Software Engineer (SWE)
San Francisco, CA$120k - $150kFull-timePosted 3mo ago
About the role
Software Engineer to build Cair Health's core agent-operated RCM platform, shaping architecture, agent framework, and engineering practices as an early hire in a YC-backed healthcare tech startup.
Responsibilities
- Own core parts of the agent-operated RCM platform, from architecture through production
- Take integrations and workflows built for individual customers and generalize them into the core product
- Design and build the agent framework and infrastructure that the rest of the team builds on top of
- Ship fast and iterate directly based on what customers and the field team are running into
- Debug and fix issues across the stack, from data pipelines to the agents themselves
- Set technical standards, code review practices, and engineering processes as an early hire
- Stay close to what customers actually need, not just what's on the roadmap
Qualifications
- CS degree or equivalent hands-on experience
- 3+ years in a technical, customer-facing role (solutions engineering, forward deployed engineering, implementation, or technical customer success)
- Deep software engineering fundamentals: system design, data modeling, testing
- Experience writing Python (or similar), SQL, and React on the front end
- Working knowledge of REST APIs
- Experience with AWS and GCP
- Comfortable with Docker (local runs and deployments)
- Hands-on experience building or working with AI agents
- Comfortable using AI coding agents as part of daily workflow
- Track record of owning something end-to-end: designing, building, and running in production
- Comfortable reviewing code and setting technical standards
Skills
Required:PythonSQLReactREST APIsAWSGCPDockerAI Agents
Last updated Jul 15, 2026. Interested? Apply on the company site.

About Cair Health
Predictive analytics and automation for medical claims
Still in stealth. Reach out to learn more! Backed by Y Combinator, Foundation Capital, Soma Capital, & Capital X.
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