Staff Software Engineer, Agentic Patient Outreach

As a Staff Software Engineer, you will be responsible for driving the design, delivery, and ongoing evolution of critical systems that power patient outreach. These systems enable structured and agentic outreach to patients via messaging and voice modalities, ensuring timely, efficient, and effective care delivery.

This role combines deep hands-on engineering with broad architectural ownership, setting technical direction across multiple teams. You will design and build data-intensive, distributed systems that integrate with AI models for decisioning and orchestration, and that are engineered for high scalability, low latency, and reliability.

About the team: You will join a team that builds and operates the patient outreach platform that combines agent-driven orchestration with robust messaging and telephony infrastructure. The team designs and runs services that coordinate outreach flows across SMS, voice and related channels, integrates with clinical and data systems, and ensures that outreach is reliable, compliant, and scalable.

Primary Duties

• Identify and develop scalable and performant solutions.
• Work across discipline to shape product strategy and execution.
• Develop the foundations of code architecture and quality.
• Mentor and coach engineers.
• Set and uphold the standard for engineering processes to support high-quality engineering.

Minimum Qualifications

• BS/BTech (or higher) in Computer Science, Engineering or a related field.
• 8+ years of production-level experience as an engineer building highly scalable systems.
• 4+ years of experience acting as a trusted technical decision-maker in a team setting.
• 4+ years of experience working with SQL or other database querying languages on large multi-table data sets.
• Experience architecting, developing, and deploying large-scale distributed systems at scale.
• Experience with cloud technologies, e.g., AWS, Azure, GCP.
• Experience building CI/CD pipelines.
• Strong familiarity with server-side web technologies (e.g., Java, Python, Scala, C#, C++, Go).

Preferred KSAs

• Own the architecture and technical roadmap for complex, cross-cutting systems, ensuring they are secure, scalable, and maintainable.
• Lead by example through high-quality design and code, particularly in distributed systems, APIs, and cloud-native services.
• Partner closely with product, platform, and cross-functional stakeholders to translate business goals into robust technical solutions.
• Raise the technical bar by providing mentorship, design reviews, and guidance to senior and mid-level engineers.
• Drive engineering excellence, including observability, reliability, performance, and operational best practices (CI/CD, incident response, postmortems).
• Bring deep expertise in distributed systems, event-driven architectures, and streaming platforms (e.g., Kafka).
• Demonstrate strong hands-on experience with containerization and orchestration technologies such as Docker and Kubernetes.
• In-depth knowledge of SQL and NoSQL databases, with experience in data partitioning, sharding, and indexing strategies.
• Strong proficiency in at least one modern server-side language (Java, C#, Python), with a strong preference for Python.
• Experience with data pipelines and workflow orchestration tools (e.g., Apache Airflow, AWS Glue).
• Experience with systems that handle sensitive data, including security and authentication/authorization best practices.
• Have experience building or integrating systems that leverage ML/AI models for real-time inference, including attention to latency, reliability, observability and ongoing model evaluation.
• Experience working with systems that integrate with LLMs and generative AI is highly desirable, but not required.