Senior Software Engineer, AI Engineer

Senior Software Engineer, AI EngineerHybrid - SF Bay AreaAbout Midi HealthMidi Health is the largest virtual care clinic for women in midlife navigating perimenopause, menopause, and other hormonal transitions. We combine expert clinicians, evidence-based protocols, and a modern technology platform to deliver care that has historically been underserved by the healthcare system. We're a fast-growing, mission-driven company building the infrastructure and products that define this new category of care.How We WorkHybrid 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.Low-ego, high-curiosity. We approach disagreement with humility and technical rigor, not politics. We invest in each other's growth.Outcome-oriented. We move fast, own our work end-to-end, and balance speed with the durability that healthcare demands.The Difference You Will MakeAI is reshaping how clinical care is delivered, and Midi is building the products at the frontier of that shift. You'll build AI-powered features and systems that genuinely change clinician and patient experience — from clinical workflow automation to patient-facing assistants to back-office intelligence — grounded in the realities of healthcare-grade safety and evaluation.What You Will DoDesign, build, and ship LLM-powered features end-to-end: prompt design, retrieval, tool use, agents, evaluation, and production operationsBuild the evaluation harnesses and feedback loops that let us ship AI features responsiblyIntegrate AI capabilities deeply into patient, clinician, and operational workflowsPartner with clinical, product, and safety stakeholders to define what "good" looks likeContribute to our internal AI-for-engineering practices and toolingStay close to the research and ecosystem; bring the best of it back to the teamAbout You6+ years of software engineering experience, with meaningful recent time building production LLM / ML featuresStrong hands-on coding skills in Python; comfortable across the full stack when the feature demands itSeasoned at system design for AI systems: retrieval, orchestration, caching, evaluation, cost and latency tradeoffsDeep, hands-on command of modern AI coding tools — you're a strong follower of the frontier and apply new techniques quicklyGood mentorship instincts; generous with what you learnRigorous about evaluation and safety; allergic to vibes-only launchesStrong communicator; comfortable explaining model behavior to non-technical stakeholdersLow-ego, curious, humbleNice to HaveExperience with healthcare, clinical NLP, or regulated AI deploymentsExperience building agentic systems or production RAG at scaleInterview ProcessRecruiter Screen (30 min)Hiring Manager Screen (45 min)Live Technical Assessment (3 sessions: 150 min)On-Site Interview and Lunch (4 sessions: 150 min)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.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 Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant's salary history.