Hybrid Software Engineer, Systems

Posted 5 hours ago

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About the role

  • Systems Engineer designing backend solutions at Midstream, transforming healthcare finance with AI-driven insights and robust architectures.

Responsibilities

  • Build shared platform patterns and tooling that help engineers ship new backend services and workflows quickly, safely, and consistently.
  • Strengthen the reliability of our production systems by improving observability, debugging, and resilience as we scale.
  • Design infrastructure that is clean, reviewable, and repeatable—reducing one-off configurations and enabling faster iteration.
  • Establish clear and scalable multi-tenant boundaries across data, compute, and identity to support enterprise healthcare customers.
  • Help ensure the team can spend more time building new capabilities—and less time maintaining systems as customer usage and data volume grow.
  • Build the agentic orchestration layer for tools and agents to power our natural language analytics that enables rapid discovery of insights with source document traceability.

Requirements

  • You have strong instincts for designing distributed systems and scalable SaaS platforms, with a focus on clear ownership, isolation, and reliability.
  • You’re deeply comfortable in modern cloud environments (AWS or GCP) and have experience using infrastructure-as-code tools like Terraform and Kubernetes.
  • You treat infrastructure as software and care about developer experience.
  • You’re a strong backend engineer who writes high-quality services and pipelines.

Benefits

  • Impact from day one: Help define our product, processes, and customer experience from the ground up.
  • User-focused culture: Spend real time with customers, shaping a product that reflects their world.
  • High ownership: Drive ideas from discovery to delivery with autonomy and trust.
  • Exceptional team: Work alongside experienced founders, engineers, and operators with deep healthcare and AI experience.
  • Meaningful work: Build technology that helps healthcare systems operate smarter and sustain care for more people.

Job title

Software Engineer, Systems

Job type

Experience level

Mid levelSenior

Salary

$170,000 - $230,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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