The Opportunity:
Ensemble Health Partners is one of the fastest-growing revenue cycle management companies in healthcare. Our Automation & AI Platform team builds the infrastructure that powers intelligent, bot-driven workflows across dozens of health system clients - from eligibility checks and claim scrubbing to prior-auth and remittance posting.
We are looking for a senior engineer who think in systems, not just in code. You will be embedded in a high-ownership team building production-grade automation at the intersection of distributed systems, agentic AI, and healthcare data. You will own end-to-end delivery - from API design and infrastructure provisioning to operability and incident response - and be expected to move comfortably across a typed backend, a component-based frontend, and declarative cloud infrastructure.
We care far more about how you reason about systems than which languages you have used. Our stack spans Python, TypeScript, Azure, Playwright, and a growing AI/agentic layer - strong engineers pick this up fast.
What You Will Do
- Design, build, and operate distributed services and automation pipelines that run in production at scale - owning the full lifecycle from architecture to on-call.
- Drive architecture decisions on service boundaries, API contracts, data modeling, and change management across independently deployed components.
- Build and extend our agentic automation layer - integrating LLMs and browser/desktop UI automation into robust, self-healing workflows.
- Contribute to our cloud infrastructure: container deployments, managed identities, private networking, secrets management, and CI/CD pipelines on Azure.
- Instrument everything you ship - structured logging, distributed traces, and metrics - and respond to production incidents with the same rigor you bring to feature work.
- Work pragmatically in a codebase mid-migration: deliver value while two architectural paths coexist, and leave the system more converged than you found it.
- Mentor engineers, participate in design reviews, and raise the bar for engineering quality across the team.
What We're Looking For
Required
- 10+ years of overall technology experience, with 6+ years designing and operating production distributed systems
- Depth in service and API design: service boundaries, contracts and versioning, data modeling, and managing change across independently deployed components.
- Strong command of event-driven and async architecture
- Message queues, idempotency, deduplication, retries, dead-lettering, backpressure, and eventual consistency - and the failure modes each introduces.
- Polyglot fluency
- Productive in at least one modern backend language; comfortable owning changes in a web frontend; able to learn a new stack quickly rather than needing a specific one.
- Hands-on cloud and infrastructure-as-code experience
- Identity-based service auth, RBAC, private networking, secrets management, containerized deployment, and CI/CD on a major cloud platform (Azure preferred).
- Security-first instinct
- OAuth2/OIDC and token validation, least privilege, secret handling, and a practical sense of where sensitive data leaks.
- Production operability as a default
- Structured logging, distributed tracing, and metrics. You own what you ship.
- Pragmatism in ambiguous environments
- Ability to deliver value while two architectural paths coexist, driving convergence without blocking progress.
Strongly Preferred / Stand-Out
- LLM agents and tool use: agentic loops, vision-grounded UI automation, or integrating AI models as components in a larger system (Claude / Computer Use especially relevant).
- Browser or desktop automation at scale - and a hard-won sense of what makes it brittle vs. robust.
- Model Context Protocol (MCP) or comparable tool/adapter abstractions.
- Background in healthcare or another regulated-data domain - familiarity with HIPAA constraints, Epic/FHIR/Interconnect integration is a strong plus.
- Experience deprecating a legacy system gracefully while its replacement runs in parallel.
- This position pays between $111,800-192,900, based on experience
- Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
- This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
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