AI-Native Builder

Who We Are

At Paradigm, we're revolutionizing home care through innovative technology. As the fastest-growing tech company in this sector, we empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. We believe that by streamlining agency operations with third-party payers like the Department of Veterans Affairs and Medicaid, we ultimately enhance the quality of care for seniors, veterans, and underserved communities.

We foster a dynamic and collaborative work environment where new ideas are welcome, and creativity thrives. Joining our team means becoming part of a supportive community that values continuous learning and excellence. We're on a mission to revolutionize home care and are looking for passionate individuals to help us make a lasting, positive impact.

Position Snapshot

The AI-Native Builder uses AI agents as a default part of the creative and technical workflow without outsourcing judgment or accountability to them. This person turns ambiguous customer, product, and operational problems into working, high-quality solutions - from prototypes and automations to production experiences across our agency management system (AMS) and revenue cycle management (RCM) engine. Builders may come from product, design, engineering, or another hands-on discipline; what matters is the ability to build quickly, exercise strong product taste, reason from first principles, verify rigorously, and own outcomes for real customers. This position reports to the Product Team Lead.

Core Responsibilities

• Own problems from discovery through real-world adoption: understand the workflow, frame the opportunity, build a solution, validate it, ship it, and improve it with customers

• Build and ship product improvements and AI-enabled capabilities across our AMS and RCM engine

• Use prototypes and working software to accelerate learning and make product or technical tradeoffs concrete

• Choose the right form for the solution - product functionality, an AI agent, automation, script, internal tool, integration, or redesigned workflow

• Turn repetitive and noisy workflows across agency operations, onboarding, support, billing, claim follow-up, and internal teams into simpler, more reliable systems

• Use AI throughout the building process while remaining accountable for the quality, maintainability, security, and customer impact of the result

• Design verification into the work through tests, evals, data-quality checks, observability, release controls, and rollback paths, with particular care around billing, claims, scheduling, and PHI-adjacent surfaces

• Dogfood the product deeply: sit with agency workflows, observe real schedules, understand billing cycles, and develop enough operational credibility to spot problems before customers do

• Keep decisions, specifications, tests, documentation, and implementation close enough that both people and AI agents can reason from them

• Work fluidly across product, design, engineering, operations, billing, compliance, support, and customer success. Help others contribute safely while developing depth outside your own starting discipline

• Replace meetings, spreadsheets, handoffs, and process rituals when a clearer artifact, prototype, automation, or shared system would serve the team better

What We Look For

• Demonstrated ability to turn an ambiguous idea or problem into something that works and creates value for real users

• Strong product judgment: you connect what you build to the experience of a scheduler, biller, caregiver, agency operator, or owner - not merely to implementation elegance

• Hands-on AI fluency: you use agents to research, prototype, build, analyze, test, review, debug, document, and operate your work

• High agency and a growth mindset: you learn what the problem requires and continually reconsider whether the current approach still serves the outcome

• Strong human judgment: you know when to trust automation, when to verify, and when to involve experts in security, privacy, compliance, reliability, architecture, or product quality

• Verification discipline: you care about correctness, maintainability, safety, and reliability as delivery speed increases, particularly where money and care are involved

• Enough technical fluency to understand and verify what you ship, work effectively with engineers on architectural and integration risks, and deepen your technical capabilities as the work requires

• Comfort working across traditional role boundaries and helping others contribute safely across those boundaries

• Clear communication through prototypes, working software, tests, demos, concise written context, and direct discussion

Strong Signals

• You have materially changed how you build, design, research, test, review, debug, or operate by using AI

• You can show a product, prototype, automation, or system that you personally took from an idea to real users

• You have used a working artifact to make a product or technical debate clearer than discussion alone

• You have replaced a meeting, spreadsheet, manual review loop, handoff, or status ritual with a better automated or artifact-driven workflow

• You have increased delivery speed while also improving quality through testing, evals, tooling, automation, or better feedback loops

• You have shipped in an ambiguous environment where the product direction, available technology, and team process were changing simultaneously

• You have developed meaningful expertise in a customer or operational domain rather than remaining removed from how the product is actually used

Potential Backgrounds

Candidates may come from product, design, engineering, data, operations, or another hands-on building discipline. Particularly relevant experience may include:

• Creative product building or interaction design

• AI products and AI-enabled workflows

• Developer tools or internal platforms

• Vertical SaaS

• Healthcare or fintech systems

• Workflow automation and systems integration

• Data integrity, scheduling, billing, claims, or payer integrations

• Infrastructure, distributed systems, CI/CD, or evaluation frameworks

These are examples, not a checklist. Depth in one area and the ability to learn across others matter more than matching a conventional career path.

Our Stack

You don't need experience with all of these. We care more about how you build than what you've built with.

• A single monorepo across all our products, apps, and packages

• Bun for dependencies, runtime, and tooling

• Careswitch AMS built on SvelteKit and MongoDB / Prisma

• Paradigm RCM built on .NET 10 and SQL Server

• Everyone builds, maintains, fixes, and evolves the platform with Claude Code

How Success Is Measured

We do not optimize for lines of code, AI-generated output, or prototypes produced. We measure whether agencies receive better solutions faster and whether our company becomes more capable over time.

• Shorter time from an identified problem to a validated solution

• Faster onboarding of new agencies and team members

• Higher confidence in releases and operational changes

• Fewer escaped regressions in billing, claims, and scheduling

• Better reliability and data quality

• Stronger customer feedback loops and product adoption

• Visible removal of obsolete processes and manual work

• Greater ability for people across disciplines to contribute safely

Not a Fit If

• You prefer handing off requirements, designs, or prototypes rather than owning the working outcome

• You treat AI-generated output as evidence that something is correct

• You measure value primarily through volume of output

• You are unwilling to develop fluency outside your original discipline

• You resist hands-on product dogfooding or direct exposure to customer workflows

• You prefer fixed long-range plans when rapid learning shows that the plan should change

Education and Qualifications

• No specific degree or formal credential is required

• We value demonstrated ability through shipped products, prototypes, portfolios, automations, open-source contributions, or other work used by real people

What We Offer

• Medical, dental, and vision benefits

• 401k retirement plan

• Aflac benefits

• Paid time off

• Professional development support