Software Engineer, Agent - Healthcare

Sierra is the leading platform for customer-facing AI agents. Our healthcare agents already reach over 50% of U.S. families. We partner with leading health plans, providers, and healthcare platforms to deliver AI agents that handle some of the most sensitive and high stakes conversations in any industry. Our healthcare customers include major health insurance networks, nonprofit providers, multi-site primary and urgent care practices, healthcare diagnostics companies, and healthcare financial platforms.

Responsibilities

Design and deliver production-grade AI agents for healthcare: build and ship highly performant, reliable, and empathetic AI agents that handle sensitive patient and member interactions while maintaining strict HIPAA compliance; Drive the Agent Development Life Cycle (ADLC): complete ownership and autonomy from initial pilot through deployment and continuous iteration; Partner with healthcare leaders: work directly with executives and technical teams at health plans, provider networks, and healthcare technology companies to understand their most pressing challenges; Navigate healthcare complexity: develop deep expertise in healthcare systems and workflows, including EHR and patient access platform integrations, payer and provider operations, and healthcare data and interoperability standards; Build the future of the platform: surface unmet needs, prototype new tools and features, and collaborate with research, product, and platform to shape the future of AI agent development in healthcare

Requirements

Experience building and scaling end-to-end production systems; Strong technical problem-solving skills, especially in fast-changing, ambiguous environments; A builder and tinkerer's mindset with high agency - you find creative ways to overcome obstacles and ship; Comfort working directly with customers to understand their needs and solve real-world problems; Excellent communication skills—clear, direct, and persuasive across technical and non-technical audiences; Genuine interest in healthcare and improving patient/member experiences

Nice to have

Experience in healthcare technology, health IT or working with healthcare organizations; Familiarity with healthcare systems: Major EHR ecosystems (e.g., Epic, Cerner/Oracle Health, athenahealth); X12 EDI transactions and clearinghouse workflows; scheduling/patient access, practice management, and contact center platforms; Understanding of healthcare compliance requirements (HIPAA, PHI handling and healthcare data privacy); Experience building or deploying AI/LLM systems in production; Have been a founder or founding engineer; Familiarity with tools that power today's AI agents: eval frameworks, agent tooling, RAG pipelines, and prompt engineering; Prior experience with React, TypeScript, and/or Go; Previous roles where you interfaced with customers or led technical projects with external stakeholders

Benefits

Flexible (unlimited) paid time off; Medical, dental, and vision benefits for you and your family; Life insurance and disability benefits; Retirement plan dependent on country of employment; Parental leave; Fertility and family building benefits through Carrot; Lunch, as well as delicious snacks and coffee; Discretionary benefit stipend; Free alphorn lessons; Eligible full-time employees can participate in Sierra's equity plans