Senior Software Engineer — AI Agent Orchestration

CareLink (by Asepha); New York (NY); Hybrid; USD 130,000 - 200,000; Full time

Benefits offered by this job

Health insurance

Stock options

Unlimited vacation

Office meals

Off-site trips

Downtown office 3 days/wk

Job summary

Asepha, based in New York, is seeking a Senior Software Engineer to join our growing team. As an early hire you’ll shape our engineering strategy, make architectural decisions, and write code to expand our AI product line with a strong backend focus.

You’ll work across frontend, backend, and devops, building autonomous agents to streamline pharmacy workflows. The role is in Manhattan, with a downtown office three days per week, and offers competitive compensation, stock options, and

Qualifications

• 5+ years of experience in software engineering with strong backend focus.
• Proficiency in Python or TypeScript and deep knowledge of backend fundamentals: APIs, data stores, concurrency, distributed systems.
• Experience with web frameworks and service-oriented architectures (FastAPI, Flask, or equivalent) and designing clean, versioned APIs.
• Familiarity with caching, messaging, and database technologies (Redis, Kafka, SQL/NoSQL, vector databases) and how to use them for performance and reliability.
• Experience building for cloud infrastructure (Azure, AWS, or GCP).
• Experience building and deploying agentic AI systems. You understand tool use, planning, memory, and orchestration patterns.
• You've built systems where the hardest part wasn't the code, it was figuring out what to build.
• You've shipped something end-to-end with minimal guidance and owned the outcome.
• Located in Manhattan and can commute to our downtown office 3 days per week.
• Competitive compensation package, including $130-200k annual salary + stock options.
• Full medical, dental, vision, and extended health.
• Unlimited days off to maintain a healthy work-life balance + 2 weeks of company-wide office closure during the holidays.
• 2 annual off-site trips with the team.
• Complimentary breakfast and lunch provided daily in the office. Dinner also provided if staying past 7pm.

Responsibilities

• Design and build autonomous agents that handle complex, multi-step pharmaceutical workflows end-to-end
• Architect communication systems that coordinate across organizational boundaries
• Build robust orchestration layers for long-running tasks with graceful failure handling and human-in-the-loop escalation
• Develop frameworks that let agents interact with external pharmacy systems, databases, and APIs
• Implement evaluation and observability infrastructure to monitor agent behavior in production
• Integrate with healthcare data standards and legacy pharmacy systems
• Scale systems to handle real-time processing across multiple pharmacy networks

Skills

Backend development

Python

TypeScript

APIs

Distributed systems

Caching

Messaging

Cloud infrastructure

Agentic AI

End-to-end delivery

Tool use

Planning

Memory

Orchestration patterns

Tools

FastAPI

Flask

Redis

Kafka

SQL/NoSQL

Vector databases

Azure

AWS

GCP

Job description

Asepha, based in New York, is seeking a Senior Software Engineer to join our growing team. As an early hire you’ll shape our engineering strategy, make architectural decisions, and write code to expand our AI product line with a strong backend focus.

You’ll work across frontend, backend, and devops, building autonomous agents to streamline pharmacy workflows. The role is in Manhattan, with a downtown office three days per week, and offers competitive compensation, stock options, and