Senior Staff AI Builder

Artera.io; Seattle (WA); On-site; USD 250,000 - 350,000; Full time

Benefits offered by this job

Full health benefits

401(k)

Generous time off

Job summary

Medium is looking for a skilled engineer in Seattle to drive their technical areas and improve business outcomes. You will lead initiatives across teams, enhance frameworks, and set ethical standards for data handling.

Ideal candidates will have 10+ years of experience with a strong background in AI-native practices and EHR integrations. Medium offers a hybrid work model, competitive salary, and comprehensive benefits.

Qualifications

• Demonstrates and teaches an AI-native practice.
• Experience with architecting and running systems at scale.
• Recognized expertise in agentic platforms or similar.

Responsibilities

• Drive a multi-squad technical area to improve performance.
• Partner with segment heads to enhance shared capabilities.
• Establish and execute functional-level goals.

Skills

AI-native fluency

Strong commercial judgment

Exceptional communication

Influence without authority

Education

10+ years professional engineering experience

Tools

EHR integrations

AWS

Job description

ABOUT ARTERA

Our Mission: Make healthcare #1 in customer service.

What We Deliver: Artera is an agentic company strengthening how healthcare providers communicate and care for patients. As an agentic partner, we bring over a decade of healthcare experience to address urgent workflows from day one and build custom solutions as healthcare providers’ needs evolve. Trusted by 1,000+ specialties, FQHCs, health systems, and federal agencies, Artera strengthens and protects and enhances patient relationships across every interaction - from intake and scheduling to referral management, post-visit care, and more.

Hear from our CEO Guillaume de Zwirek, about why we are standing at the edge of the biggest technological shift in healthcare’s history!

Our award-winning culture: Our award-winning culture: Since founding in 2015, Artera has consistently been recognized for its innovative technology, business growth, and named a top place to work. Examples of these accolades include: Inc. 5000 Fastest Growing Private Companies (2020-2024); Deloitte Technology Fast 500 (2021-2025); Built In Best Companies to Work For (2021-2026). Artera has also been recognized by Forbes as one of “America’s Best Startup Employers,” Newsweek as one of the “World’s Best Digital Health Companies,” and named one of the top “44 Startups to Bet your Career on in 2024” by Business Insider.

Applicants must be currently authorized and have the ability to provide proof of full-time, long-term authorization to work in the United States. We are unable to provide visa sponsorship or support visa transfers now or in the future.

Key Responsibilities

• Own a multi-squad technical area (agentic patterns, integration surface, reliability, evaluation, voice and messaging, migration, or similar) and drive it to a measurably better place.
• Partner with Heads of Segment across squads, the Primitives Squad, and the Knowledge and Tools Squad to graduate shared capabilities that multiply builder output.
• Establish and execute on functional-level goals; define processes, standards, and best practices that other squads adopt.
• Represent Artera's engineering practice in senior customer conversations, architecture reviews, and partnerships with EHR and platform vendors.
• Diagnose systemic issues (quality, reliability, velocity, or cost) and lead the cross-squad work needed to fix them at the root.
• Sponsor, mentor, and develop other builders; model the transition from personal output to organizational leverage.
• Set the ethical standards for how builders work with customer data, patient communications, and AI systems.

Basic Qualifications

• Industry-leading AI-native fluency: consistently demonstrates and teaches an AI-native practice that produces the output of a traditional team (hard requirement).
• Typically 10+ years of professional engineering experience, or equivalent demonstrated output, with multiple examples of systems you architected and ran at scale.
• Recognized expertise in at least one domain that maps directly to Artera's critical capabilities (agentic platforms, EHR integrations, AWS-scale reliability, AI evaluation, voice and messaging, security engineering).
• Track record of leading technical initiatives across multiple teams that materially changed business outcomes.
• Strong commercial judgment: can frame technical choices in terms of customer impact, revenue, cost, and risk.
• Exceptional written and verbal communication, including at senior customer and executive level.
• Demonstrated ability to influence without authority across multiple squads and functions.

Preferred Qualifications

• Prior staff or senior staff-level experience at a healthcare, AI-native, or agentic platform company.
• Experience designing systems for multi-tenant, HIPAA/HITRUST/FedRAMP-constrained environments at scale.
• Experience as a board, advisor, or external technical contributor in the healthcare or AI space.
• Recognized external profile: publications, conference talks, or open source influence.
• Experience leading incident response and post-incident organizational change.

Salary: $250,000 - $350,000 a year

OUR APPROACH TO WORK LOCATION

Artera has hybrid office locations in Santa Barbara, CA, and Philadelphia (Wayne), PA, where team members typically come in three days a week. Specific frequency can vary depending on your team's needs, manager expectations and/or role responsibilities.

In addition to our U.S. office locations, we are intentionally building geographically concentrated teams in several key metropolitan areas, which we call our “Hiring Hubs.” We are currently hiring remote candidates located within the following hiring hubs:

• Boston Metro Area, MA
• Chicago Metro Area, IL
• Denver Metro Area, CO
• Kansas City Metro Area (KS/MO)
• Los Angeles Metro Area, CA
• San Francisco / Bay Area, CA
• Seattle Metro Area, WA

This hub-based model helps us cultivate strong local connections and team cohesion, even in a distributed environment.

To be eligible for employment at Artera, candidates must reside in one of our hybrid office cities or one of the designated hiring hubs. Specific roles may call out location preferences when relevant.

As our hubs grow, we may establish local offices to further enhance in-person connection and collaboration. While there are no current plans in place, should an office open in your area, we anticipate implementing a hybrid model. Any future attendance expectations would be developed thoughtfully, considering factors like typical commute times and access to public transit, to ensure they are fair and practical for the local team.

WORKING AT ARTERA

Company benefits - Full health benefits (medical, dental, and vision), flexible spending accounts, company paid life insurance, company paid short-term & long-term disability, company equity, voluntary benefits, 401(k) and more!

Career development - Manager development cohorts, employee development funds

Generous time off - Company holidays, Winter & Summer break, and flexible time off

Employee Resource Groups (ERGs) - We believe that everyone should belong at their workplace. Our ERGs are available for identifying employees or allies to join.

EQUAL EMPLOYMENT OPPORTUNITY (EEO) STATEMENT

Artera is an Equal Opportunity Employer and is committed to fair and equitable hiring practices. All hiring decisions at Artera are based on strategic business needs, job requirements, and individual qualifications. All candidates are considered without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetics, protected veteran status, or any other protected status.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.

Artera is committed to providing employees with a work environment free of discrimination and harassment; Artera will not tolerate discrimination or harassment of any kind. Artera provides reasonable accommodations for applicants and employees in compliance with state and federal laws. If you need an accommodation, please reach out to [e-mail].

DATA PRIVACY

Artera values your privacy. By submitting your application, you consent to the processing of your personal information provided in conjunction with your application. For more information please refer to our Privacy Policy.

SECURITY REQUIREMENTS

All employees are responsible for protecting the confidentiality, integrity, and availability of the organization’s systems and data, including safeguarding Artera’s sensitive information such as, Personal identifiable Information (PII) and Protected Health Information (PHI). Those with specific security or privacy responsibilities must ensure compliance with organizational policies, regulatory requirements, and applicable standards and frameworks by implementing safeguards, monitoring for threats, reporting incidents, and addressing data handling risks or breaches.