Software Engineer - AI Agents & Health Data at Aradigm

Aradigm; New York (NY); Remote; USD 140,000 - 165,000; Full time

Benefits offered by this job

Health coverage

Equity

401(k)

Job summary

Aradigm is hiring two Software Engineers for an early-stage, high-ownership role focused on AI agents and health data. The position is remote within the United States with a preference for the East Coast and optional NYC travel 3–5 times per year.

Expect to shape the platform architecture and own business outcomes from day one. You’ll work on data infrastructure, agent workflows, and internal tooling while navigating a flat organization that rewards scope and ownership.

Qualifications

• Must be authorized to work in the United States; Aradigm does not sponsor work visas
• Must pass a background check and federal exclusion and debarment screening at hire and annually

Responsibilities

• Build data infrastructure: implement new data feeds, model and serve claims, eligibility, pricing, epidemiology, and reference data in BigQuery with pipelines that are tested, observable, and trusted
• Automate the work, including your own: turn repeating tasks into tools or agent workflows
• Build agent harnesses: MCP servers, tools, context, evals, and guardrails for reliable model handling
• Build internal tools for clinical, actuarial, operations, sales, and finance teams
• Ship with rigor: trunk-based development, tests, CI/CD, code reviews, and infrastructure as code on GCP
• Build securely: comply with HITRUST and SOC 2 scrutiny

Skills

Python

SQL

Production ownership

Problem solving

Tools

BigQuery

Claude Agent SDK

CI/CD

Tool-calling apps

Job description

Software Engineer - AI Agents & Health Data at Aradigm — Remote

This is an early-stage, high-ownership engineering role at a mission-driven health tech startup — one of the first two engineers after the Head of Engineering. That's a compelling career inflection point: you'll shape the platform architecture, not inherit it.

Compensation context: $140k–$165k for 3–6 years of experience is competitive but not top-of-market for senior engineers at well-funded tech companies. However, the equity upside at an early-stage public benefit corporation could be meaningful if the company scales.

Skills you'll build here are in high demand:

• LLM agent engineering (MCP servers, Claude Agent SDK, tool-calling) — one of the hottest and most transferable skill sets in 2024–2025
• BigQuery + dbt data modeling at production scale
• Full-stack ownership at a regulated startup — rare resume signal

Green flags: flat structure with explicit growth through scope (not politics), greenfield work, autonomy to scope and ship, and a mission that's easy to get behind. The "automate your own job" culture signals intellectual honesty and a growth mindset.

Watch-outs: "flat by design, no ladder to climb" may mean limited formal promotion paths. Early-stage startups carry inherent risk. The annual background and exclusion screening is standard for government-adjacent health work but worth noting.

Best suited for engineers who want broad ownership, AI/ML tooling exposure, and health tech domain expertise — a strong foundation for future senior or staff roles.

The Role

Aradigm is a public benefit corporation helping people with cancer and other serious diseases access life-changing cell and gene therapies that can potentially cure them. We do this through a new coverage model for self-insured employers and health plans, and behind that model is a lot of data: claims and eligibility feeds, drug pricing, epidemiology, and the reference data that ties it all together.

We’re hiring two Software Engineers, among the first engineering hires after our Head of Engineering, to build the platform that runs Aradigm. Our engineers aim to automate their own jobs away so they can move on to the next big engineering challenge. That takes many forms: implementing a new data feed, building an internal tool, or shipping an agent that runs a recurring workflow like an opportunity analysis end to end. Most of the work is greenfield, on a nascent platform you’ll help shape.

You’ll own business outcomes, not just code, with the autonomy to match: you’ll scope problems with the people you serve, set priorities, and ship end to end. You’ll report to our Head of Engineering and work alongside our data team. We’re flat by design: no ladder to climb, and growth comes from scope and ownership. We work remotely within the US, with a strong preference for the East Coast and travel to our NYC office 3–5 times a year.

What Success Looks Like

Within your first year, you’ve built at least one agentic automation that the team uses every day.

What You’ll Do

• Build data infrastructure: implement new data feeds, and model and serve claims, eligibility, pricing, epidemiology, and reference data in BigQuery with pipelines that are tested, observable, and trusted
• Automate the work, including your own: when a task repeats, turn it into a tool or an agent workflow instead of doing it again
• Build agent harnesses: MCP servers, tools, context, evals, and guardrails that let existing models like Claude reliably handle recurring work. We don’t build or train models; we build what lets them do useful work safely
• Build internal tools: create the tools our clinical, actuarial, operations, sales, and finance teammates use daily, starting from their problem rather than a spec
• Ship with rigor: practice trunk-based development, write tests, run CI/CD, review code, and manage infrastructure as code on GCP
• Build securely: handle sensitive health data responsibly, and work with our Security Engineer so designs hold up to HITRUST and SOC 2 scrutiny
• $140,000–$165,000 base salary, health coverage, equity, and 401(k). We’re a flat organization, so where you start in this range depends on your experience and the impact we expect you to have from day one.

Requirements

Must Haves

• Must be authorized to work in the United States; Aradigm does not sponsor work visas
• Because our work includes government programs such as Medicaid, you must pass a background check and federal exclusion and debarment screening at hire and annually, and comply with our data use agreements

Great to Have

• Strong Python and SQL, with real engineering habits: testing, CI/CD, code review, and infrastructure as code are how you work, not extras
• 3–6 years of professional software or data engineering experience, ideally in health tech or another highly regulated industry
• You’ve owned a production system end to end that other people depended on, and you can take a loosely defined problem, scope it, and ship it without someone checking in daily
• You learn what the job needs: when a tool, framework, or domain is new to you, you pick it up quickly because the outcome depends on it

Nice to Have

The ideal candidate brings all of these on day one. If you can speak in depth to two or three of them from past work, we want to talk to you.

• Production experience with a cloud data warehouse (BigQuery preferred) and reliable data pipelines
• LLM-powered tooling that people actually used, such as tool-calling apps, MCP servers, or agent workflows built with the Claude Agent SDK or similar frameworks
• Working in TypeScript
• Healthcare data such as medical and pharmacy claims, eligibility files, or pricing data, including work under HIPAA

Is this role fully remote or does it require time in office? The role is remote within the US, with a strong preference for East Coast-based candidates. You’ll be expected to travel to the NYC office 3–5 times per year. Does Aradigm sponsor work visas? No. You must already be authorized to work in the United States — Aradigm does not sponsor work visas. What is the salary range for this Software Engineer position? The base salary range is $140,000–$165,000, depending on experience and expected impact. The role also includes health coverage, equity, and a 401(k). What kind of engineering experience is Aradigm looking for? Aradigm is looking for engineers with 3–6 years of experience in software or data engineering, ideally in health tech or a regulated industry, with strong Python and SQL skills and experience owning production systems end to end. Will I need to pass a background check for this role? Yes. Because Aradigm's work involves government programs like Medicaid, all hires must pass a background check and federal exclusion and debarment screening at hire and annually thereafter.

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