Senior Software Engineer, AI Engineer

Location: Hybrid- San Francisco OR Palo Alto Office, Tuesday/Thursday

Hybrid by design. Two days a week in-office (Tuesday and Thursday) in Palo Alto or San Francisco. We believe high-trust teams are built in person and scaled remotely.

AI-native engineering. We expect every engineer to be fluent with modern AI coding tools (Claude Code, Cursor, Copilot, and similar) and to actively push the frontier of how we build software.

Design, build, and ship LLM-powered features end-to-end: prompt design, retrieval, tool use, agents, evaluation, and production operations
Build the evaluation harnesses and feedback loops that let us ship AI features responsibly
Integrate AI capabilities deeply into patient, clinician, and operational workflows
Partner with clinical, product, and safety stakeholders to define what "good" looks like
Contribute to our internal AI-for-engineering practices and tooling
Stay close to the research and ecosystem; bring the best of it back to the team

6+ years of software engineering experience, with meaningful recent time building production LLM / ML features
Strong hands-on coding skills in Python; comfortable across the full stack when the feature demands it
Seasoned at system design for AI systems: retrieval, orchestration, caching, evaluation, cost and latency tradeoffs
Deep, hands-on command of modern AI coding tools — you're a strong follower of the frontier and apply new techniques quickly
Good mentorship instincts; generous with what you learn
Rigorous about evaluation and safety; allergic to vibes-only launches
Strong communicator; comfortable explaining model behavior to non-technical stakeholders
Low-ego, curious, humble
Experience with healthcare, clinical NLP, or regulated AI deployments
Experience building agentic systems or production RAG at scale
Recruiter Screen (30 min)
Hiring Manager Screen (45 min)
Live Technical Assessment (3 sessions: 150 min)
On-Site Interview and Lunch (4 sessions: 150 min)

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At Midi Health, we are committed to pay transparency and equity. The estimated salary range for this role is $170,000-$210,000 per year, based on factors such as experience and skills. In addition to base salary, employees are eligible for a wide range of benefits and equity in the company,
We believe in fair and competitive compensation practices that align with our values of equity and inclusion. If you have any questions about how we determine pay, we’re happy to discuss further in the hiring process.
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At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs.
Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at [email protected].
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