Senior AI-Native Systems Engineer

9amHealth; United States; Remote; USD 158,000 - 193,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Flexible PTO

Work from home options

Professional development budget

Job summary

9amHealth is seeking a Senior Product Engineer to build AI-native systems and agent-driven workflows that integrate LLMs into production. You will design backend and full-stack components, partner with product and design, and shape scalable, secure healthcare platforms in a cross-functional team.

You will work on building agentic workflows, setting AI usage standards, and ensuring reliability and observability in a regulated healthcare context, while collaborating with global teams and

Qualifications

• 7+ years of experience as a Software Engineer, with strong knowledge of AWS, Java, Typescript
• Strong experience in building with LLMs in production
• Clear enthusiasm for the capabilities and opportunities of AI and agentic systems
• Strong system design skills and comfort working in ambiguous problem spaces
• Ability to communicate clearly with technical and non-technical stakeholders

Responsibilities

• Design, implement, and operate backend and fullstack systems that incorporate LLMs, tools, and agents as core components
• Build agentic workflows (multi-step, tool using, stateful systems) that solve real product and operational problems
• Integrate LLMs safely and reliably into production systems, with attention to observability, cost, and failure modes
• Use modern AI coding tools to accelerate development, refactoring, and exploration
• Set patterns and standards for how AI is used in day to day engineering work
• Help the team move faster without sacrificing quality or clarity
• Collaborate closely with Product Management, Design, and other stakeholders to shape solutions
• Translate high level goals into technical architecture and execution plans
• Contribute to roadmap discussions with a strong systems and platform perspective
• Design APIs, services, and data models (primarily backend leaning)
• Ensure reliability, security, privacy, and scalability in a regulated healthcare context
• Operate and observe the system’s behaviour in the real world
• Improve developer experience and internal tooling where it unlocks leverage

Skills

AWS

Java

Typescript

LLMs in production

System design

Communication

Tools

Claude Code

Codex

Cursor

Copilot

Job description

9amHealth is seeking a Senior Product Engineer to build AI-native systems and agent-driven workflows that integrate LLMs into production. You will design backend and full-stack components, partner with product and design, and shape scalable, secure healthcare platforms in a cross-functional team.

You will work on building agentic workflows, setting AI usage standards, and ensuring reliability and observability in a regulated healthcare context, while collaborating with global teams and