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Senior Software Engineer

Fast-growing healthcare technology startup San Francisco, CA Direct Hire Healthcare $190,000 - $250,000

Job Summary

Join a high-growth healthcare technology startup building a unified platform to streamline complex operations for large-scale healthcare enterprises. As a Senior Software Engineer, you will own critical platform modules from design through deployment, ensuring reliability and scalability in a fast-paced, in-person team environment.

Essential Functions

  • Design and build platform modules for healthcare operations including scheduling, billing, and reporting
  • Own product lines from initial design through build, deployment, and ongoing operation
  • Develop and operate AI agents in production with proper guardrails and feedback loops
  • Lead infrastructure projects from scoping to rollout to empower non-technical team members
  • Design and improve data models, pipelines, and integrations with various third-party systems
  • Collaborate with cross-functional teams to turn custom solutions into scalable, reusable products
  • Manage on-call rotations and perform root-cause analysis for production issues

Required Qualifications

  • 4 to 10 years of full-time software engineering experience
  • Proven experience in backend or systems engineering with a focus on production services
  • Demonstrated ability to own a product or module end-to-end
  • Experience building and shipping AI agents or LLM-powered workflows
  • Experience working in a fast-growing startup environment
  • Proficiency in Python, TypeScript, AWS, or Cloudflare
  • Daily experience using AI coding tools like Claude Code or Codex

Preferred Qualifications

  • Background from a top-tier engineering school
  • Experience at a high-talent-density technology company
  • Experience with complex integration projects involving legacy systems

Technical Skills

  • Python
  • TypeScript
  • AWS
  • Cloudflare
  • AI Agents / LLMs
  • Claude Code
  • Codex
  • System Architecture
  • Data Pipeline Design

Education & Certifications

Degree in Computer Science or a related engineering field from a top-tier institution is preferred.

Compensation & Benefits

Salary range: $190,000 - $250,000 per year. Equity options available based on experience.

Benefits

Competitive salary, equity options, and provided daily meals in the office.

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