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Midstream HealthMidstream HealthSan Francisco, CA

Software Engineer, Systems

Builds scalable distributed systems, platform tooling, and backend services for an AI-native healthcare financial platform. Focuses on multi-tenancy, reliability, observability, and developer experience using cloud infrastructure like Kubernetes and Terraform.

170k – 230k/yr
HybridDevOps / SRE

About the role

What You’ll Do

  • 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.

Who You Are

  • Strong instincts for designing distributed systems and scalable SaaS platforms, with a focus on clear ownership, isolation, and reliability.
  • Understand core platform building blocks like API design, CI/CD, multi-tenancy, and role-based access control.
  • Deeply comfortable in modern cloud environments (AWS or GCP) and experience with infrastructure-as-code tools like Terraform and Kubernetes.
  • Leverage cloud-native services for computing, storage, and ML-enabled applications.
  • Treat infrastructure as software and care about developer experience, creating reusable patterns, templates, and automation.
  • Strong backend engineer who writes high-quality services and pipelines, comfortable building APIs, asynchronous workflows, background jobs, integrations, and foundational systems.

Skills

KubernetesTerraformAWSGCPAPI DesignCI/CDMulti-TenancyDistributed SystemsObservabilityBackend Services

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