Senior Software Engineer
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Job Description
Senior Software Engineer building AI and automation systems for a fast-growing specialty pharmacy benefits company. Collaborating across teams to improve care delivery and internal efficiency.
Responsibilities:
- Build LLM agents and automation pipelines that replace manual operational workflows
- Design and ship AI-driven care orchestration systems that coordinate treatment journeys across patients, providers, pharmacies, and internal teams
- Identify high-value automation opportunities by working directly with clinical and business operations teams
- Own and ship both internal and external products used by clinical teams, growth teams, partners, and customers
- Talk to users (often internal teams), instrument what you ship, and use the data to decide what to build next
- Build and maintain shared services, identity/auth, and HIPAA-compliant data architecture
- Ship integrations across CRM and external healthcare systems
- Design PHI-safe LLM pipelines, agent orchestration frameworks, evaluation systems, and MCP integrations
Requirements:
- 1+ years of experience building AI systems in production (LLM integrations, agents, AI-powered workflows)
- TypeScript-native, full-stack generalist comfortable across frontend, backend, data, and infrastructure
- Track record of shipping fast with high quality - your code, UI, and documentation hold up without a designer or QA team
- Have been an early employee, a solo tech lead, or a founder - you know how to work without a detailed roadmap
- Use AI heavily in your own development workflow
- Healthcare or HIPAA experience, data pipelines (BigQuery, ETL), or CRM integrations (Salesforce, HubSpot)
Benefits:
- competitive total rewards packages including stock options and benefits
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