Product Engineer / Senior Product Engineer

About the role

Every new customer means taking our AI agents from handshake to production — wired into their EHR, validated against their clinical workflows, and running reliably from day one. Right now that path is too slow for the rate we're signing. We're hiring a Product Engineer to own and accelerate it.

Responsibilities

• Own the path from signed customer to live in production: provisioning, EHR integration, configuration, and go-live, then make that path faster and more repeatable every time.
• Build and harden integrations with EHR systems (FHIR, HL7, vendor APIs) so new customers connect with less custom work.
• Design multi-tenant infrastructure that lets us onboard and isolate customers safely and at speed.
• Build the deploy, CI/CD, and infrastructure-as-code that make launches fast and rollbacks safe.
• Instrument agent behavior in production — logging, metrics, tracing, and alerting — so we know our AI is making the right clinical judgments, and we catch it when it doesn't.
• Ship full-stack product features end-to-end alongside the infra work; the two aren't separate here.
• Own reliability for systems doing patient-facing clinical work, including on-call and turning incidents into permanent fixes.
• Build internal tooling so onboarding a customer stops requiring an engineer in the loop.

Requirements

• 3+ years building and operating production software as a full-stack or backend engineer.
• Strong with Python and React and able to ship a full-stack feature on your own.
• Experience building and operating integrations against third-party or partner APIs.
• Solid grasp of observability and debugging in production: logs, metrics, traces, and the instincts to use them.
• A bias toward shipping and a high tolerance for the ambiguity of an early-stage, fast-moving environment.

Nice to have

• Experience with healthcare data and standards (FHIR, HL7, EHR integrations) — or eagerness to go deep fast.
• Familiarity with HIPAA, SOC 2, PHI handling, and building under compliance constraints.
• Experience taking a product through rapid customer growth, where onboarding velocity was the bottleneck.
• Background building internal platforms or self-serve tooling that removed engineers from a manual loop.
• Experience deploying or operating LLM-based / agentic systems in production.

What We Offer

• Competitive salary: $130,000-$200,000 + meaningful early-stage equity
• Health insurance
• A YC-backed company with proven distribution, signing customers fast — your work directly unblocks growth
• A small NYC team where you ship every day and your impact is visible
• Hybrid 3x a week in office