Demo

Lead Software Engineer - REMOTE

Reflect Health
Cincinnati, OH Remote Full Time
POSTED ON 4/13/2026
AVAILABLE BEFORE 10/5/2026

Reflect Health is the evolution of S&S Health, a trusted independent third-party administrator founded in 1994 to meet the growing need for access, simplified connectivity, and benefits administration. Headquartered in Mason, OH, we have built a reputation based on innovation, service excellence, and a deep understanding of how to drive better outcomes at lower cost. Over the years, we grew into a national presence serving employers, TPAs, health systems, and benefit consultants across all 50 states. We developed proprietary claims technology, expanded our offerings to include level-funded and fully funded programs, and delivered tangible savings and enhanced experiences for millions of members.


We are seeking a Lead Software Engineer to partner with leadership and product teams to define technical direction, architect scalable systems, and deliver high-impact solutions used by millions of members. This is a highly visible, non-supervisory role where you’ll write code, drive architecture, and set engineering standards across our next-generation platform.


Responsibilities:



  • Own Technical Direction: Partner with product and leadership to translate business needs into scalable, maintainable systems.

  • Lead Architecture & Delivery: Design and deliver end-to-end solutions, from early concept through production and iteration.

  • Build Across the Stack: Contribute high-quality code across backend and frontend systems.

  • Drive Engineering Excellence: Establish and enforce best practices for coding standards, testing, documentation, performance, and security.

  • Mentor & Influence: Provide technical guidance to engineers on design patterns, architecture, and code quality, raising the bar across the team.

  • Modernize Legacy Systems: Evaluate, debug, and evolve existing platforms, including rebuilding components as needed.

  • Collaborate Cross-Functionally: Work closely with internal stakeholders and external partners to deliver results.

  • Agile Participation: Actively contribute to sprint planning, stand-ups, retrospectives, and delivery cycles.

  • Innovate in Healthcare: Drive creative solutions that improve healthcare systems, enhance operational efficiency, and deliver value to millions of members.


Qualifications



  • Background: Proven experience designing, building, and launching production systems from the ground up, with strong backend and frontend expertise.

  • Backend Stack: C# .NET, SQL (PostgreSQL or SQL Server), Python.

  • Frontend Stack: React or Next.js.

  • Architectural Thinking: Strong ability to make sound trade-offs across scalability, performance, and maintainability.

  • Legacy & Modern Systems: Skilled at evolving legacy systems while building new, modern platforms.

  • Cloud & Distributed Systems: Experience with cloud-native architectures (AWS, Azure, or similar) and distributed systems.

  • Execution in Ambiguity: Comfortable delivering results in fast-moving environments with evolving requirements.

  • Mentorship & Leadership: Passion for mentoring engineers, driving technical excellence, and raising the bar across the team.

  • Emerging Technologies: Familiarity with AI-assisted development tools or agent-based workflows.


Reflect Health is committed to providing a safe and secure workplace for all employees. Please note that all final candidates will undergo a comprehensive background check and drug testing as part of our hiring process. 

Salary : $150,000 - $175,000

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