Senior Data Engineer

About The Role

We are seeking a talented, driven, and experienced Senior Data Engineer to join us in defining the future of AI + human healthcare. This role is fully remote.

You will own and architect the data infrastructure powering our Clinical, AI, Product, and Financial Operations. This role is central to ensuring our platform can scale seamlessly—meeting the demands of large healthcare clients while reliably serving hundreds of thousands of patients. Our culture is fast‑paced and ambitious, and we aim for every team member to be exceptional.

What You’ll Be Working On

• Primarily focus on architecting our data infrastructure layer that drives our financial, clinical, and AI applications

• Build robust batch and streaming ingestion pipelines that unify data from diverse internal and external systems into a consistent, ontology‑driven data model

• Maintain dbt‑driven SQL models that unify datasets from our product, integrations, financial operations and clinical data, leveraging ontologies (e.g. SNOMED CT, ICD, HL7 FHIR)

• Design data pipelines that handle diverse sets of structured (e.g. SQL, APIs) and unstructured (e.g., documents, notes, embeddings) datasets

• Future‑proof the data platform to anticipate and support evolving needs including:

  • AI workflows such as NLP, embeddings, knowledge graphs, and retrieval‑augmented generation

  • Financial workflows for accounting tracking and observability

  • Clinical and support workflows that allow non‑technical teams to self‑service data

Examples of projects you may work on:

• Build real‑time PHI‑scrubbed operational dashboards to support clinical and support teams; allowing non‑technical users to self‑service data using AI‑supported tooling

• Set up change data capture (CDC) to store historical data and allow engineers and analysts to time travel back to a past state of the system

• Build reverse ETL infrastructure to bring analytically derived data into our core application to drive patient engagement

• Improve our financial modeling, marketing data analysis, customer acquisition and user retention metrics

• Analyze our LLM performance & latency metrics and model how this impacts costs, user experience, and potential caching strategies

Requirements

• 5+ years of experience in data engineering building high‑performance data pipelines:

  • Previously pioneered self‑service analytics & business intelligence tooling (e.g. Hex, Sigma, Looker) for a diverse set of stakeholders

  • Operational experience with data storage platforms (e.g. Databricks, Iceberg, or Snowflake) and analytical query engines (e.g. Athena or Presto)

  • Managed job orchestration (e.g. Dagster, Airflow) and semantic data modeling (dbt, SQL)

• 2+ years working in highly regulated industries such as healthcare or financial services:

  • Implemented row‑level security and data masking for PHI/PII use cases

• Deep familiarity with row and columnar data warehouses (e.g. Postgre
  
  SQL, Big Query, Snowflake)

• Opinionated about data architecture, data modeling, and analytics in a fast‑growing environment

You are a great fit if

• You have hands‑on experience architecting data platforms from day 0 in a fast‑paced, high‑growth environment

• You’ve extensively worked with healthcare data and standards (e.g. HL7 FHIR, CDS, ICD‑10)

• You have experience with our tech stack: AWS, Google Cloud, Postgre
  
  SQL, FHIR servers

• You consider yourself a Swiss‑army knife data engineer who can flex into both data infrastructure, semantic modeling, and operational analytics

• You have knowledge of medical statistics and are keen to learn more

• You’re comfortable working across teams on multi‑stakeholder projects

• You thrive on working alongside exceptional teammates and derive energy from collaborative environments

• Impact
  :
  Be at the forefront and contribute to groundbreaking, AI‑driven healthcare experiences, directly interface with execs at the world's leading tech & healthcare orgs

• Growth
  :
  Significant opportunities for broad ownership and professional development within our rapidly scaling startup

• Compensation
  :
  Competitive salary + equity

• Benefits
  :
  Comprehensive healthcare, vision + dental, 401K, Unlimited PTO, Parental Leave

• Patients come first.

  We are clinicians 1st,…