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.
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