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Software Engineer, Agent - Healthcare

Sierra

New York, Ny · on site · full time

$180,000 - $390,000

About the Healthcare Team

Our healthcare agents reach over 50% of U.S. families, partnering with health plans, providers, and healthcare platforms to deliver AI agents that handle sensitive, high-stakes conversations. We are transforming how patients and policyholders interact with the healthcare system across benefits, billing, scheduling, and intake.

What You'll Do

  • Design and deliver production-grade AI agents for healthcare: Build and ship performant, reliable, and empathetic AI agents handling patient and member interactions while maintaining strict HIPAA compliance.
  • Drive the Agent Development Life Cycle (ADLC): Own initial pilot through deployment and continuous iteration, tuning and evolving AI agents in production environments.
  • Partner with healthcare leaders: Work directly with executives and technical teams at health plans, provider networks, and healthcare technology companies to solve operational challenges.
  • Navigate healthcare complexity: Develop deep expertise across EHR and patient access platforms, payer/provider operations, and healthcare interoperability standards.
  • Build the future of the platform: Surface unmet needs, prototype new tools and features, and collaborate across research, product, and platform teams.

Example Projects

  • Build AI agents for major health insurance networks handling co-pay and coverage questions.
  • Develop voice and chat agents for healthcare providers to find in-network specialists and schedule visits.
  • Create AI agents for multi-site urgent care providers managing appointments across 30+ clinics.
  • Replace paper intake forms with conversational experiences.
  • Develop AI agents for healthcare financial platforms navigating billing and claims with HIPAA compliance.
  • Integrate cutting-edge voice models at scale for compliant phone interactions.

What You'll Bring

  • Experience building and scaling end-to-end production systems.
  • Strong technical problem-solving skills in ambiguous, fast-changing environments.
  • A builder mindset with high agency to overcome obstacles and ship.
  • Comfort working directly with customers to understand their needs.
  • Excellent communication skills across technical and non-technical audiences.
  • Genuine interest in healthcare and improving patient/member experiences.

Even Better

  • Experience in healthcare technology, health IT, or working with healthcare organizations.
  • Familiarity with healthcare systems (EHRs like Epic, Cerner/Oracle Health, athenahealth; X12 EDI transactions).
  • Understanding of healthcare compliance requirements (HIPAA, PHI, data privacy).
  • Experience building or deploying AI/LLM systems in production.
  • Experience as a founder or founding engineer.
  • Familiarity with AI agent tooling: eval frameworks, RAG pipelines, and prompt engineering.
  • Prior experience with React, TypeScript, and/or Go.
  • Experience interfacing with customers or leading technical projects with external stakeholders.

Benefits

Flexible (unlimited) PTO, comprehensive medical/dental/vision coverage, life and disability insurance, retirement plan, parental leave, fertility benefits via Carrot, company-provided lunch and snacks, and a discretionary benefit stipend.