Technical Staff Member

This is a fully remote position, open to applicants in Brazil.

📋 Description

• Take ownership of features from start to finish, encompassing problem identification, design, implementation, deployment, and ongoing production monitoring.

• Collaborate with clinicians and operators to define problems, create specifications, and deliver initial versions.

• Design and develop AI agents and automated workflows for verifying insurance benefits, handling prior authorizations, managing patient intake, processing claims, and assisting with clinical documentation.

• Create web and mobile functionalities for clinicians, patients, families, and internal operations teams.

• Design services, data models, and APIs while managing infrastructure as code.

• Oversee production services, including deployment, monitoring, and incident response.

• Write assessments for model-facing features and monitor workflow metrics.

• Ensure the safe handling of protected health information by utilizing least-privilege access, avoiding PHI in logs, and maintaining auditable changes.

• Develop and maintain skills, plugins, MCP integrations, and review bots for Claude Code and Codex.

• Engage collaboratively within a flat engineering team across different time zones.

⛳️ Requirements

• A minimum of 5 years of experience in building and deploying production software.

• Recent, hands-on experience with AI harnesses that go beyond basic model API calls, including project instructions, tools, MCP servers, skills, hooks, subagents, or evaluations.

• A personal project that has been created and published on the web, made accessible for public use; ideally a SaaS with functioning payment systems such as Stripe.

• Strong full-stack proficiency in Python and TypeScript, covering frontend, backend, databases, and cloud infrastructure.

• Comfort in navigating a large, existing codebase.

• Practical experience with LLMs, including tool usage, agent orchestration, structured outputs, retrieval, and evaluations.

• Daily engagement with AI coding agents like Claude Code, Codex, or Cursor, which includes configuring project instructions, skills, MCP servers, hooks, subagents, executing parallel tasks, and reviewing outputs.

• Capability to make effective UI decisions without a dedicated designer, utilizing a component library.

• Strong written communication skills.

• Experience with the following technology stack: Python, Kotlin, Hasura, GraphQL, TypeScript, NestJS, Go, React, Next.js, React Native, PostgreSQL, Snowflake, Temporal, gRPC/Protobuf, AWS, Terraform, GitHub Actions, Datadog, LaunchDarkly, Claude, and OpenAI models.

• Preferred: Experience in healthcare or regulated industries, familiarity with HIPAA, payer and claims workflows, EHR integrations, HL7/FHIR, Temporal or another durable workflow engine, React Native, production LLM evaluations or safety checks, agent harness/MCP server/plugin development, open-source contributions, or internal tools utilized by others.

🏝️ Benefits

• No benefits or compensation extras are specified in the posting.