Senior Software Engineer

Responsibilities

• Own platform modules from start to finish such as scheduling patient messaging insurance payables reconciliation and credentialing covering design rollout and day-to-day operation.
• Work with the CTO and customer-facing engineers to turn custom customer solutions into reusable products.
• Build and run autonomous AI agents in production adding guardrails evaluations and customer feedback loops that tune them automatically.
• Build integrations and data-sync tools for systems that lack standard APIs such as medical records billing and vendor portals.
• Design tools that let non-technical staff set up custom client modules while keeping systems reliable and being on call for them.

Requirements

• 410 years of full-time software engineering experience (67 years is ideal) building scalable production systems.
• Uses AI coding tools daily and is comfortable owning modules independently in a fast-paced team.
• Able to work fully on-site 5 days a week in San Francisco.
• US citizen or Green Card holder required.

Skills Required

• Python TypeScript
• React
• AWS cloud infrastructure
• Production AI agents & LLM evaluation
• Third-party system integrations & data sync
• AI-assisted coding tools
• System reliability & on-call ownership