This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
We are building an agentic mesh network for US healthcare, deploying multimodal systems that can autonomously handle non-clinical tasks and with seamless execution between entities. Our founding team is ex-Palantir with direct experience delivering mission-critical software to HHS, NIH, and other federal institutions. We are based in New York City and work in-office every day. We operate with an extremely flat structure. We ship, we learn, we compound.
Job Responsibility
Define the architecture of the systems that power autonomous agent orchestration across the most critical vertical within our country
Own entire subsystems — from protocol design to production deployment — with the autonomy and accountability of a technical co-founder
Agent runtime architecture — designing the execution engine, task scheduling, state management, exception handling, and human-escalation pathways that the entire platform runs on
Multi-agent orchestration layer — the coordination primitives, tool-use frameworks, and real-time decision-making pipelines that process clinical documents, voice interactions, and multimodal healthcare data at institutional scale
Federated interoperability protocols that enforce data residency while enabling cross-entity agent collaboration
Platform abstractions — APIs, SDKs, and workflow primitives that allow both internal and external teams to deploy agents on the platform
Requirements
5+ years building production distributed systems
You have designed, shipped, and operated infrastructure that runs at institutional scale
You've made architectural bets that held up — and learned from the ones that didn't
What we offer
Top-of-market cash compensation plus significant founding-team equity