Job Description
As a Staff Software Engineer, you will be responsible for driving the design, delivery, and ongoing evolution of critical systems that power patient outreach. These systems enable structured and agentic outreach to patients via messaging and voice modalities, ensuring timely, efficient, and effective care delivery.
This role combines deep hands-on engineering with broad architectural ownership, setting technical direction across multiple teams. You will design and build data-intensive, distributed systems that integrate with AI models for decisioning and orchestration, and that are engineered for high scalability, low latency, and reliability.
About the team: You will join a team that builds and operates the patient outreach platform that combines agent-driven orchestration with robust messaging and telephony infrastructure. The team designs and runs services that coordinate outreach flows across SMS, voice and related channels, integrates with clinical and data systems, and ensures that outreach is reliable, compliant, and scalable.
Primary Duties:
Identify and develop scalable and performant solutions.
Work across discipline to shape product strategy and execution
Develop the foundations of code architecture and quality.
Mentor and coach engineers.
Set and uphold the standard for engineering processes to support high-quality engineering.
Minimum Qualifications:
BS/BTech (or higher) in Computer Science, Engineering or a related field required.
8+ years of production-level experience as an engineer building highly scalable systems.
4+ years of experience acting as a trusted technical decision-maker in a team setting, solving for short-term and long-term business value.
4+ years of experience working with SQL or other database querying languages on large multi-table data sets.
Experience architecting, developing, and deploying large-scale distributed systems at scale.
Experience with cloud technologies, e.g., AWS, Azure, GCP.
Experience building continuous integration and continuous development (CI/CD) pipelines.
Strong familiarity with server-side web technologies (eg: Java, Python, Scala, C#, C++, Go).
Preferred KSAs:
Agentic Patient Outreach
Own the architecture and technical roadmap for complex, cross-cutting systems, ensuring they are secure, scalable, and maintainable.
Lead by example through high-quality design and code, particularly in distributed systems, APIs, and cloud-native services.
Partner closely with product, platform, and cross-functional stakeholders to translate business goals into robust technical solutions.
Raise the technical bar by providing mentorship, design reviews, and guidance to senior and mid-level engineers.
Drive engineering excellence, including observability, reliability, performance, and operational best practices (e.g., CI/CD, incident response, and postmortems).
Influence and evolve engineering standards, patterns, and best practices across the organization.
Bring deep expertise in distributed systems, event-driven architectures, and streaming platforms (e.g., Kafka) and know how to design for scalability, resiliency, and fault tolerance.
Demonstrate strong hands-on experience with containerization and orchestration technologies such as Docker and Kubernetes, including operating services in production.
Have in-depth knowledge of database systems, including both SQL and NoSQL databases, with practical experience in data partitioning, sharding, and indexing strategies for large-scale datasets.
Bring strong proficiency in at least one modern server-side language (e.g., Java, C#, Python), with a strong preference for Python.
Regularly participate in and improve code reviews, architectural discussions, and feature planning sessions, helping drive high-quality technical and product decisions.
Have hands-on experience with data pipelines and workflow orchestration tools (e.g., Apache Airflow, AWS Glue, or similar technologies).
Have experience with systems that handle sensitive data, including architecting solutions that incorporate best practices for security, authentication/authorization.
Have experience building or integrating systems that leverage ML/AI models for real-time inference, including attention to latency, reliability, observability and ongoing model evaluation.
Experience working with systems that integrate with LLMs and generative AI is highly desirable, but not required.
Physical Requirements:
Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.
