5 open positions available
Build and ship full-stack product features for voice and conversational AI experiences integrating language models and improve system latency, reliability, and scalability. | 5-8 years software engineering experience with strong Python or TypeScript skills, experience with large language models, full-stack development, cloud environments, and site reliability practices. | About the company Our client is pioneering conversational AI for customer service, building voice agents that help large organizations resolve customer conversations. Its product runs in production at enterprise scale, where engineering work is closely connected to real customer outcomes. The role / why it matters As a Senior Software Engineer, you will build across the product, from full-stack features to real-time voice and LLM-powered capabilities. You may also work directly with customer-facing teams to turn complex needs into reliable product improvements. This is a broad, hands-on role on a small, senior team where engineers own work end to end. What you'll do • Build and ship full-stack product features for voice and conversational AI experiences. • Integrate speech recognition, text-to-speech, and language-model capabilities into production systems. • Work with product and machine learning partners to turn customer needs into scalable capabilities. • Improve latency, reliability, cost, and user experience across systems serving millions of users. • Contribute to developer experience, service reliability, and platform foundations. • Own multiple initiatives, learn quickly from production feedback, and support customer-facing engineering work as needed. What we're looking for • 5-8 years of software engineering experience, including senior-level ownership of full-stack products and software shipped to millions of users or interactions. • Strong hands-on experience in Python or TypeScript, with the ability to work across a full-stack product. • Practical experience building with large language models in production or in substantial applied projects. • Experience in developer experience, site reliability engineering, or platform engineering. • Working familiarity with relational databases, cloud environments, and continuous integration and delivery practices. • Shows initiative, takes ownership, and reflects on decisions to learn and improve how work gets done. Bonus points • Experience with conversational AI, multi-turn agents, or tools such as LangChain. • Background in voice AI, telephony, or contact-center software. • Experience in a startup or high-growth product environment. Compensation and benefits • Base salary range: $130,000-$190,000 USD, plus competitive equity. • Medical, dental, and vision coverage. • Flexible vacation, monthly wellness support, and technology and learning stipends. • U.S. 401(k) plan. Location / work model • Fully remote within the United States or Canada. • The team meets in person approximately every six weeks. • Visa transfers may be considered for candidates already authorized to work in the United States or Canada. New visa sponsorship is not available.
Own complex product features from design through implementation while collaborating with customers and product teams. | 8-10 years full-stack experience with React, Next.js, Node.js, SQL, bachelor's degree, and B2B SaaS experience. | About the company Our client is building an AI-powered operating system for business aviation. The platform replaces fragmented emails, calls, and spreadsheets with software that coordinates core flight operations, from quoting and scheduling to trip management and payments. The role / why it matters As a Senior Fullstack Engineer, you will own complex product features from customer discovery and technical design through frontend and backend implementation, launch, and iteration. This is a hands-on individual contributor role for a product-minded engineer who wants to shape how business aviation operators work. What you'll do • Own large-scope projects end to end, working through requirements, architecture, implementation, and iteration. • Build user-facing workflows and backend services across a modern full-stack application. • Work directly with customers to understand requirements, demonstrate features, test workflows, and guide development. • Partner with engineering and product teammates to break down complex operational needs into shippable features. • Make pragmatic architectural decisions that balance speed, quality, and long-term scalability. • Bring customer empathy and business judgment to technical decisions, helping the team prioritize product outcomes. What we're looking for • 8-10 years of hands-on full-stack engineering experience, including substantial work in B2B SaaS startups. • Strong individual contributor experience owning work directly, rather than focusing primarily on management. • Full-stack capability across product UX, React, Next.js, Node.js, and SQL. • Experience building and shipping complex features from requirements through launch. • Comfort working directly with customers and translating their needs into product and engineering decisions. • A bachelor's degree in computer science or a related field. Bonus points • Experience with AWS or GCP, including serverless architectures. • Experience with Docker, Kubernetes, or CI/CD pipelines. • Experience mentoring junior developers while remaining a hands-on individual contributor. Compensation and benefits The salary range is $200,000-$240,000, with competitive equity. Location / work model This is a hybrid role based in San Francisco, with three days per week in the office, Tuesday through Thursday. The company is open to visa transfers and new visa sponsorships.
Define technical architecture and lead multi-team rebuilds of billing workflows with AI integration to improve efficiency. | 8+ years full-stack experience with TypeScript, React, Python, PostgreSQL and healthcare billing or enterprise platform migration experience. | About the company Our client is a high-growth healthcare technology company building AI-powered clinical and administrative software for care providers. Its platform supports more than 500,000 clinicians across hundreds of healthcare organizations, powers more than 100 million patient interactions, and processes more than $10 billion through its systems. The company is backed by leading venture investors, has raised more than $800 million, and was recently valued at $7 billion. The role and why it matters You will set the technical direction for the biller-workflow platform used across the company's practice-management and revenue-cycle products. This is a staff-level, full-stack role with an approximately 60/40 backend-to-frontend split. You will lead a generational rebuild of high-traffic workflows for claims, appointments, payments, posting, and other billing operations while keeping mature production systems reliable for enterprise customers. What you'll do • Define frontend and backend architecture, shared component conventions, API contracts, data-layer patterns, and observability practices across multiple engineering teams. • Lead multi-month, multi-team platform rebuilds and migrations, shipping incremental improvements without breaking existing users. • Build data-dense, high-performance interfaces for complex tables, virtualized rendering, keyboard-driven workflows, bulk actions, and activity timelines. • Design performant APIs and PostgreSQL query patterns for filtering, grouping, pagination, and bulk operations over large datasets. • Diagnose and improve React rendering performance, query performance, replica-lag handling, and claim-submission pipeline health. • Embed AI into production workflows where it removes meaningful operational friction, including claim comparison, submission-error reasoning, and rule suggestions. • Drive architecture reviews, deep code reviews, technical standards, and mentorship that raise the engineering bar across teams. • Work closely with clinicians, billing operators, product, and design partners through rapid feedback loops. What we're looking for • 8 or more years of experience building large-scale full-stack applications, with prior senior or staff-level technical leadership. • Deep expertise in TypeScript, React, Python, FastAPI, and PostgreSQL. • Direct experience working with billing or claims data, such as EOBs, denial codes, appointments, payments, posting, or related enterprise workflows. • A record of leading large, multi-team platform rebuilds or migrations and delivering them incrementally in production. • Org-wide frontend architecture leadership, including adoption of a design system, shared component library, or common frontend platform across a large engineering organization. • Strong API and data-layer design skills for complex filtering, grouping, pagination, and large-scale query performance. • Ability to align engineering leadership and multiple teams around a shared technical direction through clear written and verbal communication. • A computer science degree or equivalent engineering background. • Comfort operating in a fast-paced, high-growth environment with daily deployments and high ownership. Bonus points • Healthcare billing, revenue-cycle management, insurance, fintech, or another regulated-industry SaaS background. • Experience shipping LLM-powered features into production workflows. • Experience with EDI X12 or other healthcare-data standards. Compensation, location, and benefits • $210K-$275K base salary, with flexibility for exceptional candidates. • Competitive equity, with the expected grant described by the hiring team as approximately $500K-$900K over four years. • Full-time hybrid work from Mountain View, San Francisco, Los Angeles, or New York City. • Existing visa transfers, including eligible OPT and H-1B transfers, may be supported. • Meaningful technical influence at a high-growth company whose platform is already used at significant healthcare scale.
Lead product development and innovation initiatives to drive revenue growth and operational improvements. | 7+ years experience in product innovation and project management with strong leadership and cross-functional collaboration skills. | About the company Our client is an early-stage healthcare technology company building an operational system of record for frontline hospital leaders. Its platform replaces manual administrative work with automated workflows and actionable insights, helping leaders drive organizational change while care teams stay focused on patient outcomes. The company has more than $7 million in contracted value and over 90% daily utilization at its anchor health-system partner. The role and why it matters This Product Lead will own the full customer-to-product loop at a pre-Series A company defining a new category in healthcare operations. You will work directly with both co-founders and the Head of Engineering, translating what chief nursing officers, frontline leaders, and chief information officers need into product that ships quickly. There are no layers between customer insight, product judgment, prototyping, and delivery. What you'll do • Lead customer discovery with health-system executives and frontline operators, then turn ambiguous needs into clear product decisions. • Connect market feedback directly to the engineering roadmap and own the complete product surface. • Personally build, test, and demo prototypes using Figma, Cursor, Replit, v0, and similar AI-assisted tools. • Shape user-facing workflows, backend systems, integrations, and the data models that connect them. • Build a coherent product analytics and instrumentation strategy from the ground up. • Frame product work around customer and business outcomes, not simply features shipped. Requirements What we're looking for • 5 to 10 years of product management experience, including explicit health-tech experience. • A record of shipping as a sole, founding, or highly hands-on product leader in a pre-product-market-fit or early post-product-market-fit startup. • The ability to prototype and demonstrate what you build, not only write requirements for others. • Strong technical fluency across platform architecture, backend tradeoffs, data models, and basic SQL. • Executive presence and customer-facing judgment with hospital and health-system stakeholders. • High ownership, comfort with ambiguity, and an outcome-oriented operating style. • Current unrestricted U.S. work authorization. Visa sponsorship and transfers are not available. Bonus points • Experience building product analytics instrumentation from scratch. • Fluency with modern AI-assisted product and prototyping tools. • Experience owning both user-facing product and technical integration surfaces. Benefits • $200K-$225K base salary, with flexibility for exceptional candidates. • Competitive equity with meaningful pre-Series A upside. • Full-time hybrid work in New York, NY. The team works together in the office Tuesday through Thursday. • Candidates must already be based in New York or be willing to relocate. • Visa sponsorship and transfers are not available.
Own healthcare integrations and revenue-cycle platform connections including EHRs, payers, and claims infrastructure. | 2-7 years experience with third-party platform integrations, strong Python and TypeScript skills, healthcare data workflow experience required. | Our client is an early-stage healthcare AI company building personalized care assistants for Medicare beneficiaries. The product combines human healthcare advocates with AI agents that handle operational work across appointments, insurance, and care coordination. Founded in 2025 and backed by leading venture investors, the company has raised $6.5M and already supports tens of thousands of users in California. You will own the healthcare integrations and revenue-cycle surface area end to end. You will connect the platform to EHRs, payers, eligibility services, clinical partners, and claims infrastructure so delivered care turns into accurate claims and reliable payment. Responsibilities include building automated claims workflows, designing reliable API and queue-based systems, modeling healthcare data, managing vendors, making build-versus-buy decisions, and partnering closely with operations. • 2-7 years building and owning third-party platform or data integrations in production. • Early-stage startup experience from Seed through Series B, or equivalent startup experience alongside Big Tech. • Experience with EHR, payment, claims, eligibility, billing, coding, denials, or healthcare data workflows. • Distributed-systems depth across API design, queues, idempotency, and reconciliation. • Strong Python and TypeScript experience; FastAPI, Next.js, and PostgreSQL are especially relevant. • Ability to own a domain, manage vendors, and work cross-functionally without detailed direction. Bonus: Medicare billing, coding, post-acute or home-based care, FHIR, HL7, X12, or a CS degree from a highly selective university. • $180K-$220K base salary plus competitive early-stage equity. • Remote to start, with relocation to San Francisco expected by Q1 2027. • Relocation support is available. • Visa transfers such as OPT and H-1B transfers may be considered. • High ownership over a critical product and business domain. • Mission-driven work improving access to personalized healthcare support.
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