Jobs in Glen Ellen, CA

Technical Lead / Platform Engineer

GenAI Healthcare SaaS Platform

Palo Alto, CA (Hybrid – 3 days onsite)

About the Role

We’re building a next-generation generative AI platform purpose-built for healthcare — and we’re looking for a hands-on Technical Lead to help architect and scale it from the ground up.

This is not a “manage from a distance” role. You’ll be deeply involved in system design, writing production code, guiding engineering direction, and making foundational technical decisions that shape the future of the platform. You’ll work closely with leadership and product to turn complex healthcare AI requirements into scalable, reliable infrastructure.

If you’ve led engineering efforts for production-grade AI systems and enjoy building high-performance teams and platforms, we’d love to talk.

What You’ll Own

• Architect and evolve the core infrastructure for a scalable AI-powered SaaS platform
• Lead development of backend services and ensure clean integration across systems
• Write high-quality, maintainable code with long-term scalability in mind
• Establish engineering best practices across architecture, CI/CD, monitoring, and DevOps
• Guide and mentor engineers while maintaining a strong individual contributor presence
• Define infrastructure automation strategies (IaC, provisioning, deployment workflows)
• Drive performance, reliability, and observability standards
• Partner with product and leadership to translate vision into executable technical milestones

What We’re Looking For

Core Experience

• 8+ years building and shipping production software
• Prior experience leading engineering initiatives or managing technical direction
• Proven track record scaling a generative AI system or AI-enabled platform in production
• Strong backend engineering background in Python
• Additional proficiency in TypeScript or Java
• Experience with a modern compiled language such as Go or Rust
• Deep knowledge of microservices architecture and RESTful API design
• Hands-on expertise with one major cloud provider (AWS, GCP, or Azure)
• Strong experience with Infrastructure as Code (Terraform preferred)
• Advanced DevOps knowledge: CI/CD, automated deployments, monitoring, alerting
• Experience containerizing and orchestrating services with Docker and Kubernetes

Leadership & Execution

• Comfortable setting technical direction while staying hands-on
• Strong communicator who can explain complex systems clearly
• Experience mentoring engineers and elevating engineering standards
• Ability to operate in a fast-moving, startup environment

Nice to Have

• Experience building or deploying ML/AI systems (TensorFlow, PyTorch, etc.)
• Strong GCP background (bonus if you’ve worked across AWS/Azure as well)
• Familiarity with frontend frameworks like React, Angular, or Vue
• Experience working in healthcare, health tech, or regulated industries

Work Environment

This role is based in Palo Alto with a hybrid schedule (3 days per week onsite). We provide daily meals and foster a collaborative, high-performance engineering culture.

Compensation & Benefits

• Base salary range: $220,000 – $280,000, depending on experience and location
• Meaningful equity package
• Medical, dental, and vision coverage
• Flexible hours
• Hybrid work environment
• Opportunity to help shape the future of AI in healthcare

If you're excited about building a production-grade AI platform that directly impacts patient outcomes — and want to help define the technical foundation of a category-defining company — let’s talk.

At Two Bear Capital we believe in partnering with our portfolio companies to build the best teams possible. We look forward to working with you and Rainfall Health on their new Director of Software Engineering role.

Director of Software Engineering (AWS Amplify & Digital Health)

*please note that this role requires willingness to travel to the Bay area and/or relocating to the Bay area

*please note that this position requires US citizenship/does not provide sponsorship

About Rainfall Health

Rainfall Health is an AI-powered compliance and workflow platform helping health systems succeed under CMS’s TEAM Model and other value-based care programs. We partner with hospitals, surgeons, and care teams to improve episode performance, streamline operations, and maximize reimbursement — all while supporting better patient outcomes.

Our platform sits at the intersection of clinical workflows, financial performance, and intelligent automation.

The Role

We are looking for a Director of Software Engineering with deep experience in AWS Amplify and modern cloud-native architectures to help build and scale our digital health platform. You’ll play a key role in designing secure, reliable systems that integrate with healthcare data sources and surface actionable insights to clinical and operational teams.

This role is ideal for someone who enjoys solving complex data and workflow challenges in a regulated healthcare environment.

What You’ll Do

Platform & Application Development

• Design, build, and maintain scalable web applications using AWS Amplify, serverless services, and modern frontend frameworks
• Develop robust APIs and backend services using AWS-native tools (e.g., AppSync, Lambda, DynamoDB, RDS)
• Ensure performance, reliability, and security across distributed cloud systems

Healthcare Data & Integrations

• Build and maintain integrations with Electronic Health Records (EHRs) and other healthcare systems
• Work with healthcare interoperability standards such as FHIR, HL7, and APIs from major EHR vendors
• Design data ingestion pipelines that normalize, validate, and securely store clinical and operational data

Data Visualization & Insights

• Develop interactive dashboards and data visualization tools for clinical and operational users
• Translate complex healthcare data into intuitive, actionable insights
• Collaborate with product and design teams to create user experiences tailored to care teams and administrators

Cross-Functional Collaboration

• Work closely with product managers, designers, and clinical stakeholders to deliver features aligned with real-world workflows
• Contribute to architectural decisions and technical roadmap planning
• Mentor other engineers and promote best practices in code quality, testing, and security

Security & Compliance

• Implement best practices for HIPAA-compliant infrastructure and data handling
• Ensure systems meet high standards for privacy, auditability, and reliability in a healthcare environment

What We’re Looking For

Required:

• 8+ years of software engineering experience building production-grade applications
• Hands-on experience with AWS Amplify and serverless AWS architectures
• Strong experience with modern JavaScript/TypeScript frameworks (e.g., React, Next.js, Vue)
• Experience building and consuming RESTful and/or GraphQL APIs
• Solid understanding of cloud security and best practices for handling sensitive data

Preferred:

• Experience in digital health, healthcare IT, or healthtech startups
• Experience integrating with EHR systems (Epic, Cerner, Meditech, etc.)
• Familiarity with FHIR, HL7, CCD, or other healthcare data standards
• Experience building data visualization tools (e.g., D3, Chart.js, Recharts, or BI tools)
• Knowledge of healthcare compliance frameworks (HIPAA, HITRUST, SOC 2)

Nice to Have

• Experience with real-time data pipelines or event-driven architectures
• Background in analytics, population health, or value-based care technology
• DevOps experience with CI/CD pipelines and infrastructure as code

What Success Looks Like

• Seamless, secure integrations with healthcare systems
• Intuitive dashboards that drive decision-making for clinical and operational teams
• A scalable, maintainable architecture that supports rapid product growth
• Strong engineering culture centered on reliability, security, and user impact

TPMG is seeking a BE/BC Neurologists to join our teams throughout Northern and Central California.

We currently have full-time openings at the following locations:

• Antioch
• Fresno
• Modesto
• Oakland (contract out-patient position)
• Richmond
• Roseville
• South San Francisco
• Stockton
• Vallejo

Full-time annual salary range is $355,620 to $370,020 plus additional potential incentives up to $40,850*. Reduced schedules with pro-rated compensation may be available. *Some incentive opportunities are estimates based on potential premium pay.

Per Diem opportunities are available at:

• Fresno
• Oakland
• San Leandro

Per Diem Range salary range is $218 to $225 per hour. Based on Base or Premium Rates.

The Permanente Medical Group, Inc. is one of the largest medical groups in the nation with over 10,000 physicians, 21 medical centers, numerous clinics throughout Northern and Central California and an over 80-year tradition of providing quality medical care.

Requirements:

• Board Certification or Eligibility
• Must be eligible to obtain a CA medical license or be currently licensed to practice within CA

With TPMG you’ll benefit from:

• Work-life balance focused practice, including flexible schedules and unmatched practice support.
• We can focus on providing excellent patient care without managing overhead and billing. No RVUs!
• We are committed to cultivating and preserving an inclusive environment for all physicians and employees.
• Multi-specialty collaboration with a mission-driven integrated health care delivery model.
• An outstanding electronic medical record system that allows flexibility in patient management.
• We have a very rich and comprehensive Physician Health & Wellness Program.
• We are Physician-led and develop our own leaders.
• Professional development opportunities in teaching, research, mentorship, physician leadership, and community service.

EXTRAORDINARY BENEFITS:

• Competitive compensation and benefits package, including comprehensive vision, medical, and dental
• Interest Free Home Loan Program up to $250,000 (approval required)
• Relocation Assistance up to $10,000 (approval required)
• PSLF Eligible Employer
• Malpractice and Tail Insurance
• Life Insurance
• Optional Long-Term Care Insurance
• Paid holidays, sick leave, and education leave
• Shareholder track
• Three retirement plans, including a pension plan and 401(k)

Please visit our website to view all of our opportunities located throughout Northern California: learn more about Neurology opportunities with TPMG, please email your CV to or call Ramona at 51

We are an Equal Opportunity Employer | VEVRAA Federal Contractor

Senior Technical Support Engineer

Location: San Francisco, CA | Raleigh, NC | Dallas, TX | Boston, MA

Schedule: Hybrid – 3 days onsite required

Employment Type: 6-Month Contract-to-Hire

Pay Rate: $65–68/hour

Start Date: ASAP

About the Role

The Technical Solutions team is focused on advancing care and research innovation. We support new business initiatives by expanding product capabilities in strategic areas and delivering a scalable technical support framework across multiple product portfolios.

As a Senior Technical Support Engineer, you will partner closely with internal stakeholders to identify, reproduce, troubleshoot, and resolve complex technical issues. You will support infrastructure, permissions, and configuration changes while delivering high-level technical support and sustaining engineering services that help customers achieve meaningful business outcomes.

This role offers the opportunity to collaborate with customers, developers, architects, and operations teams to solve challenging, high-impact problems. You will also contribute to building support tooling and infrastructure to improve operational efficiency.

Travel up to 10% may be required.

Key Responsibilities

• Own and manage technical customer issues from identification through full resolution
• Reproduce and troubleshoot complex technical problems, including reviewing and analyzing code to determine root cause
• Project manage new client deployment issues through to completion
• Implement infrastructure, security, and permissions configuration changes
• Drive operational efficiencies by identifying improvements in process, tooling, and product functionality
• Develop playbooks and knowledge base documentation to streamline issue resolution
• Create internal reports and dashboards for issue tracking and performance monitoring

Minimum Qualifications

• Bachelor’s degree in Computer Science, Information Systems, Mathematics, Statistics, or related field
• Cloud operations experience (creating buckets, virtual machines, and managing security access controls/IAM)
• 3+ years of experience with Python or another object-oriented programming language
• 3+ years of experience working with SQL
• Experience troubleshooting data-related issues
• Proficiency with GitHub and Jira
• Strong troubleshooting skills with the ability to track complex technical details
• Excellent communication skills with the ability to translate technical findings for both senior developers and non-technical stakeholders

Preferred Qualifications

• 4+ years of experience in healthcare technology
• Experience supporting highly regulated software environments
• Experience with R
• Infrastructure-as-Code (IaC) experience such as Terraform, Ansible, or similar tools
• Self-starter mindset with strong ownership and a passion for driving issues through to resolution

Shared Imaging is a privately held organization that has been committed to growing organically and has doubled our revenue in the past 10 years and is committed to having the best technology possible to help support our clients. We pride ourselves on our "White Glove" service model by delivering the best patient experience possible.

Shared Imaging is currently looking to hire a Full Time MRI Technologist in the Santa Rosa, CA area offering a $20,000 sign-on bonus!

Work Schedule:

• 3, 12-hour shifts per week (24 base pay hours per week with 12 overtime hours)
• Rotating weekends
• Monday - Friday (7AM-7PM)
• Saturday/Sunday (7AM - 5PM)

The ideal candidate must possess:

• ARRT Certification (MR) or ARMRIT Registered - required
• CRT Certification - required
• Venipuncture Certification - required
• BLS/CPR Certification
• Minimum of 3-5 years of experience
• GE experience 1.5T w/12x or higher
• Self-starter with the ability to multi-task
• Understanding of Joint Commission
• Hard working and detail-oriented
• Ability to work autonomously and as a member of a team
• Committed to outstanding patient care and have a positive attitude
• Ability to work at additional locations

We value our employees and we want them to be healthy and happy. We offer competitive salaries, travel allowance and a diverse blend of benefits, incentives, and business practices and we are continually evaluating our offerings to ensure that Shared imaging is a truly great place to work!

• Health, dental, and vision insurance
• Company paid dental (with applicable health plans)
• 401k matching
• Company sponsored life insurance
• Voluntary supplemental life insurance
• Voluntary short term / long term disability options
• Flex PTO & paid holidays
• Company swag
• Health club reimbursement
• Childcare discount
• Wellness program with generous incentives
• Employee recognition programs
• Team building events & employee appreciation lunches
• Referral bonus programs
• Job training & professional development

This is a non-exempt hourly position with possible earnings of $148k - $163k/year with a $20,000 sign-on bonus, plus relocation and travel allowance for longer commutes.

The hourly range for this role is $68/hr. to $75/hr., with daily guaranteed overtime (3-12 hour shifts) however, base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. This position is also eligible for a performance-based merit increase annually. Candidates will be assessed and provided offers against the minimum qualifications of this role and their individual experience.

We require that all Shared Imaging LLC employees have a completed background check and drug screen on file.

Shared Imaging is committed to equal employment opportunity. The company offers a drug-free work environment to all qualified applicants without regard to race, color, religion, sex, age, national origin, sexual orientation, disability, marital status, veteran status or any other category protected by applicable law. Equal employment opportunity includes hiring, training, promotion, transfer, demotions, and termination.

Job Title – Tech Lead, SFDC

Location – SFO- Bay Area, CA - Hybrid

Duration – Long Term Contract (C2C, W2)

We are looking for a Salesforce Technical Lead with strong Healthcare Cloud experience who is highly hands-on and comfortable with Apex coding, complex SOQL queries, and custom development.

Key Responsibilities:

- Lead end-to-end Salesforce implementations with a focus on Salesforce Health Cloud

- Design and develop custom Apex classes, triggers, batch/queueable jobs, and complex SOQL/SOSL queries

- Build and optimize Lightning Web Components (LWC) and Aura components

- Perform hands-on development while mentoring junior developers and reviewing code

- Design and implement integrations using REST/SOAP APIs, Platform Events, and middleware

- Ensure data security, compliance, and HIPAA standards in healthcare solutions

- Own technical architecture, troubleshooting, and performance optimization

- Collaborate closely with business stakeholders, product owners, and cross-functional teams

Required Skills & Experience:

- 13+ years of Salesforce experience with 5+ years as a Technical Lead

- Strong expertise in Salesforce Health Cloud

- Expert-level Apex development, including triggers, async Apex, and governor limit optimization

- Advanced experience writing SOQL queries and handling large data volumes

- Hands-on experience with LWC, Visualforce (as needed), and Salesforce flows

- Experience integrating healthcare systems (FHIR, HL7, EHR/EMR preferred)

- Solid understanding of Salesforce security model, data sharing, and compliance (HIPAA)

- Experience with CI/CD, DevOps tools, and source control (Git)

We’re looking to bring on a Growth Marketing Specialist to round out hiring for our founding team.

About us

Construction has always been built on manual labor, not just on the job site, but also in the back office. For decades, estimators have spent thousands of hours squinting at PDFs and navigating opaque distributor markups. But the era of the manual spreadsheet is ending.

That’s where Quotr comes in. We are building the automated brain for the construction industry. Our AI transforms complex PDF, CAD, and BIM files into precise, factory-direct procurement orders in minutes. By cutting takeoff time by 90% and slashing material costs by half, we are helping contractors stop chasing data and start building.

Our mission: We are an AI-first company on a mission to automate the pre-construction workflow for every trade on the planet.

• Execute and iterate on awareness and demand-generation strategies for assigned growth channels, collaborating closely with founders.
• Independently brainstorm, create, and publish social content designed for reach and engagement, including data-driven insights, visuals, and industry commentary.
• Design and launch growth experiments and lead magnets end-to-end, from concept and copy to distribution and performance tracking.
• Own AEO/SEO and content execution for assigned areas, including keyword research, on-page optimization, content refreshes, and internal linking strategies.
• Assist in ideating, launching, and analyzing paid campaigns across Google Ads and LinkedIn Ads, contributing recommendations for optimization.
• Build and execute social distribution strategies, including commenting frameworks, community engagement, and lightweight campaign planning.
• Collaborate cross-functionally with product and sales to align growth initiatives with launches and go-to-market priorities.
• Track channel-level metrics, analyze results, and surface insights to inform next experiments.
• Identify and test early-stage partnerships or distribution channels.

• Data savvy - you know what it takes to go viral with data! 
• Writer and enjoy Lead driving creation 
• Good design eye - you know what looks good
• Content machine
• A true grinder - we work very hard
• Tenacious - make sure we’re showing everywhere
• Systems thinker - we want to use leverage to replicate what works
  

• Built and grown a social following (10k+ on LinkedIn + Twitter)
• Launched projects or products that found traction
• Familiarity with AEO/SEO, distribution loops, or growth automation
• Active in online communities (Reddit, Discord, X, Facebook)
• Former founder
  

• Define how real AI meets the construction industry!
• Learn by shipping real growth experiments from day one
• Ownership: Real equity, real responsibility!!
• Mission: Bring AI into one of the world’s largest, least digitized industries! 

Company:

We are a leading heavy civil construction company, delivering complex infrastructure projects that strengthen and connect communities. With decades of experience across bridges, highways, tunnels, rail, transit, and water/wastewater systems, that are known for its technical expertise, safety-first culture, and collaborative approach with public and private partners. The company combines innovative construction methods with a strong commitment to quality, integrity, and community impact, making it a trusted partner on some of the region’s most critical infrastructure initiatives.

Position Overview:

We are seeking an experienced Cost Manager to support one of the most iconic and technically complex infrastructure projects in the United States. Based in Sausalito, the Cost Manager will be responsible for overseeing cost control, forecasting, budgeting, and financial reporting throughout the project lifecycle, ensuring financial performance aligns with contractual and organizational objectives.

Key Responsibilities:

• Develop, maintain, and manage detailed project budgets, cost plans, and cash flow forecasts
• Monitor project expenditures, commitments, and earned value against approved budgets
• Prepare and analyze cost reports, variance analyses, and financial dashboards for internal and client reporting
• Manage change orders, claims, and cost impacts in coordination with project controls, engineering, and construction teams
• Support procurement and subcontractor cost management, including bid evaluations and payment reviews
• Ensure compliance with contract requirements, owner reporting standards, and internal cost control procedures
• Participate in project meetings to provide cost insights, risk assessments, and mitigation strategies
• Assist in audits, financial reviews, and closeout activities
• Collaborate closely with scheduling, risk, and project management teams to align cost and schedule data

Qualifications:

• Bachelor’s degree in Construction Management, Engineering, Finance, Quantity Surveying, or a related field
• 7+ years of experience in cost management or project controls on large-scale infrastructure or heavy civil projects
• Proven experience managing costs on complex, multi-year public works projects (bridge or retrofit experience strongly preferred)
• Strong understanding of cost forecasting, earned value management, and change management
• Proficiency with project controls and cost management software (e.g., Primavera, EcoSys, SAP, or similar)
• Excellent analytical, communication, and stakeholder management skills
• Ability to work onsite in Sausalito and collaborate with multidisciplinary teams

We are looking for people who are interested in personal finance and budgeting. In this role you will review practical money-saving strategies and provide feedback on budgeting ideas for everyday households.

You will look at different financial habits, common spending patterns, and simple ways people manage money when budgets are tight. The work is simple and can be done online.

Responsibilities include reviewing budgeting advice, identifying useful money-saving ideas, and sharing your opinion on which strategies are most helpful.

No professional experience is required, but an interest in personal finance, saving money, or budgeting is helpful.

This is a remote opportunity and can be completed from home.

Senior Financial Analyst of Financial Planning & Analysis

Sausalito, CA

Summary of Role:

Serena & Lily, a fast-growing home furnishings brand, is seeking a highly motivated Senior Financial Analyst of Financial Planning & Analysis to join our team. Reporting directly to the Senior Director of Financial Planning & Analysis, this fast-paced position provides an outstanding opportunity to understand and influence our retail and e-commerce business. The position will be responsible for providing support to enable business partners and executive leadership to make timely and informed decisions and achieve desired financial results.

Responsibilities:

• Budgeting & Forecasting: Lead analysis to support the development and maintenance of the company budget.
• Reporting: Create and maintain dashboards for monthly financial package to Board of Directors and weekly internal meetings.
• Cross-Functional Analysis: Prepare and present analysis highlighting key trends and insights across functional areas. Support business partners by developing reporting to help manage and track performance to goals.
• Key Performance Indicators: Monitor, analyze and report on financial KPIs.
• Efficiency: Identify and dig into opportunities to improve the team’s processes.

Qualifications:

• Bachelor's degree in Finance, Accounting, or a related field
• Minimum of 3 years of progressive experience in investment banking, financial analysis, or FP&A
• Experience in the consumer retail or e-commerce industry
• Proficiency in Microsoft Office with focus on Excel (advanced functions, pivot tables, etc.)
• Experience with NetSuite or other ERP solution (budgeting and planning modules preferred)

Skills and Competencies:

• Analytical Skills: Ability to analyze complex financial data and identify key trends and insights.
• Intellectual curiosity: A desire to learn and understand the business and its drivers.
• Communication Skills: Excellent written and verbal communication skills, with the ability to communicate complex information clearly and concisely to finance and non-finance stakeholders.
• Attention to Detail: Meticulous approach to work, with a focus on accuracy and data integrity.
• Ability to work independently and as part of a team: Collaborative and team-oriented mindset.
• Adaptability/Flexibility: Ability to work in a fast-paced environment and manage changing priorities.

• This is a hybrid role, working in-office 3days per week.

COMPENSATION:

• $105k per year is the anticipated target base pay for this role. The actual base pay is dependent upon many factors, such as: experience, education, and skills.
• Employees (and their families) are covered by medical, dental, vision, and basic life insurance should they choose to participate in Serena & Lily’s benefits. Employees can enroll in our company’s 401k plan. During the first year of employment, full-time employees accrue twenty-one days of PTO and seven paid holidays throughout the year.