Staff Software Engineer, AI Engineer

Midihealth; San Francisco (CA); Hybrid; USD 210,000 - 250,000; Full time

Benefits offered by this job

Range of benefits

Equity in the company

Job summary

Midihealth in San Francisco is looking for an experienced AI Engineer to lead technical strategy for AI/LLM systems across various product surfaces. In this role, you'll architect AI systems, define evaluation practices, and mentor engineers into strong AI builders.

The position requires 10+ years of software engineering experience and deep expertise in production AI systems. The estimated salary range is $210,000-$250,000 per year, complemented by various employee benefits.

Qualifications

• 10+ years of software engineering experience.
• Deep recent time leading production AI/LLM systems.
• Strong communicator with product and clinical stakeholders.

Responsibilities

• Lead technical strategy for AI/LLM systems across product surfaces.
• Architect systems that run reliably in production.
• Set standards for AI safety and responsible rollout.

Skills

Software engineering experience

Production AI/LLM systems knowledge

Python coding skills

System design expertise

Mentoring capabilities

Strong communication

Tools

AI coding tools (Claude Code, Cursor, Copilot)

Job description

Location: Hybrid- San Francisco OR Palo Alto Office, Tuesday/Thursday

About Midi Health

Midi Health is the largest virtual care clinic for women in midlife navigating perimenopause, menopause, and other hormonal transitions. We combine expert clinicians, evidence-based protocols, and a modern technology platform to deliver care that has historically been underserved by the healthcare system. We're a fast-growing, mission-driven company building the infrastructure and products that define this new category of care.

How We Work

• Hybrid by design. Two days a week in‑office (Tuesday and Thursday) in Palo Alto or San Francisco. We believe high‑trust teams are built in person and scaled remotely.
• AI‑native engineering. We expect every engineer to be fluent with modern AI coding tools (Claude Code, Cursor, Copilot, and similar) and to actively push the frontier of how we build software.
• Low‑ego, high‑curiosity. We approach disagreement with humility and technical rigor, not politics. We invest in each other's growth.
• Outcome‑oriented. We move fast, own our work end‑to‑end, and balance speed with the durability that healthcare demands.

The Difference You Will Make

You’ll set the direction for how Midi builds with AI — across clinical workflows, patient experience, and operational intelligence. You’ll own the architecture of our AI systems, the evaluation practices that keep them safe, and the standards that let every engineer at Midi ship AI features confidently. This is the role for someone who wants to define what AI engineering looks like in a modern healthcare company.

What You Will Do

• Lead technical strategy for AI/LLM systems across Midi’s product surfaces
• Architect retrieval, orchestration, agentic, and evaluation systems that run reliably in production
• Set the standards for AI safety, evaluation, observability, and responsible rollout in a healthcare context
• Partner with clinical, product, and executive leadership to shape the AI roadmap
• Mentor senior and mid‑level engineers into strong AI engineers; raise the AI literacy of the whole org
• Lead the frontier: evaluate new models, techniques, and tools, and bring the right ones into the team

About You

• 10+ years of software engineering experience, with deep recent time leading production AI/LLM systems
• Seasoned hands‑on coder; still writes production Python regularly
• Seasoned system designer for AI systems at scale — retrieval, agents, evaluation, latency, and cost
• Authority in AI engineering: teams and leaders defer to your judgment, and you can defend it rigorously
• Leader at the AI frontier: you set how the team uses AI tooling and how we build AI products
• Seasoned mentor; you've grown engineers into strong AI builders
• Strong communicator with product, clinical, and executive stakeholders; thoughtful about risk and safety tradeoffs
• Low‑ego, curious, humble

Nice to Have

• Healthcare, clinical NLP, or regulated AI deployment experience
• Track record of shipping agentic or large‑scale RAG systems in production

At Midi Health, we are committed to pay transparency and equity. The estimated salary range for this role is $210,000-$250,000 per year, based on factors such as experience and skills. In addition to base salary, employees are eligible for a wide range of benefits and equity in the company.

We believe in fair and competitive compensation practices that align with our values of equity and inclusion. If you have any questions about how we determine pay, we’re happy to discuss further in the hiring process.

At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs.

Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history.

Please find our CCPA Privacy Notice for California Candidates.

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