Metriport
healthcare
AIEngineer
Neural analysis suggests this role is
optimal for Mid candidates.
“AI Engineer at Metriport. Skills: AI Engineer, LLM agents, full-stack engineer, autonomous SDLC pipeline, eval, observability, and guardrail layer for AI systems. Build the autonomous SDLC pipeline that takes tickets through to PRs. Collaborate with the rest of the engineering team to integrate AI to our products”
What You'll Achieve.
change how we ship products and how we operate; instrumental in building a multi billion dollar company; effectively gets a teammate that never sleeps; leverage new opportunities; discover new ways to deliver value; measure your output by what you actually unblock, not what you produce; ship real, production-grade systems with LLM agents at the core; Keep the platform you build serving a growing company
Industry & Context.
triaging customer issues; preparing fixes; spot the three steps a model could be doing
founders work six days a week from our SF office, located in San Francisco or the Bay Area (or willing to relocate)
What They're Looking For.
Must Have
You've shipped real, production-grade systems with LLM agents at the core, You know what fails in production, and you've got opinions about evals, prompt versioning, tool use, retries, and cost control, You're a full-stack engineer first, AI engineer second, You can stand up a service, write the IaC, instrument it, and own it end-to-end, TypeScript / Node. js, Python, AWS, and SQL aren't going to scare you, You think in workflows and systems, You have a sense of ownership, You care more about leverage and impact than about which model or framework is en vogue this month, You'll pick the boring tool when boring is right, You’re located in San Francisco or the Bay Area (or willing to relocate)
Nice to Have
experience with healthcare data, experience with compliance environments (SOC 2, HIPAA, HITRUST), experience shipping AI-enabled workflows at an early-stage startup
What You'll Do.
Build the autonomous SDLC pipeline that takes tickets through to PRs
Collaborate with the rest of the engineering team to integrate AI to our products
Build internal agents and copilots that take work off the team's plate
and guardrail layer for everything you ship
Work directly with founders and team leads to figure out which workflows are highest-leverage to work on next
and ruthlessly prioritize
Keep the platform you build serving a growing company
How You'll Work.
Team & Collaboration
Collaborate with the rest of the engineering team; Work directly with founders and team leads
Process & Methodology
ruthlessly prioritize, figure out which workflows are highest-leverage to work on next
Full Job Description
AI ENGINEER San Francisco, CA Metriport is an open-source data intelligence platform that helps healthcare organizations access and exchange patient data in real-time. We integrate with all major US healthcare IT systems and tap into comprehensive medical data for 300+ million individuals. We've found product-market fit with multi-million ARR, 100+ customers (including Amazon One Medical, Color, and Strive Health), backing from top VCs, and years of runway. We're ready to scale. We're a tight-knit, high-performing team of mostly former founders (including two YC alumni). We're engineering-heavy, operate with minimal bureaucracy and high autonomy, and hire based on competence, not prestige. We push hard—founders work six days a week from our SF office—but give everyone freedom to craft their schedule. We measure output and we're committed to sustainable intensity. ABOUT THE ROLE This is the first AI Engineer role at Metriport, and one of the highest-leverage hires we'll make this year. We're looking for an engineer who treats AI agents as leverage — someone who will literally change how we ship products and how we operate. We are building a multi billion dollar company, and you would be instrumental in that. This is a huge opportunity for the right person, someone with owner mentality/high ownership, laser focused, and high energy and determination. If we hire well, every person at Metriport effectively gets a teammate that never sleeps, we leverage new opportunities, and we discover new ways to deliver value. WHAT YOU'LL DO - Build the autonomous SDLC pipeline that takes tickets through to PRs — Linear as the state machine, Claude Code (or whatever's best at the time) as the execution engine, sandboxed compute, code review, CI feedback loops, the whole loop. - Collaborate with the rest of the engineering team to integrate AI to our products in ways we haven’t even conceived yet. - Build internal agents and copilots that take work off the team's plate: monitoring the
Applying for this AI Engineer role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Ashby
- Ashby is a fast modern ATS — most applications take under 3 minutes.
- The resume parser is strong; verify parsed experience dates and job titles.
- Custom screening questions are often scored algorithmically — answer completely.
- Location field affects geo-based screening; use your actual metro area.
ANONYMOUS · UNFILTERED
What do employees actually say about Metriport?
Real rants from real employees. Read before you apply.