Software Engineer, Agent - Healthcare

The role

You will design and deliver production-grade AI agents for healthcare. You will drive the Agent Development Life Cycle and partner with healthcare leaders to solve complex challenges.

What you will do

• Design and deliver production-grade AI agents for healthcare
• Drive the Agent Development Life Cycle from pilot through deployment
• Build, tune, and evolve AI agents in production environments
• Partner with healthcare leaders to understand pressing challenges
• Develop expertise in healthcare systems and workflows
• Build the future of the platform by surfacing unmet needs and prototyping tools

Required qualifications

• Experience building and scaling end-to-end production systems
• Strong technical problem-solving skills in fast-changing, ambiguous environments
• A builder and tinkerer's mindset with high agency
• Comfort working directly with customers
• Excellent communication skills
• Genuine interest in healthcare and improving patient/member experiences

Nice to have

• Experience in healthcare technology, health IT or working with healthcare organizations
• Familiarity with healthcare systems such as Major EHR ecosystems, X12 EDI transactions, and practice management platforms
• Understanding of healthcare compliance requirements (HIPAA, PHI handling and healthcare data privacy)
• Experience building or deploying AI/LLM systems in production
• Have been a founder or founding engineer
• Familiarity with tools that power today's AI agents: eval frameworks, agent tooling, RAG pipelines, and prompt engineering
• Prior experience with React, TypeScript, and/or Go
• Previous roles where you interfaced with customers or led technical projects with external stakeholders

Benefits

• Flexible (unlimited) paid time off
• Medical, dental, and vision benefits for you and your family
• Life insurance and disability benefits
• Retirement plan dependent on country of employment
• Parental leave
• Fertility and family building benefits
• Lunch, as well as delicious snacks and coffee when working onsite
• Discretionary benefit stipend
• Free alphorn lessons
• Equity plans for eligible full-time employees

About the company

Sierra is a platform for customer-facing AI agents working with brands like The GAP, Rocket Mortgage, and Sutter Health. The company is primarily an in-person company based in San Francisco.