Location: Hybrid- San Francisco OR Palo Alto Office, Tuesday/Thursday

The Difference You Will Make

You'll own the technical direction of Midi's platform - the core services, shared libraries, infrastructure, and developer tooling that every product engineer depends on. The decisions you make will determine how fast our product teams can ship, how reliably our clinicians can deliver care, and how safely we handle patient data. This is a role for someone who wants the pen on the platform strategy - not just to execute it.
What You Will Do

• Set technical direction for core platform services (auth, notifications, jobs, feature flags, shared libraries) and developer productivity tooling (dev environments, test infra, CI/CD, internal tooling, paved paths)
• Lead high-impact, cross-cutting initiatives across cloud infrastructure, data infrastructure, and reliability practices (multi-region, cost, observability, security posture, platform ergonomics)
• Define and enforce the security and compliance foundations for a HIPAA environment
• Treat product engineers as customers; raise the bar on developer experience across the org
• Partner with engineering leadership on capacity, hiring, and platform roadmap
• Mentor platform and product engineers; grow the platform competency across the org
• Lead how platform engineering leverages AI tooling

About You

• 10+ years of experience building production services and/or infrastructure at scale
• Seasoned hands-on engineer; still writes meaningful code (Python, Go, TypeScript, or similar)
• Seasoned system designer across distributed systems, APIs, data platforms, networking, security, and cloud (AWS/GCP)
• Authority in platform engineering - you've owned core services and/or developer platform direction at a high-growth company before
• Deep product sense for internal tooling; track record of measurably improving developer velocity
• Leader in AI-assisted engineering; you define how platform teams adopt and benefit from it
• Seasoned mentor with a track record of growing platform engineers
• Strong communicator with product, security, and executive stakeholders
• Low-ego, curious, humble

Nice to Have

• Healthcare, HIPAA, HITRUST, or SOC 2 experience
• Prior experience as the platform, infrastructure, or devex lead at a scaling startup
• Experience standing up an internal developer platform from scratch

Interview Process

• Recruiter Screen (30 min)
• Hiring Manager Screen (45 min)
• Live Technical Assessment (3 sessions: 150 min)
• On-Site Interview and Lunch (4 sessions: 150 min)

While you are waiting for us to review your resume, here is some fun content to check out.

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At Midi Health, we are committed to pay transparency and equity. The estimated salary range for this role is $210,000-$260,000 per year, based on factors such as experience and skills. In addition to base salary, employees are eligible for a wide range of benefits and equity in the company,

We believe in fair and competitive compensation practices that align with our values of equity and inclusion. If you have any questions about how we determine pay, we're happy to discuss further in the hiring process.

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At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs.

Please note that all official communication from Midi Health will come from an email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at [email protected].