Staff 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.

Lead technical strategy for AI/LLM systems across Midi's product surfaces
Architect retrieval, orchestration, agentic, and evaluation systems that run reliably in production
Set the standards for AI safety, evaluation, observability, and responsible rollout in a healthcare context
Partner with clinical, product, and executive leadership to shape the AI roadmap
Mentor senior and mid-level engineers into strong AI engineers; raise the AI literacy of the whole org
Lead the frontier: evaluate new models, techniques, and tools, and bring the right ones into the team

10+ years of software engineering experience, with deep recent time leading production AI/LLM systems
Seasoned hands-on coder; still writes production Python regularly
Seasoned system designer for AI systems at scale — retrieval, agents, evaluation, latency, and cost
Authority in AI engineering: teams and leaders defer to your judgment, and you can defend it rigorously
Leader at the AI frontier: you set how the team uses AI tooling and how we build AI products
Seasoned mentor; you've grown engineers into strong AI builders
Strong communicator with product, clinical, and executive stakeholders; thoughtful about risk and safety tradeoffs
Low-ego, curious, humble
Healthcare, clinical NLP, or regulated AI deployment experience
Track record of shipping agentic or large-scale RAG systems in production
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 $210,000-$250,000 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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