Senior Software Engineer optimizing performance across data-intensive healthcare pricing products, from ClickHouse to frontend, balancing speed, scalability, and cost.
This is a fully remote role within the United States. For our Analyze and Search products, speed is part of the product. Our customers filter, compare, and benchmark across large healthcare pricing datasets, and a slow query changes how much they trust and use what we’ve built. You’ll make that experience fast, scalable, and cost-efficient as datasets grow and more products build on the same platform. The challenge is that performance depends on the combination of filter, dataset, and workflow, not on any single query. A dataset update can shift latency before anyone notices, and the best fix is sometimes a better data model and sometimes a better product behavior. You’ll investigate, benchmark, prototype, and ship across the path from ClickHouse to the API to the screen, working directly with Product, frontend, and backend engineers. This is a data and product performance role, not a load-testing, QA, or low-level systems role. If you like turning “this feels slow” into a baseline, a hypothesis, and a number that moves in production, you’ll enjoy it here.
Responsibilities
Diagnose and fix
Anticipate
Design and ship
Build for the long term
What you’ll bring to the role
Bonus points
Benefits
About Turquoise Health Turquoise Health is a Series C price transparency platform for finance leaders across healthcare. Backed by a16z, Oak HC/FT, Adams Street, Yosemite, Bessemer Venture Partners, and others, we power price transparency for 300+ enterprise organizations and are building the infrastructure for a more open, efficient healthcare marketplace. We're a remote-first, US-based team that values transparency, empathy, inclusivity, creativity, and ownership. We operate on US business hours and work with clients entirely based in the US. For this role, we are seeking US-based candidates. We strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply for any open roles of interest. Healthcare affects all people differently, but it significantly affects those in underserved communities. With a robust, diverse team, we are stronger and better equipped to change the future of healthcare for all.
Work Authorization This role requires current authorization to work in the United States. Turquoise does not sponsor employment visas (H-1B, PERM, etc.) or assume sponsorship of existing visas for this position.
Disability Accommodation Email Turquoise is committed to providing reasonable accommodations to applicants and employees with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. If you require assistance or an
Sourced from the a16z Speedrun talent network — apply on Speedrun.