Staff Software Engineer – Medsender

The Job Sauce

Staff Software Engineer developing AI-powered document automation solutions for healthcare. Leading engineering projects and ensuring system reliability in a fast-paced environment.

Posted 7/22/2026full-timeNew York City • New York • 🇺🇸 United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in architecting scalable and resilient systems in regulated environments, with a strong focus on AI integration, backend fundamentals, and effective communication. Proven ability to mentor teams and lead complex projects while ensuring security and privacy compliance.

Highest-signal resume keywords

AI IntegrationBackend FundamentalsSystem ArchitectureMentorshipSecurity & Privacy Mindset

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Service DesignData ModelingTransactionsBackground ProcessingPerformance ProfilingObservabilityDesign DocumentationIterative DevelopmentAPI DesignEvent-Driven Services

Soft Skills

Excellent CommunicationMentoringClarity in Ambiguous Domains

Tools & Technologies

EHR IntegrationEMR IntegrationLLMsPromptingRetrievalEvaluation FrameworksSafety Guardrails

Industry Keywords

Regulated EnvironmentPHIAuditabilityResilient WorkflowsIdempotent Jobs

Tech Stack

Tools & technologies

SDLC

About the role

Key responsibilities & impact

Own critical systems end‑to‑end: From design to production—across our AI‑powered intake, referral, and document automation pipelines.
Architect for scale & correctness in a regulated environment: resilient workflows, idempotent jobs, auditability, and strong observability.
Ship AI features responsibly: integrate and evaluate LLMs (prompting, retrieval, eval harnesses, safety guardrails), optimize performance, and measure real‑world impact.
Integrate with EHRs/EMRs and third‑party systems; design stable APIs and event‑driven services that keep patient charts in sync.
Raise the bar—mentor engineers, lead design reviews, improve our SDLC, and champion reliability.
Partner with product & customers to turn ambiguous workflows into clean, scalable automation.

Requirements

What you’ll need

Senior scope: 7+ years building production systems (or equivalent impact) and a track record of leading complex projects across teams.
Strong backend fundamentals: service design, data modeling, transactions, background processing, performance profiling, observability.
AI in production: experience integrating models, prompt/RAG patterns, evaluation frameworks, and safety/guardrails.
Pragmatic builder: you write crisp design docs, slice scope intelligently, and iterate with tight feedback loops.
Excellent communicator & mentor who uplevels others and brings clarity in ambiguous domains.
Security & privacy mindset (bonus if you’ve worked with PHI or in regulated environments).

Benefits

Comp & perks

Competitive salary and equity package (early exercise, extended exercise).
Great health benefits! (includes health, dental, and vision).
Unlimited paid time off (PTO) and holiday schedule to support work.
Regular company off-sites and engineering meetups.