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Lead strategic finance and operations alongside the CEO. Own forecasting across growth, revenue, headcount, expenses, burn, runway, and capital needs; support investment decisions, fundraising strategy, and investor and Board communications. Develop financial models, clarify business tradeoffs, and lead cross-functional priorities from analysis through execution.

The Product Lead will build and scale product experiences at Midstream, focusing on high-impact areas using AI technologies, collaborating with customers and internal teams, and owning product development from inception to launch.

Join Midstream as a Software Engineer to develop an AI-native financial operating system for healthcare, focusing on SaaS platform, API development, and ML solutions.

Build and maintain Midstream's go-to-market operating system: design GTM systems and workflows, manage CRM and automation stack, create dashboards and forecasting, drive AI adoption, and partner with Sales, Marketing, Partner Success, Product, and leadership to scale commercial operations.

Serve as the technical bridge between customers and Midstream: lead technical discovery, design enterprise AI solutions, validate architectures, advise executives, build repeatable demo assets, and shape product and GTM technical foundations for healthcare deployments.