Staff Software Engineer, Fullstack

Assured is transforming the infrastructure of U.S. healthcare using intelligent automation. We’re building an AI-native system of action for provider operations to automate the most painful parts of healthcare, starting with credentialing, licensing, and payer enrollment. These are slow, error-prone processes that cost the healthcare system billions and delay patient care.

We’re backed by top Silicon Valley investors and trusted by the most innovative provider groups and health systems. This is a rare opportunity to join an elite team reimagining one of the most broken parts of healthcare - using cutting-edge AI in the real world, at scale.

We’re looking for a Software Engineer to help architect, build, and productize our AI/ML infrastructure. You'll be the bridge between research, product, customers, and engineering, driving AI adoption from strategy through production at scale.

This role is ideal for someone who thrives in early-stage environments, enjoys owning things end to end, and wants their work to have a measurable impact on an industry that desperately needs modern infrastructure.

System Architecture & Design

• Design and evolve a modular, service-oriented architecture to power configurable healthcare workflows at scale.

• Build a workflow orchestration engine capable of handling thousands of concurrent stateful tasks (credentialing, verification, enrollment).

• Define and optimize integration frameworks to connect with thousands of external systems — web portals, APIs, PDFs, spreadsheets.

• Drive reliability, auditability, and performance through observability, self-healing, and clear fault-domain boundaries.

Applied AI and Automation

• Lead the design and deployment of AI-powered digital workers — LLM- and rules-driven agents that perform operational workflows end-to-end.

• Evaluate AI tools, frameworks, and third-party APIs, ensuring alignment with platform goals and data protection requirements.

Cross-functional Leadership

• Partner with product, engineering, and analytics to discover use cases, build features, and deliver value

• Engage with customers to understand operational challenges, validate assumptions, and iterate solutions quickly

Must-Have:

• 5+ years experience building and scaling complex, distributed systems or workflow-heavy SaaS platforms.

• Proven ability to own architecture and make high-stakes technical decisions in ambiguous, high-growth environments.

• Deep understanding of modern cloud architecture and full software stacks.

• Excellent communication — able to clearly explain technical trade-offs to technical and non-technical audiences alike.

Preferred:

• Experience with workflow orchestration frameworks or event-driven architectures.

• Contributions to open-source projects, publications, or active technical presence.

• Open-source contributions, publications, or technical blog presence

You’ll Love This Role If You

• Want to lead AI projects from idea to deployment

• Want to own architecture, projects, and culture — not inherit them.

• Thrive in a 0→1 environment, building from scratch and scaling from concept to production.

• Care deeply about impact — accelerating patient access by fixing the infrastructure of healthcare.

• Believe great products emerge from tight collaboration between product, engineering, and operations.

• Want your work to outlast you — building systems that become part of healthcare’s invisible infrastructure.

• High-impact work - Tackle bottlenecks that slow down provider access to patients

• Real-world AI – Build intelligent systems that reason, act, and automate in production.

• Cross-functional exposure - Collaborate with customers, clinical ops, engineers, and founders

• Early-stage upside - Equity, early influence, and a high-growth trajectory

• People-first culture - Mental health time, and a focus on outcomes, not hours

FTE Only Benefits and Pay

Our headquarters are located in New York City, and we value cross-team collaboration and in-person connection. We encourage participation from all team members—great ideas can come from anywhere. While we take our mission seriously, we don’t take ourselves too seriously. We host offsites, outings, and team meals to stay connected as people. We offer office lunch, a fully stocked snack bar, and an in-office culture.

We provide competitive base compensation along with stock options. The expected annual salary range for this role posted is depends on experience and interview performance. We offer fully paid health and dental coverage, plus vision insurance, premium primary and urgent care memberships, online health providers, unlimited PTO (“take what you need”), seven paid holidays, and a company-wide winter break.

EEO Statement

Assured is an equal opportunity employer committed to diversity and inclusion. We prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic under federal, state, or local laws.

This policy applies to all employment practices, including hiring, promotion, termination, compensation, benefits, training, and apprenticeships. Assured bases hiring decisions solely on qualifications, merit, and business needs.