Founding AI-Native Engineer

2 weeks, 6 days ago
Senior
Software Development

Rockstar

Rockstar is a platform that connects top talent with companies, helping individuals land roles that accelerate their careers. They focus on roles that offer competitive cash and the opportunity to impact the trajectory of the business.

Professional Services
1-10

Description

  • Design and ship AI agents that manage the patient case lifecycle, including intake, document extraction, data validation, coverage verification, patient communication, and missing-information follow-up.
  • Build the evaluation harness, confidence thresholds, and human-in-the-loop boundaries for AI-driven workflows.
  • Design the PHI-aware data architecture, including de-identification, tokenization, and audit logging for model calls.
  • Integrate with healthcare systems of record and dependent services, and build the orchestration layer that coordinates across them.
  • Own production operations, including on-call support, incident response, rollback strategy, and uptime reliability.
  • Work directly with operations, IT, and clinical teams during discovery, UAT, and go-live.
  • Make architectural decisions and own entire product verticals end-to-end as a founding-level engineer.
  • Help shape the backend stack and technical direction for the platform.
  • Ship software that real patient cases will flow through in production starting this fall.

Requirements

  • 5+ years of experience shipping production software, with significant ownership of backend systems.
  • Deep expertise in at least one modern backend language such as Python, TypeScript, Kotlin, Go, or similar.
  • Comfort working across relational databases, cloud infrastructure, containerized services, and API design.
  • Experience operating regulated software with strong production discipline and uptime expectations.
  • Experience building with LLMs, including orchestration, retrieval, tool use, structured output, evals, and handling model failure modes.
  • Ability to distinguish when to use an agent, pipeline, or plain function and explain the tradeoffs.
  • Track record of turning ambiguous problems into architecture and shipping working systems.
  • Strong product and UX judgment, including experience working closely with users and designers; Figma or design-language familiarity is a plus.
  • Bonus: healthcare or other regulated-industry experience, early-stage or founding-engineer experience, Salesforce ecosystem experience, or experience with eligibility engines, document extraction, health compliance, or case-management workflows.
  • Eastern Time preferred, with flexibility of plus or minus 3 hours.

Interested in this position?

Apply directly on the company website

Apply Now

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