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Software Engineer, Systems at Midstream | San Francisco

MidstreamSan Francisco
On-site Full-time

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Experience Level

Mid to Senior

Qualifications

Candidates should possess a strong foundation in software engineering, particularly in systems architecture and backend development. Familiarity with cloud infrastructure, distributed systems, and a commitment to maintaining high-quality code and developer experience are essential. Experience in healthcare technology or financial systems is a significant plus.

About the job

Midstream is an innovative, AI-driven financial operating system tailored for healthcare systems. Founded by a team of seasoned entrepreneurs and supported by prestigious investors, we empower finance, supply chain, and managed care teams with real-time insights into margin risks, enabling them to act swiftly to protect their margins.

Designed specifically for the complexities of healthcare, Midstream converts structured, unstructured, and external data into immediate, contract-aware insights that enhance decision-making. Our AI-driven agents integrate spending and revenue operations across the entire back-office, continuously learning and adapting to ensure a level of intelligence that surpasses any standalone solution.

We are revolutionizing the pace of healthcare finance, compressing lengthy processes into minutes and transforming retrospective insights into proactive foresight. Midstream is at the forefront of this change.

The Opportunity

Join Midstream at a pivotal moment in our growth and contribute to establishing the technical backbone of our platform. In this role, you will operate at the intersection of product development, systems architecture, and cloud infrastructure, crafting and building distributed systems that enable our agile team to operate efficiently as we expand.

You will collaborate closely with engineers and leadership to identify current infrastructural pain points and anticipate potential challenges before they arise. From multi-tenant architectures to security protocols, you will transform uncertainty into robust systems that minimize operational burdens and enhance engineering productivity.

We are seeking a software engineer with a systems-oriented mindset who is passionate about long-term maintainability and developer experience, while also enjoying the process of creating backend services and delivering tangible software solutions. The ideal candidate will be adept at reasoning about distributed systems, making practical compromises, and developing infrastructure that seamlessly integrates into the background, allowing the team to focus on delivering impactful product value.

What You’ll Do

  • Develop shared platform patterns and tools that enable engineers to launch new backend services and workflows efficiently, securely, and reliably.

  • Enhance the reliability of our production systems by improving observability, debugging capabilities, and resilience as we scale.

  • Architect infrastructure that is clean, reviewable, and repeatable, minimizing unique configurations and facilitating rapid iteration.

  • Establish clear, scalable multi-tenant boundaries across data, compute, and identity to support...

About Midstream

At Midstream, we are redefining the financial landscape for healthcare systems through cutting-edge artificial intelligence technology. Our mission is to provide unparalleled insights and intelligence that enable organizations to operate more effectively and efficiently in a complex environment.

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