

Headquarters: Walnut Creek, California
Founded: 1991
Core offerings: Catastrophic care management, complex care, specialty networks, surgical cost management, home health, payment integrity
Employees: 5000
Recent M&A / exit activity: Signed definitive agreement to be acquired by Patient Square Capital (Feb 12, 2026)
Managing high-cost, complex clinical cases and specialty care for workers' compensation and healthcare payers.
1991
Healthcare / Specialty care management
Listed as an acquisition event in June 2015.
Reported as a growth-equity investment in September 2018.
Reported as a growth-equity investor in July 2025.
Paradigm signed a definitive agreement to be acquired by Patient Square Capital.
The Firm
Paradigm is a San Francisco-based investment firm focused on crypto and frontier technologies across the globe, with over $11 billion in assets under management. We make investments in companies and protocols at all stages, ranging from early-stage venture financing rounds to growth equity to liquid token assets.
Paradigm was co-founded in 2018 by Matt Huang (former Partner at Sequoia Capital) and Fred Ehrsam (co-founder of Coinbase). Since then we’ve been hard at work building a world-class team of brilliant mutants to investigate the world’s most beautiful technical problems. Our research-driven approach helps us build relationships with founders and entrepreneurs, but it also reflects our broader goal of growing the crypto ecosystem globally and accelerating crypto’s ability to advance the world we live in. We believe that crypto will ultimately redefine money, finance, and the internet itself, and this technological revolution will have a fundamental and long-lasting impact on the global economy.
The Role
Given the technical complexity of the projects we invest in, engineering is incredibly important to Paradigm. Engineering is responsible for building the Paradigm "operating system" that supports the entire investment and portfolio management process from entrepreneur discovery through investment exit. The system is the source of truth - building insights to the fund’s positions and relationships that inform how Paradigm invests and manages its portfolio.
Paradigm's engineering team is responsible for 1) all of our user-facing components & apps, and ultimately delivers and supports all of Paradigm’s products and 2) all of the backend components, compute, networking, and storage that form the basis for all of Paradigm’s products. A big part of the team’s mission is to come up with the best solution to a given problem while minimizing tech debt. You’ll have significant ownership over what the team creates.
Responsibilities
Qualifications and Experience
At least 5 years of experience in software engineering
Professional experience with the following:
Attributes
Compensation Range: $315K - $425K
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Participate in implementing features, addressing issues, and improving performance
Work with the team to streamline existing manual processes into robust workflows that reduce room for error and increase efficiency
Own problems we have yet to discover, checking in with appropriate stakeholders, defining requirements for an effective solution, and then bringing that solution to life
Perform code reviews and participate in architecture design.
Collaborate with stakeholders across the firm
On the back end:
On the front end:
Preferred prior experience with systems involved in networking and storage, monitoring, logging, and alerting
Ability to work autonomously and as a collaborator on the team
A willingness to work outside your core competencies
Penchant for system performance is a plus
Able to work in-person in San Francisco, CA