Staff Platform Generalist

Role Description

You'll work across our entire stack, wherever you're most useful on any given day. Some weeks that's building React components. Other weeks it's debugging a Python service, writing Terraform, or pairing with Claude and Codex to ship a feature in an afternoon that would've taken a sprint.

• Add a new push message via websockets to our Next.js app
• Build an inference feature to link related data with low k-distance
• Write a Python service that processes FHIR bundles
• Dive deep on exhausted thread pools and solve infrastructure scaling issues
• Build a new analytics view in BigQuery and wire it to a dashboard
• Debug an odd set of symptoms in appointment synchronization with our Athena EMR integration
• Improve our orchestration layer (LangGraph) to answer questions about a patient faster

Qualifications

• Customer obsessed. We build what matters to real people doing real jobs with relentless focus.
• Curious by default. You try new things often. You share your passions. You dive deep and seek to understand.
• Comfortable with ambiguity. We do not over-specify and you'll be expected to understand the problem before solving.
• Productive with AI tools. You use Claude, Codex, Gemini, Copilot, or similar daily. You know their strengths and failure modes or you're willing to learn quickly.
• Driven by real data. We measure before we decide.
• A generalist who ships. You know when to polish and when to move on.
• Motivated by impact. US healthcare is broken in specific, fixable ways. You want to fix some of them.
• A solid, experienced senior engineer. At this moment, we're building the core of our team.

Requirements

• Frontend: Next.js, React, TypeScript
• Backend: TypeScript (Fastify), Python (FastAPI)
• Data: PostgreSQL, Prisma, and sometimes BigQuery
• Infrastructure: GCP (Cloud Run, Pub/Sub, Cloud Tasks), Terraform
• Integrations: Athena EMR, FHIR, HL7
• AI/ML: LangGraph, Vertex AI, Langfuse

Benefits

• Competitive salary + equity
• Health insurance (medical, dental, vision, rx)
• Remote-first, async-friendly culture
• Small team, low bureaucracy, high ownership