamless transition from prospect to long-term partner.
What We Typically Look For
6+ years of experience selling enterprise SaaS solutions, specifically to hospital systems and physician groups.
Strategic Mindset: Proven ability to solve unique problems and develop creative approaches to achieve organizational goals.
Industry Expertise: Prior experience selling Revenue Cycle Management (RCM) solutions is a strong plus.
Executive Presence: The gravitas and communication skills necessary to engage and influence C-suite executives at large enterprises.
High Agency: A self-starter who thrives in a dynamic startup environment and possesses a "builder's mentality".
Outcome Oriented: A track record of achieving and exceeding quotas in high-growth technology companies.
Why PayZen?
An opportunity to positively affect the lives of thousands of patients.
A chance to join a high-growth company at an early stage.
Contribute to the development of a product that revolutionizes medical payments.
Become a key member of a collaborative, high-performing team.
Competitive pay, benefits, and stock options.
Sales Development Representative
About PayZen
PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.
About the Role
PayZen is seeking a motivated Sales Development Representative with a demonstrated track record of top performance, a passion for technology, and the drive to build an incredible sales career. Your primary responsibility will be to help turn prospects and leads into qualified opportunities by partnering with Marketing and Sales to create and execute on program and outbound campaigns.
This position requires heavy outbound calling, email sending, social media research, consultative selling skills, and tight collaboration with the Account Executives to generate new opportunities. The SDR will be expected to report on qualifications and call activity and stay thoroughly informed on PayZen’s platform and the Healthcare Fintech industry in general.
What You'll Do
Develop opportunities for the sales team from prospecting and marketing-generated leads
Quickly learn the PayZen product, effectively communicate the value proposition, and be able to react to objections and competitive questions
Research accounts, identify key players, generate interest, and develop accounts to stimulate opportunities
Develop and execute on a strong prospecting plan of attack, including email and call scripts
Interact with prospects via telephone and email with a high attention to detail
Set qualified discovery calls for the appropriate AE, educating rep as necessary about the opportunity
Play a critical role in the growth of our organization by consistently achieving qualified opportunity quotas
Track all relevant qualification and lead management activity using Salesforce
What We Typically Look For
2+ years sales experience in a fast-paced technology company
Experience using Salesforce.com or comparable CRM, Outreach.io, Zoominfo and LinkedIn Sales Navigator
Strong understanding of lead development best practices
A track record of high achievement in current and previous roles hitting or exceeding quotas
A builder’s mentality and tendency to thrive in collaborative environments
A strong drive, work ethic, and results-driven operating style
Resourcefulness and a positive can-do attitude
Excitement about continuously improving your skills and impact
Experience using Outreach, Salesloft, or Salesforce High Velocity Sales/Sales Engagement is a strong plus
Experience in the Healthcare and/or Healthcare Finance industries is a strong plus
Why PayZen?
An opportunity to positively affect the lives of thousands of patients.
A chance to join a high-growth company at an early stage.
Contribute to the development of a product that revolutionizes medical payments.
Become a key member of a collaborative, high-performing team.
Competitive pay, benefits, and stock options.
Strategic Account Executive - Central
Please note that this is a pipeline requisition; while we may not have an immediate seat open today, we are continuously reviewing applications to build our roster for upcoming territory expansions.
About PayZen
PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.
About the Role
As we continue our expansion into the nation's most complex health systems, we are continuously looking to connect with strategic and results-oriented Account Executives. We’re building the operating system for the next trillion dollars in healthcare payments—creating a world where patients can transact autonomously and securely across real-world systems.
We are always looking for people who match the ambition of this mission. When you join the Sales Team, you will collaborate closely with Provider Success, Marketing, and Implementation to drive massive growth. This is a US Remote role.
What You'll Do
Own a territory: Focus exclusively on closing new logos within health systems and physician groups with >$100M in revenue.
Drive the mission: Identify and manage complex enterprise sales cycles from initial discovery to close.
Articulate value: Deliver account-specific proposals and customized ROIs that demonstrate how PayZen revolutionizes patient affordability.
Navigate complexity: Manage multi-stakeholder decision processes across different functions and seniority levels.
Strategic forecasting: Provide clear, data-driven pipeline updates that inform company-wide planning and growth.
Collaborate cross-functionally: Work alongside Analytics and Implementation to ensure a seamless transition from prospect to long-term partner.
What We Typically Look For
6+ years of experience selling enterprise SaaS solutions, specifically to hospital systems and physician groups.
Strategic Mindset: Proven ability to solve unique problems and develop creative approaches to achieve organizational goals.
Industry Expertise: Prior experience selling Revenue Cycle Management (RCM) solutions is a strong plus.
Executive Presence: The gravitas and communication skills necessary to engage and influence C-suite executives at large enterprises.
High Agency: A self-starter who thrives in a dynamic startup environment and possesses a "builder's mentality".
Outcome Oriented: A track record of achieving and exceeding quotas in high-growth technology companies.
Why PayZen?
An opportunity to positively affect the lives of thousands of patients.
A chance to join a high-growth company at an early stage.
Contribute to the development of a product that revolutionizes medical payments.
Become a key member of a collaborative, high-performing team.
Competitive pay, benefits, and stock options.
The full posting opens here — pay, setting and the full description, without leaving the list.