Member of Technical Staff (Python – TypeScript – AI)
Member of Technical Staff (Backend / Platform / Infra)
NYC (Onsite, 5 days/week)
$200K–$270K + Equity
The Opportunity
This isn’t a typical startup role — and it’s not a “build a demo and see what happens” environment.
This team is building an AI-native platform at the core of healthcare operations — a space where systems need to be correct, reliable, and deeply thought through. This isn’t surface-level AI. The work directly impacts how clinical decisions get made in the real world.
They’ve already crossed the hardest part most startups never reach:
> real enterprise adoption with live, scaling customers
Now they’re in a high-leverage phase where:
- demand is accelerating quickly
- the system is under real pressure
- and the next engineers shape how the platform evolves
This is not about experimenting at the edges.
> You’re building the foundation that everything runs on.
Why This Role Stands Out
Real product-market fit
This isn’t theoretical. The platform is already deployed with large enterprise customers and actively used in production.
Engineering-first culture
This team prioritizes system design, correctness, and long-term architecture — not shortcuts or quick hacks.
High ownership, real scope
Engineers own problems end-to-end — from system design through production behavior — not just isolated tickets.
AI that actually matters
You’re working on systems where AI outputs influence real workflows and decisions, not just internal tools or demos.
Early, but not risky
~50 people, strong traction, and backed by top-tier investors — still early enough to have real impact without startup chaos.
What You’ll Work On
- Designing and building core backend systems, APIs, and data pipelines
- Developing platform infrastructure for LLM-powered and agentic workflows
- Improving reliability, observability, and performance of production systems
- Building evaluation frameworks to continuously improve AI system quality
- Debugging event-driven systems and production issues at scale
- Creating internal tooling that increases engineering velocity and leverage
- Working directly with customers to translate real-world workflows into systems
- Contributing to platform architecture, SDKs, and developer tooling
What They’re Looking For
This is a high-bar team — they care less about your stack and more about how you think.
Core signal:
- Strong fundamentals in systems, architecture, and problem-solving
Background:
- ~1–7 years of experience (flexible for exceptional candidates)
- Python, Typescript, AI, Go, React, HTMX,
- AWS Cloud Inrastructure
- Experience in environments with strong engineering culture and rigor
Common profiles:
- Backend / platform engineers
- Infrastructure / reliability engineers
- Full-stack engineers with a clear systems/backend lean
Relevant exposure:
- APIs, distributed systems, or data pipelines
- Cloud environments (AWS or similar)
- LLM / AI systems (nice to have, not required)
What Actually Matters
- You care about building high-quality, reliable systems
- You want to own problems end-to-end
- You’re comfortable operating in a high-feedback, collaborative environment
- You’re excited about architecture, data, and platform design
What Doesn’t Matter
- Exact tech stack alignment
- Prior healthcare experience
- Specific frameworks or tools
What Won’t Work Here
- Looking for a purely managerial role
- Prefer loosely structured, low-rigor startup environments
- Limited exposure to systems or production complexity
- Wanting a low-collaboration or fully remote setup
Logistics
- Location: NYC (5 days onsite)
- Comp: $200K–$270K base + equity
- Team: ~50 people, scaling quickly
#EP2