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Posted 9mo ago•San Francisco

Software Engineer, Product

MiddleOn-site (San Francisco)Salary undisclosed
Required Skills
TypeScriptPythonAWSGCPKubernetesTerraformCI/CD
Job Description

Midstream is an AI-native financial operating system for health systems, founded by experienced entrepreneurs and backed by top-tier investors. We give finance, supply chain, and managed care teams real-time visibility into where margin is at risk, with a precise action plan for capturing it before it's gone.

Purpose-built for healthcare's complexity, Midstream transforms structured, unstructured, and external data into instant, contract-aware insights that drive smarter decisions. Our AI agents unify spend and revenue operations across the full back-office, learning and adapting with every interaction and delivering always-on intelligence that no point solution or one-off engagement can match.

We're compressing months to minutes and turning post-period hindsight into in-the-moment foresight. The tempo of healthcare finance is changing, and Midstream is leading it.

Opportunity

This is a rare opportunity to join Midstream at a formative stage and help shape our foundational product. You’ll work at the intersection of product, systems, and cloud infrastructure, designing and building a ML and AI native platform. This role is perfect for mid-senior level engineers who are passionate about user experience and bring a craft that emphasizes scalability, reliability and performance.

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