Papa

Build and lead the technical foundation for virtual healthcare delivery, including system design, integrations, and reliability. | Requires 10+ years of software development experience, expert-level proficiency in Elixir, and healthcare technology expertise. | Papa is a new kind of care built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained and vetted companions, who provide a helping hand and an open ear, resulting in less loneliness and better health. Founded in 2017 and headquartered in Miami, Papa is backed by Canaan, Tiger Global Management, Comcast Ventures, SoftBank Vision Fund 2, TCG, Initialized Capital, and Seven Seven Six, among other revered institutional and individual investors. We envision a world where no one has to go it alone. Learn more at Papa.com. You'll be joining Papa Community, a 0-to-1 venture within Papa that's building virtual care for seniors. You'll have the autonomy and velocity of an early-stage startup with the advantages of a growth-stage company including Papa's deep expertise serving older adults, established health plan relationships, and reliable capital. As one of the first engineers on Community, you'll have a significant tangible impact—from architecting our platform to establishing engineering culture. Every line of code you write will have a direct, measurable outcome for the business to improve patient outcomes and drive growth. About the role We are looking for our founding Staff Elixir Backend Software Engineer to build Community's technical foundation from the ground up. You'll be employee #1 on Papa Community’s engineering team, reporting directly to Papa Community's GM with dotted-line mentorship from Papa core’s engineering leadership. This role is unique because: You'll own the entire technical architecture for Papa Community. Unlike joining an established engineering org where you'd work on a narrow slice of the codebase, you'll make foundational decisions about system design, technology choices, and engineering practices that will define Community for years to come. You'll partner directly with the GM as a technical co-founder would. Your voice will shape product strategy, build vs. buy decisions, and business priorities. You won't just implement requirements—you'll help define what we build and why. You'll leverage Papa's infrastructure while maintaining startup velocity. You can access Papa's deployment pipelines, security compliance, and DevOps support - but make decisions in days, not weeks. You'll get institutional advantages without enterprise bureaucracy. Papa’s core business has had tremendous impact, and we are looking to bring even more results for patients with Papa Community: “Papa is the lynchpin that keeps me going month to month. They’re the piece of the team that allows the other pieces to happen…I can worry about finding another doctor if I have to. Finding another Papa doesn’t happen.” - Member from Tampa FL “Papa has kind of saved me. Now I have somebody to help me go to my appointments. I’ve got somebody to help me clean my house. I’ve got somebody to talk to. It just took so much pressure off my shoulders. I’m finally feeling like myself again.” - Member from Tacoma WA ”I look forward to seeing them. They make me laugh. I make them laugh. They’ve certainly taken lonely days from me also. It works both ways for us.” - Pal from Rhode Island What makes this role challenging: You'll navigate complex healthcare integrations. Our platform connects EHRs, care management platforms, revenue cycle management, and patient communication tools. You'll need deep expertise in healthcare data standards (FHIR, HL7, X12) and resilient API integration patterns. You'll balance technical perfection with shipping velocity. We're a startup - sometimes the right answer is "ship it and iterate" rather than "architect the perfect solution." You'll need judgment to know when to build for scale and when to move fast. You'll work in a high-autonomy environment, educate stakeholders, make recommendations, and own outcomes. If you need clear requirements and detailed tickets, this isn't the role for you. What you’ll do: Build the technical foundation for virtual care delivery. You'll design and implement the core platform that connects our EHR, care management systems, billing infrastructure, and patient communication tools. This means creating robust integrations, establishing data flows, and ensuring HIPAA-compliant architecture that can scale as we grow to thousands of patients. Enable operational intelligence and automation. You'll build the data infrastructure and tooling that allows our clinical team to make informed decisions, automate care workflows, and track patient outcomes in real-time. This includes everything from patient dashboards to automated patient outreach triggers to clinical decision support. Lead critical technical decisions. You'll evaluate build vs. buy trade-offs, recommend technology choices, and architect solutions that balance immediate needs with long-term scalability. You'll partner with the GM and Papa's engineering leadership to shape our technical roadmap and determine when to leverage vendor tools versus building custom solutions. Establish engineering practices. As the first engineer, you'll define code standards, testing expectations, deployment processes, and technical documentation practices, leveraging best practices from the Papa core engineering team. Own system reliability and performance. You'll be responsible for production stability, monitoring, and continuous improvement of our platform. This means building resilient systems for healthcare-critical workflows where reliability isn't optional - claim submissions, patient data accuracy, and care coordination all need to work consistently. Skills we look for: Product mindset - You think like a founder, balancing technical excellence with business outcomes, revenue, and patient impact. You see gaps as opportunities and help define what we build, not just how. Strategic technical leadership - You lead large, complex projects with clear business impact. You influence senior leaders on engineering strategy and make compelling recommendations on build vs. buy decisions, strategic technical investments, and any relevant engineering decisions. Deep backend expertise - Expert-level proficiency in Elixir with deep knowledge of distributed systems, API design, and building scalable architectures that solve problems long-term. System design and reliability - You build resilient, well-tested systems with proper monitoring, rollout practices, and production stability for healthcare-critical workloads. High autonomy and ownership - You thrive in ambiguous environments, educate non-technical stakeholders, and own outcomes without needing detailed requirements or constant direction. Startup adaptability - You're highly communicative across operational and clinical teams, move fast when needed, and understand when to ship quickly versus architect for scale. Continuous improvement mindset - You proactively identify areas for improvement in systems and processes without being asked, and drive initiatives to address them. Minimum qualifications: 10+ years of software development experience Expert-level proficiency in Elixir Experience building and shipping high quality work and achieving high reliability Experience improving quality through thoughtful code reviews, appropriate testing, proper rollout, and monitoring Passionate about improving healthcare access and outcomes Preferred qualifications: Experience with healthcare technology including data standards (FHIR, HL7, X12), EHR/vendor integrations, HIPAA-compliant systems for protected health information, and healthcare-specific APIs (clearinghouses, billing platforms) Experience with Phoenix LiveView Location Must be US-based with openness to travel for in-person collaboration Strong preference for candidates in the San Francisco Bay Area who can work in-person 2-3 days per week Benefits: Competitive salary and equity package Medical, dental and vision insurance coverage HSA/FSA 401(k) plan with a match up to 4% Flexible PTO Parental leave and caregiver leave About Papa's culture: Papa’s culture is people first. While we have an incredible team of hard-working Papa people, at the end of the day, our company is really about community – and we celebrate that among our employees. We encourage everyone to bring their whole authentic selves to work. To be transparent. To be non-hierarchical. And, above all, to be a really good person. We see ourselves as a place where every Papa employee feels they belong, a place where careers flourish, a place that brings back purpose and joy to work, a culture where visionaries/entrepreneurs are developed. Papa is an equal opportunity employer. We proudly support the ParityPledge® for gender and racial parity at the highest levels of business.

Design and lead the entire lifecycle of complex human-centered healthcare services and digital products, including research, prototyping, and cross-functional collaboration. | Extensive experience in human services or healthcare product design, mastery of Figma, and ability to lead upstream design discussions with engineering and leadership. | Papa is a new kind of care built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained and vetted companions, who provide a helping hand and an open ear, resulting in less loneliness and better health. Founded in 2017 and headquartered in Miami, Papa is backed by Canaan, Tiger Global Management, Comcast Ventures, SoftBank Vision Fund 2, TCG, Initialized Capital, and Seven Seven Six, among other revered institutional and individual investors. We envision a world where no one has to go it alone. Learn more at Papa.com. At Papa, we are building the future of care. We move beyond clinical checklists to focus on the human side of health: companionship, community, and support. As a Senior Product Designer reporting to the CTO, you will be the primary architect of this ecosystem. You will design for a multi-user "Family Unit", balancing the needs of the aging member with the logistical and emotional needs of their primary caregivers. This is a Full-Stack Design role. You are expected to own the entire lifecycle: from deep ethnographic research and service mapping to prototyping and front-end collaboration. Experience & Service Architecture Service Design: Architect the offline-to-online journey. Map how a digital request becomes a human connection at a member’s front door. The Family Unit Persona: Develop complex UX models for multiparty interactions (typically patients and their family caregivers) to coordinate support. Direct-to-Consumer (DTC) Systems: Lead the design of our self-pay and referral-driven experiences, optimizing for conversion while maintaining a warm personal care brand feel. Program Design: Design services that include multiple actors (Pals, members, calling agents) creating measurable outcomes for our members and their families. Technical Product Design High-Fidelity Prototyping: Build functional prototypes (using tools like Figma, Framer, Webflow, Claude Code or others) that demonstrate complex logic, not just transitions. Design Systems: Evolve and maintain a robust, accessible (WCAG 2.1+) design system that scales across mobile and web with full compliance for aging populations. Engineering Transitions: Lead technical conversations by coordinating meetings with key engineering stakeholders to explain design decisions. Research & Workshop Leadership Discovery & Research: Participate in qualitative user research and ethnographic studies with members, Pals, and family caregivers to identify unmet needs. Workshop Facilitation: Run cross-functional "Design Sprints" and co-creation workshops with Engineering, Data, Product, Operations, and Health Plan partners to align on product vision. Data-Informed Iteration: Translate research insights and Medicare-specific health outcomes data into actionable design improvements. Technical Measurement & Optimization Event-Driven Analytics: Partner with the CTO to operate as a subject matter expert in measuring the member experience and journey (using supportive tools like Mixpanel or Amplitude). You identify which design patterns drive long-term member retention. Rapid Iteration: Working with your product partners use analytics and research gained insights to recommend feature changes and A/B testing to drive experience, retention and growth. To qualify for this role you must have: 10+ Years of experience working on complicated human services (such as healthcare, education, hospitality). Mastery of Figma is a given. Ability to lead far upstream of engineering through visual artifacts that guide long term development. Strong storytelling with the ability to present the why to the CTO and executive leadership, defending design decisions with a mix of empathy and technical logic. A portfolio showing large-scale, shipped products that solved complex systemic problems. Technical Toolkit Design: Figma (Expert). Research: UserTesting, Dovetail, HotJar/FullStory. Analytics: Mixpanel, Segment, Amplitude. AI: Any of a variety of new AI native tools that help you be the best version of yourself. Service: Miro, LucidChart, Figjam for complex journey mapping and service blueprints. Ideally, you also have: Experience with direct to consumer products. Familiarity with CMS frameworks and HIPAA compliance. Experience in "Age Tech" or family-caregiver platforms is a major plus. Experience building referral systems and self-pay funnels where trust-building is the primary goal and organic growth is the outcome. Location: Remote US Benefits: Competitive salary and equity package Medical, dental and vision insurance coverage HSA/FSA 401(k) plan with a match up to 4% Flexible PTO Parental leave and caregiver leave About Papa's culture: Papa’s culture is people first. While we have an incredible team of hard-working Papa people, at the end of the day, our company is really about community – and we celebrate that among our employees. We encourage everyone to bring their whole authentic selves to work. To be transparent. To be non-hierarchical. And, above all, to be a really good person. We see ourselves as a place where every Papa employee feels they belong, a place where careers flourish, a place that brings back purpose and joy to work, a culture where visionaries/entrepreneurs are developed. Papa is an equal opportunity employer. We proudly support the ParityPledge® for gender and racial parity at the highest levels of business.

Oversee daily team operations, support frontline staff, monitor KPIs, and drive service improvements. | Requires leadership experience, bilingual English/Spanish, and ability to thrive in high-volume, fast-paced environments. | Papa is a new kind of care built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained and vetted companions, who provide a helping hand and an open ear, resulting in less loneliness and better health. Founded in 2017 and headquartered in Miami, Papa is backed by Canaan, Tiger Global Management, Comcast Ventures, SoftBank Vision Fund 2, TCG, Initialized Capital, and Seven Seven Six, among other revered institutional and individual investors. We envision a world where no one has to go it alone. Learn more at Papa.com. The Supervisor plays a key role in overseeing the daily operations and administrative functions within the Member Experience department. This position supports frontline service delivery while serving as the first point of contact for employee concerns. Supervisors mentor frontline staff, provide essential tools and training, and ensure consistent communication across the team. They are responsible for leading core functions including teambuilding, training and development in a production environment, supporting the hiring process, and driving improvements based on performance insights and identified opportunities. This role requires a broad understanding of Pal Success, Customer Success, and Member Engagement to provide stability and cross-functional support across the department. Additional responsibilities may include managing schedules, approving time off, assisting with payroll, and other operational duties as needed. The ideal candidate is technologically proficient, committed to exceptional customer service, and values respectful, collaborative relationships within a dynamic and growing organization. Key Responsibilities Lead daily operations and manage administrative tasks for assigned teams. Act as a liaison between frontline teams and cross-functional departments. Provide hands-on support during peak times and resolve complex customer issues. Monitor, track, and report on key performance indicators (KPIs) and service metrics. Balance operational excellence, productivity targets, and team engagement. Model and promote exceptional customer service standards. Coach and support team members to achieve performance, accuracy, and service goals. Conduct performance audits and deliver actionable feedback to drive improvement. Facilitate effective team communication and ensure accurate documentation. Support team development through training, coaching, and recognition. Ensure compliance with all company policies, procedures, and service standards. Develop team members through training, coaching, and recognition Ensure compliance with company policies and procedures Identify and implement opportunities for operational or service improvements. Partner with HR on hiring, development, and performance management. Handle sensitive member information, including personal and confidential financial data, with discretion and in accordance with HIPAA and company protocols. Foster a positive, collaborative, and retention-focused team culture. Requirements: An Associate’s Degree, or two years of leadership experience (preferably in a contact center environment), or a minimum of 1 year of experience in a lead role within the department you are applying. Must be fluent in English and Spanish Thrives in high-volume, fast-paced work settings while delivering consistent results. Strong independent decision-making skills. Provides quality service while meeting the needs of the customer. Utilize resources quickly and efficiently. Collaborates well with peers and cross-functional teams. Demonstrates clear, concise, and engaging communication skills. Committed to supporting a diverse, inclusive, and collaborative work environment. Ability to adhere to work-from-home policy, including, but not limited to a hardwired (Ethernet) network connection and distraction-free environment during working hours and the expectation to leverage the tools and technology provided by Papa. Location: Remote US Salary & Benefits: At Papa, we believe in caring for each other. In addition to competitive salaries and challenging work assignments we offer medical, dental and vision insurances, mental health and emotional wellbeing support tools, equity packages; 401k Plan with match of up to 4%, generous gender neutral parental leaves and PTO, lunch stipends and employee events that promote work life balance and camaraderie. Job Type: Full-time This job description has been written to provide an accurate reflection of the current job and to include the general nature of work performed. It is not designed to contain a comprehensive detailed inventory of all duties, responsibilities, and qualifications required of employees assigned to the job. Management reserves the right to revise the job or require that other or different tasks be performed when circumstances change. Papa will reasonably accommodate employees with disabilities as defined by the Rehabilitation Act of 1973, the Americans with Disabilities Act (ADA) and other appropriate statutes.