Metriport

healthcare

AIEngineer

$160–220k San Francisco, California, United States; New York City, New York, United States; London, United Kingdom FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid candidates.

The Brief

“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.

healthcare
Problems you'll solve

triaging customer issues; preparing fixes; spot the three steps a model could be doing

Eligibility Requirements

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

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