Jobs in San Francisco

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.