Distributed Systems Engineer at archil | San Francisco

Join Omada Health as an IT Systems Engineer and play a pivotal role in enhancing our technology infrastructure. You will be responsible for designing, implementing, and maintaining our IT systems to ensure optimal performance and reliability. Your expertise will help us deliver top-notch health solutions to our clients.

Assort Health is building a platform to make healthcare more accessible by connecting patients and providers through specialty-focused AI agents. Since its launch in 2023, the company has supported over 135 million patient interactions and helped thousands of providers reduce wait times and streamline scheduling. With a 98% resolution rate, 99% scheduling accuracy, and a 4.5/5 average patient satisfaction rating, Assort Health continues to grow rapidly. Role overview This IT Systems Engineer position is the first of its kind at Assort Health’s San Francisco headquarters. The role brings full responsibility for the company’s IT infrastructure, from endpoint management and identity systems to daily operations. Working closely with the Security team and collaborating across departments, the IT Systems Engineer will help build secure, reliable, and scalable systems to support ongoing growth. The scope covers identity and access management, device lifecycle management, and IT onboarding and offboarding. The role also includes hands-on support for operational needs as the company expands. Key responsibilities Manage identity and access systems, including SSO integrations, user provisioning, and access controls for all applications. Lead deployment and ongoing management of Okta to centralize and secure company-wide access. Design and implement scalable IT systems that address growth and compliance requirements. Location San Francisco (Headquarters)

About the RoleHinge Health is on the lookout for a talented Electrical Engineer to become a vital member of our Hardware Engineering team. This is an exciting opportunity to contribute to the design and development of our cutting-edge hardware products that are revolutionizing healthcare.In this junior-to-mid-level position, you will engage in a variety of projects, taking charge of board-level designs for highly integrated medical devices, guiding them through the entire process from schematic creation to layout and assembly. Collaboration is key; you will partner with firmware, mechanical, and manufacturing teams to transform concepts into market-ready products.We are seeking an enthusiastic candidate who is passionate about harnessing hardware solutions to tackle real-world problems. Your contributions will directly influence the quality of life for our millions of members. As a part of our dedicated Hardware group within the broader R&D organization, you will join a small, motivated team where your ideas and input are truly valued.

About the RoleHinge Health is on the lookout for a talented Mechanical Engineer II to join our dynamic Hardware Engineering team. In this pivotal role, you will contribute significantly to the design and development of our next-generation hardware products. As a mid-level engineer, you will tackle a range of projects, focusing on mechanical designs for advanced medical devices that are highly integrated. You will collaborate across various teams, including electrical, mechanical, and manufacturing, to successfully transition products from concept to production.The ideal candidate is passionate about addressing real-world challenges through hardware innovation—your efforts will directly enhance the lives of millions of our members by alleviating pain and improving their well-being. By joining our Hardware group within the broader R&D organization, you will be part of a highly skilled, motivated, and compact team where your ideas and contributions are valued.What You'll AchieveCreate intricate device assemblies and manufacturing fixtures using 3D CAD, integrating components like PCBAs, batteries, and connectors.Rapidly prototype and test using various technologies (3D printing, machining, etc.)Engage in all phases of product development, from exploration and prototyping to detailed design, testing, and scaling for mass production.Work closely with electrical, firmware, and senior mechanical engineers on system architecture and integration.Maintain design quality and adhere to medical device regulatory standards through clear documentation and thorough testing.Assist manufacturing and sustaining engineering by optimizing designs for cost reduction and enhanced manufacturability, supporting process or test development, and aiding in failure analysis.Hinge Health Hybrid ModelWe believe in the advantages of both remote and in-office work, and we aim to harness the best of both worlds. Employees in hybrid roles are expected to work in the office three days a week for a full eight-hour business day. Our San Francisco office features a dog-friendly work environment.

About the OpportunityAs a Senior Data Engineer at Hinge Health, you will take the lead on developing and maintaining the data architecture that drives real-time experiences for our users. You will be responsible for constructing and optimizing data pipelines that aggregate data from numerous upstream services, including Kafka event streams and transactional databases, into a cohesive data platform that supports both real-time APIs and analytical tasks on Databricks. Your contributions will directly support AI-driven coaching assistants and physical therapy applications utilizing real-time member data, including engagement logs and clinical information, to provide tailored recommendations. This role places you at the crossroads of data engineering and artificial intelligence, constructing the dependable, low-latency data infrastructure essential for these systems.You will engage with a cutting-edge tech stack: employing Python, Flink, and PySpark for pipeline development, Kafka for event streaming, Delta Lake for scalable data storage, and Aurora PostgreSQL for operational data management.This role emphasizes high ownership. You will collaborate closely with application engineers, data scientists, and AI teams across the organization to define the data flow from its inception to its consumption. Furthermore, you will assist in establishing standards and practices that empower product teams to manage their own data in a HIPAA-compliant environment. If you are passionate about creating the data infrastructure that underpins AI systems impacting health outcomes, we encourage you to apply.Our technology stack includes: Python, SQL, dbt, Airflow, PostgreSQL, MySQL, REST, Aptible, Docker, Tonic.ai, Terraform, Spark, Kafka, Flink, Fivetran, Databricks, and AWS (S3, Lambda, Kinesis, RDS, Glue).Key ResponsibilitiesDesign and construct the data architecture for AI-enhanced health solutions - You will build and oversee data pipelines that cover both streaming and batch processes, from data ingestion to serving. This includes creating ingestion layers that pull data from Kafka event streams and transactional databases, executing transformations using Flink, Databricks, and dbt, and making informed decisions about the placement and purpose of transformations. You will manage pipelines across the entire stack: from raw ingestion to normalized staging, aggregated analytical models, and the serving layer relied upon by downstream consumers including real-time APIs, BI tools, and AI applications. You will establish data contracts, oversee schema evolution, and ensure the data you deliver is well-documented and reliable for others to utilize.Maintain platform reliability and data integrity - Define and monitor SLAs (Service Level Agreements) to ensure system performance and data quality.

About Sprinter Health:At Sprinter Health, we are dedicated to transforming the way people receive healthcare by providing services directly in the comfort of their homes. A staggering 30% of patients in the U.S. forgo essential preventive or chronic care due to challenges in reaching a doctor's office. This often leads many to use emergency rooms as their primary healthcare access point, resulting in over $300 billion in unnecessary annual costs.Utilizing state-of-the-art technologies similar to those used by leading marketplace and last-mile delivery platforms, we ensure that healthcare reaches individuals where they need it most. To date, we have successfully assisted over 2 million patients across 22 states, conducted more than 180,000 in-home visits, and achieved an impressive 92 NPS.Our diverse team of clinicians, technologists, and operations specialists has secured over $125 million in funding from notable investors like a16z, General Catalyst, GV, and Accel, ensuring we have a solid financial foundation for growth.About the RoleWe are seeking a Forward Deployed Engineer (FDE) to bridge the gap between engineering, partnerships, and product development. This position is perfectly suited for a seasoned software engineer looking to engage more directly with customers while still being active in hands-on engineering.Your role will involve collaborating with strategic partners, operational teams, and internal product groups to rapidly deliver impactful solutions. You will ensure that custom work is integrated into scalable and reusable platform capabilities. This is not merely a support or solutions-focused role; you will be responsible for writing production code, influencing core architecture, and contributing to the development of the Partner Engineering roadmap.The ideal candidate will have a background as a mid-senior software engineer and be adept at navigating ambiguity, transforming complex real-world constraints into reliable software solutions.Office Location:We operate as a hybrid company situated in the Bay Area, with offices in San Francisco and Menlo Park. We prioritize work-life balance and acknowledge that flexibility is sometimes essential.

Join linqapp as a Systems Engineer and be a pivotal part of our innovative team in the heart of San Francisco. In this role, you will design, implement, and maintain systems that enhance our product offerings and drive efficiency. We are looking for a passionate engineer who thrives in a collaborative environment and is dedicated to delivering high-quality solutions.

Join Our MissionAt 3Y Health, we are revolutionizing the healthcare landscape with our AI-driven software solutions designed to alleviate the daunting administrative workload that consumes a staggering 40% of healthcare revenue. Our comprehensive platform empowers clinician entrepreneurs, enabling them to establish, manage, and expand their private practices seamlessly. By harnessing cutting-edge AI and automation, we help healthcare providers reclaim valuable time, cultivate thriving businesses, and enhance the health outcomes in their communities. With over $200 million in backing from industry-leading investors like Founders Fund, General Catalyst, Softbank, and 8VC, we are poised for significant growth.Your RoleWe are on the lookout for a talented Forward Deployed Engineer to spearhead the development of AI Agents tailored for healthcare applications. The ideal candidate will possess a product-focused mindset and hands-on experience with large language models (LLM), agent functionalities, and robust systems design. This role calls for a proactive individual who can oversee the entire lifecycle of agent workflows while collaborating with cross-functional teams across sales, operations, marketing, recruiting, and product management. As an AI Engineer, you will shape the technical strategy, architecture, and execution of our innovative agent platform.Key ResponsibilitiesLead the development of AI Agents by leveraging both existing and novel services.Continuously enhance our product suite through data-driven analysis, A/B testing, and other methodologies to optimize user experience.Translate intricate AI challenges into practical engineering strategies, ensuring the selection of appropriate models, rigorous evaluations, efficient implementation, and ongoing maintenance.Foster innovation by identifying new AI opportunities and architecting solutions that expand the boundaries of creative AI applications.Contribute to the long-term vision for AI at 3Y, actively shaping the roadmap and scaling AI capabilities throughout the organization.

Be Part of a Transformative Team in HealthcareThe Issue: Patients like Sarah face devastating choices, delaying critical cancer treatments due to exorbitant monthly costs of $30,000. Similarly, Marcus's autoimmune condition deteriorated as he navigated insurance hurdles.Over half of essential prescriptions are abandoned due to:High Costs: Patients with hefty copays abandon treatments five times more frequently.Complex Insurance Systems: Prior authorization difficulties obstruct access to necessary medications.Logistical Issues: Managing medical visits for treatments can be overwhelming.Our Approach: At Neon, we leverage advanced technology to dismantle these barriers by automating patient access workflows for pharmaceutical companies—this includes automating authorizations, simplifying benefits verification, and providing financial assistance options.Our Vision: We aspire to create a world where every patient can effortlessly navigate the healthcare system, especially in critical times. Join us in ensuring access to medication is driven by medical necessity rather than bureaucratic hurdles or financial limitations. Our success translates to patients gaining access to life-saving treatments without financial ruin, while we develop a robust AI automation framework for healthcare's leading enterprises.Why Work with Us?Aspiring for Greatness: We’re not mere dreamers; we’re experienced builders on a mission to establish a $200B+ enterprise akin to Palantir or ServiceNow, catering to major healthcare organizations.Seasoned Founders: Our team is composed of successful entrepreneurs, Y Combinator and MIT alumni, alongside former engineers from Tesla and Google.Rapid Growth with Stability: In just four months, we transitioned from concept to securing seven-figure contracts in an industry where sales cycles typically span 12-18 months. We are profitable and laser-focused on execution.Exceptional Backing: Our funding comes from top-tier Silicon Valley VCs who have supported unicorns like DoorDash and Lyft, complemented by strategic healthcare investors with deep industry ties.Significant Impact & Opportunities: Collaborate at the nexus of agentic AI, healthcare innovation, and transformative patient outcomes.Accelerate Your Career: Join us early and grow swiftly as we strive for leadership in healthcare automation.

Company Overview:Specter is revolutionizing how businesses perceive their physical environments by developing a software-defined control plane. Our mission is to enhance the security of American enterprises by providing them with comprehensive visibility over their physical assets.We are pioneering a connected hardware-software ecosystem that leverages multi-modal wireless mesh sensing technology, reducing the deployment costs and time for sensors by a factor of ten. Our platform aims to be the perception engine for a company’s physical presence, facilitating real-time visibility of perimeters and enabling autonomous operational management.Founded by passionate innovators from Anduril, Tesla, Uber, and the U.S. Special Forces, our co-founders, Xerxes and Philip, are dedicated to empowering our partners in the rapidly evolving landscape of physical AI and robotics.

About the RoleAt Hinge Health, we are revolutionizing digital health with our focus on evidence-based solutions designed to alleviate musculoskeletal (MSK) pain. By integrating personalized exercise therapy and virtual care, we empower individuals to effectively manage and significantly reduce chronic pain, enhancing their quality of life while minimizing healthcare expenditures. Our partnerships with employers and health plans enable us to deliver these impactful solutions broadly, enhancing organizational health and productivity.With the recent introduction of HingeSelect, we are advancing our mission by merging digital and in-person care, leading to improved outcomes and an enriched member experience. We are also enhancing our approach to member data management, prioritizing security, observability, and traceability.We seek a dedicated Backend Software Engineer who is enthusiastic about crafting outstanding user experiences through Golang and gRPC-based microservices. As part of the Accounts team, you will play a vital role in developing and refining systems that have a significant impact across the entire organization. A robust and scalable Accounts system is crucial for ensuring stability and fostering the growth of our membership base. You will collaborate closely with product managers, designers, and fellow backend engineers to create scalable, high-performance, and accessible applications.This position offers a unique chance to contribute to a high-impact product in its formative stages. You will be instrumental in establishing the technical foundations that guarantee a seamless and enjoyable experience for our users. The ideal candidate excels in cross-functional collaboration, navigates ambiguity with ease, and is deeply committed to product quality and user experience.At Hinge Health, backend engineers drive their team’s success by architecting and implementing comprehensive solutions, creating well-tested, high-performance APIs and data models. Additionally, you will be responsible for profiling systems to proactively address scaling challenges and maintaining high standards through thoughtful and constructive code reviews.We embrace a continuous deployment DevOps culture and take great pride in supporting our code in production. Our production systems are built with Golang, gRPC, AWS, Postgres, Redis, and Temporal. Our workflow follows a trunk-based CI/CD approach, and we uphold the highest security and compliance standards within the healthcare sector, including HIPAA, HITRUST, SOC 2, and CCPA.

About braintrustBraintrust is at the forefront of AI observability. By merging evaluation and observability into a singular workflow, we empower developers with the insights needed to comprehend AI behavior in production environments, along with the tools to enhance it.Leading teams at Notion, Stripe, Zapier, Vercel, and Ramp utilize Braintrust to compare models, test prompts, and monitor regressions — transforming production data into superior AI with each new release.About the roleWe are in search of a passionate software engineer dedicated to crafting high-performance data processing systems. Our clientele consists of large enterprises handling complex, semi-structured data, which they require for real-time processing and analysis. Our distinct architecture enables these organizations to keep data on-premises while creating intricate visualizations that load without delay. Explore our Brainstore blog post.If you have experience with database systems, compilers, networks, or storage systems and aspire to pivot your expertise into the AI sector, this role could be your ideal fit. You will significantly influence foundational system architecture, technology selection, and implementation. Our founding team possesses extensive knowledge in database and ML systems, and you will have the autonomy to collaborate closely with them while exploring your innovative ideas.Your ResponsibilitiesAs a systems engineer at Braintrust, you’ll contribute to the core systems that empower Braintrust’s capability to process and query vast amounts of unstructured data at an enterprise scale. Key areas of responsibility include:Enhancing the storage, indexing, and query execution performance of Brainstore.Developing Braintrust's btql query language.Optimizing query patterns to boost performance across our platform.QualificationsDeep understanding of systems programming (C++ or Rust, concurrency, databases, operating systems).Experience in founding or working at startups is advantageous.Familiarity with writing prompts or experimenting with GPT models and applications.BenefitsComprehensive medical, dental, and vision insurance.Daily lunch, snacks, and beverages provided.Flexible time off policy.Competitive salary with equity options.

Midstream is an innovative, AI-driven financial operating system tailored for healthcare systems. Founded by a team of seasoned entrepreneurs and supported by prestigious investors, we empower finance, supply chain, and managed care teams with real-time insights into margin risks, enabling them to act swiftly to protect their margins.Designed specifically for the complexities of healthcare, Midstream converts structured, unstructured, and external data into immediate, contract-aware insights that enhance decision-making. Our AI-driven agents integrate spending and revenue operations across the entire back-office, continuously learning and adapting to ensure a level of intelligence that surpasses any standalone solution.We are revolutionizing the pace of healthcare finance, compressing lengthy processes into minutes and transforming retrospective insights into proactive foresight. Midstream is at the forefront of this change.The OpportunityJoin Midstream at a pivotal moment in our growth and contribute to establishing the technical backbone of our platform. In this role, you will operate at the intersection of product development, systems architecture, and cloud infrastructure, crafting and building distributed systems that enable our agile team to operate efficiently as we expand.You will collaborate closely with engineers and leadership to identify current infrastructural pain points and anticipate potential challenges before they arise. From multi-tenant architectures to security protocols, you will transform uncertainty into robust systems that minimize operational burdens and enhance engineering productivity.We are seeking a software engineer with a systems-oriented mindset who is passionate about long-term maintainability and developer experience, while also enjoying the process of creating backend services and delivering tangible software solutions. The ideal candidate will be adept at reasoning about distributed systems, making practical compromises, and developing infrastructure that seamlessly integrates into the background, allowing the team to focus on delivering impactful product value.What You’ll DoDevelop shared platform patterns and tools that enable engineers to launch new backend services and workflows efficiently, securely, and reliably.Enhance the reliability of our production systems by improving observability, debugging capabilities, and resilience as we scale.Architect infrastructure that is clean, reviewable, and repeatable, minimizing unique configurations and facilitating rapid iteration.Establish clear, scalable multi-tenant boundaries across data, compute, and identity to support...

Join our dynamic team at abridge as a Senior IT Systems Engineer. In this pivotal role, you will leverage your expertise to design, implement, and maintain robust IT systems that drive our business operations forward. Collaborate with cross-functional teams to innovate and enhance our technological infrastructure, ensuring seamless integration and optimal performance.

Astranis is revolutionizing satellite communication by designing and deploying cutting-edge satellites for high orbits, thereby enhancing humanity’s exploration of the solar system. Our state-of-the-art satellites deliver dedicated, secure networks to a diverse clientele, including major enterprises, government entities, and the US military. With five satellites in orbit and a robust pipeline of future launches, we are addressing over $1 billion in commercial contracts.As the preferred partner for satellite communications, Astranis meets the rigorous demands for uptime, data security, network visibility, and customization. Backed by over $750 million from esteemed investors such as Andreessen Horowitz, Blackrock, and Fidelity, our dynamic team of 450 engineers and entrepreneurs operates from our expansive 153,000 sq. ft. headquarters in Northern California.As an RF Systems Engineer, you will be pivotal in shaping our RF systems roadmap, evaluating trade-offs, incubating new technologies, and managing RF sub-systems budgets and requirements. You will model payload and TT&C systems for both commercial and USG satellites, taking ownership of your projects while collaborating across teams to innovate and advance satellite technology.

Join Our Team! Be part of HingeSelect, an innovative internal startup at Hinge Health, dedicated to revolutionizing access to orthopedic care for our members. As the technical cornerstone of our initiative, you will play a pivotal role in connecting members with virtual orthopedic specialists and a top-tier network of in-person providers. This is an exceptional chance to thrive in a dynamic 0-to-1 environment, utilizing the resources of a leading market player to tackle intricate challenges in musculoskeletal (MSK) care delivery.Your ImpactFirst 3 Months: Immerse yourself in our tech stack (Golang, TypeScript, React Native) to deliver critical features for our Specialist Visits product. You'll set foundational engineering standards for this new venture and cultivate trust with cross-functional teams in Product and Design.First 6 Months: Spearhead complex, cross-team projects that unlock new product functionalities while guiding the team through uncertainty to create sustainable solutions. You'll mentor senior engineers, elevate the technical standards, and ensure our clinical journeys are user-friendly and of the highest quality.First Year: Lead the architectural vision for our ambitious 2026 scaling plans, designing robust services capable of supporting 100x growth. You'll influence the long-term technical strategy, balancing immediate deliverables with the reliability and maintainability essential for large-scale expansion.Who You AreA Strategic Architect: You excel at crafting technical strategies for ambiguous problem spaces, designing scalable systems and APIs (REST or gRPC) that accommodate exponential growth and future product demands.A Force Multiplier: Your success is defined by your team's achievements. Through mentorship, design insight, and constructive feedback, you enable fellow engineers to work more efficiently and autonomously.A Lifelong Learner: You embrace AI thoughtfully to enhance workflows and improve team effectiveness. Your passion for our mission drives you to constantly explore innovative ways to leverage technology to assist individuals in overcoming chronic pain.

Join Our Team as an Account ExecutivePivotal Health is at the forefront of transforming the healthcare reimbursement landscape. Our innovative technology platform empowers healthcare providers to receive fair compensation amidst complex reimbursement scenarios.Despite delivering exemplary care, many providers struggle with underpayment from insurance companies. Traditional processes, like Independent Dispute Resolution (IDR), often become burdensome and challenging without optimal tools. At Pivotal Health, we combine state-of-the-art software, insightful data, and exceptional service into a cohesive, AI-powered platform that streamlines reimbursement workflows. We enable providers to effectively dispute underpaid claims, alleviate administrative workloads, and reclaim the reimbursements they deserve—all while allowing their teams to focus on patient care.Our comprehensive IDR solution is just the beginning. We are committed to developing tools that empower providers to navigate the reimbursement journey with clarity, control, and confidence.About the RoleWe are seeking a passionate, full-cycle Account Executive to join our dynamic team. This position offers a unique opportunity to play a pivotal role in shaping our go-to-market strategy. Unlike traditional sales roles, you will have the chance to make a significant impact in a company that is both early-stage and already achieving remarkable traction.If you thrive in fast-paced environments, enjoy selling while building relationships, and are motivated by end-to-end ownership of your business, you will excel here. You will benefit from autonomy in managing your sales territory, the backing of a founder-led go-to-market team, and the potential for uncapped earnings in one of the most influential roles in our organization.We are looking for tenacious, creative, and proactive sellers who are hungry to win—not just to close deals, but to influence our strategies, messaging, and overall growth trajectory.

Lumafield develops X-Ray CT scanners designed to make advanced imaging more accessible and affordable. The company’s cloud software provides engineers with detailed visualization tools, helping them analyze complex products and make informed decisions. Role overview This full-time, on-site Hardware Systems Engineer position is based in San Francisco. The role centers on leading hardware development for industrial CT scanners. Collaboration with researchers and designers is a key part of the job, with a focus on improving product development for a range of industries. What you will do Lead hardware systems development for industrial CT scanners Design and manage electrical architecture Develop firmware and oversee system integration Work hands-on to transform concepts into working products Collaborate with cross-functional teams to address customer needs Team and collaboration The engineering team includes experienced researchers and designers who value curiosity and rigor. The group is impact-driven and backed by leading venture capital firms. Location This role requires working on-site at Lumafield’s San Francisco office.

Join Nudge as a Quality Systems Engineer!At Nudge, we're committed to revolutionizing the way we interface with the brain through innovative technology aimed at enhancing human lives. Our flagship project involves developing a groundbreaking, non-invasive ultrasound device designed to stimulate and visualize the brain with unparalleled precision. This initiative integrates advanced hardware, software, and extensive research to create impactful products that can ultimately benefit millions, if not billions, of individuals.To achieve our ambitious goals, we focus on building exceptional teams across all areas. We seek talented individuals who excel in their fields, embrace challenging tasks, and strive for excellence with unwavering integrity.Your Role:As a Quality Systems Engineer at Nudge, you will:Guarantee that all product designs and processes adhere to internal and regulatory safety and performance standards.Collaborate in new product development, steering quality discussions, influencing critical decisions, and implementing process changes related to design controls, investigational studies, and clinical trials.Manage multiple tasks effectively while driving the execution of change orders.Lead investigations and implement corrective and preventive actions (CAPAs) alongside addressing non-conformances.Foster a quality-driven culture by partnering with interdisciplinary teams to set quality expectations, identify gaps, and uphold high internal standards.About You:We are seeking candidates for the Quality Systems Engineer position who possess a minimum of 2 years of relevant industry experience. Key qualifications include:Proficiency in design controls, product/process validation, and risk management.A degree in an engineering or scientific field (e.g., biomedical engineering, electrical engineering, neuroscience) or equivalent practical experience.Understanding of Good Clinical Practice (GCP) and human factors.Familiarity with FDA QMSR, ISO 13485, and ISO 14971 standards.