Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Position Summary: We are looking for a Lead AI Engineer in Bangalore to help build Messaging 3.0, our next-generation intelligent patient communication platform. You will design and build production-grade AI agents end to end — from LLM orchestration, tool integration, and evaluation to guardrails, observability, reliability, and production operations. You will also be the technical lead for this initiative, setting the technical direction and mentoring engineers through influence rather than formal authority.
In your first 90 days, you will help establish the foundation for the AI-driven Intelligent Messaging platform, including core services, supporting services, Temporal workflows, and two initial agents: the Notification AI Agent and Cadence Outreach AI Agent.
Over your first year, you will take these agents to production and build next-best-action intelligence so they can act autonomously and reliably toward the intended outcome of each message. You will also ensure the new architecture continues to support the important use cases handled by our existing legacy monolith and microservices.
About the Team: The Messaging team is building Messaging 3.0 — moving from static notifications and campaign-based outreach to intelligent, agent-orchestrated patient communication.
Our AI agents will use patient context, preferences, workflow state, and tools to:
- Determine the next best action.
- Personalize patient communication.
- Select the right communication channel.
- Manage the interaction through to completion.
This is a mix of greenfield and brownfield development. You will build new services while also replacing or wrapping existing systems that support live patient messaging in production today.
Essential Job Responsibilities
- Lead the technical design and development of the Messaging 3.0 AI platform.
- Build production-grade AI agents using LLM orchestration, tools, context, evaluation, guardrails, and observability.
- Design and build scalable services using Java, Spring Boot, microservices, Kubernetes, and AWS.
- Design and implement Temporal workflows for long-running and failure-prone processes, including retries and compensation.
- Build and take the Notification AI Agent and Cadence Outreach AI Agent to production.
- Build next-best-action intelligence that enables agents to act autonomously and predictably toward the intended message outcome.
- Identify and solve AI agent reliability and unpredictability issues in production.
- Ensure the new architecture continues to cover use cases supported by the existing legacy monolith and microservices.
- Drive high-quality delivery and continuously improve engineering speed, quality, and reliability.
- Provide technical leadership and mentorship to engineers through influence rather than formal authority.
Additional Job Responsibilities
- Work across both greenfield and brownfield systems.
- Collaborate with engineers and stakeholders to establish technical direction and alignment.
- Own technical outcomes end to end, from design through production.
- Adapt as requirements and the architecture evolve.
- Evaluate and adopt new AI and agent technologies as the space changes.
- Build systems that are reliable and predictable in production, not just successful in demos.
- Understand existing messaging systems well enough to avoid gaps in functionality during modernization.
Expected Education & Experience
- 8+ years of software engineering experience, including 2+ years building AI agents.
- Strong hands-on experience with Java and Spring Boot in production.
- Strong system design and software architecture experience, including architectural trade-offs and decision-making.
- Production experience deploying and operating services on Kubernetes.
- Experience with Temporal or an equivalent durable workflow orchestration framework.
- Hands-on experience with LangGraph, LangChain, or an equivalent agent framework.
- Experience taking an AI/agentic system from prototype to reliable production.
- Strong understanding of AI/agent engineering, including reliability, evaluation, guardrails, and observability.
- Production experience with AWS and practical experience making AWS architecture decisions.
- Experience with Kafka, Postgres, Redis, Helm, Datadog, or equivalent observability tools is a plus.
- Data science experience is a plus.
- GenAI experience beyond agent frameworks, such as prompt/model evaluation or fine-tuning, is a plus.
- Strong communication, collaboration, and technical leadership skills.
- Comfortable working in ambiguous and evolving environments and leading through influence.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
https://www.athenahealth.com/careers/equal-opportunity
Skills Required
- 8+ years of software engineering experience
- 2+ years building AI agents
- Strong hands-on production experience with Java and Spring Boot
- Strong system design and software architecture experience
- Production experience deploying and operating services on Kubernetes
- Experience with Temporal or an equivalent durable workflow orchestration framework
- Hands-on experience with LangGraph, LangChain, or an equivalent agent framework
- Experience taking an AI or agentic system from prototype to reliable production
- Strong understanding of AI agent reliability, evaluation, guardrails, and observability
- Production experience with AWS and practical AWS architecture decision-making
- Strong communication, collaboration, and technical leadership skills
- Comfort working in ambiguous and evolving environments and leading through influence
- Experience with Kafka, Postgres, Redis, Helm, Datadog, or equivalent observability tools
- Data science experience
- Generative AI experience beyond agent frameworks, such as prompt or model evaluation or fine-tuning
athenahealth Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about athenahealth and has not been reviewed or approved by athenahealth.
-
Healthcare Strength — Health coverage is described as comprehensive, including medical, dental, and vision options alongside additional protections like accident and critical illness coverage. Mental health support and EAP-style counseling resources are also part of the package.
-
Leave & Time Off Breadth — Time-away offerings include PTO that covers vacation and sick time, paid holidays, and options for leaves of absence and sabbaticals. Flexible time off is positioned as a meaningful part of the overall rewards package for some roles.
-
Retirement Support — Retirement benefits include a 401(k) plan with employer matching, supported by broader financial wellbeing resources. Equity and performance bonuses are also referenced as part of total rewards.
athenahealth Insights
What We Do
athenahealth strives to cure complexity and simplify the practice of healthcare. Our innovative technology includes electronic health records, revenue cycle management, and patient engagement solutions that help healthcare providers, administrators, and practices eliminate friction for patients while getting paid efficiently. athenahealth partners with practices with purpose-built software backed by expertise to produce the insights needed to drive better clinical and financial outcomes. We’re inspired by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. For more information, please visit www.athenahealth.com
Why Work With Us
We are here to make an impact on the healthcare industry at scale. We enable our diverse teams to move fast, grapple with interesting technical challenges, and innovate at every level. We are on a modernization journey and build on the hybrid cloud. We deliver best-in-class solutions to help every patient receive the best possible care.
Gallery
