Midstream creates a foundation that connects contract pricing, rebates, and item master data within one system. Learn more today. Backed by a16z.
About the role
As a Member of Technical Staff, you’ll build AI-native products that solve complex, high-impact problems for some of the country’s largest health systems. Your work will span wherever you can create the most value. You might spend a week at a customer site rapidly building and testing a prototype, then turn those learnings into a scalable platform capability back at HQ. At other times, you may go deep on our data infrastructure, agentic workflows, ML platform, or core product experience. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Problem-Solving: You’re energized by hard, ambiguous problems and have the technical judgment to break them down, learn quickly, and find a path forward—even when the answer isn’t obvious
- Communication: You’re a strong communicator who can collaborate across Engineering, Product, and our health system partners. You can explain technical concepts clearly and are comfortable getting close to users to understand the problems you're solving
- Adaptability: You thrive in fast-moving environments and are comfortable following the most important problem. You can move from building a customer prototype to strengthening a core platform capability without viewing either as outside your job
- Programming Skills: You have excellent coding abilities in high-level languages such as Python and TypeScript and strong software engineering fundamentals
- SaaS Platform Development: You have experience building scalable software platforms, including API design, CI/CD, multi-tenancy, and role-based access control
- Cloud Platforms: You have strong experience with cloud services such as GCP or AWS and infrastructure-as-code technologies such as Kubernetes and Terraform, with the ability to leverage cloud-native services across compute, storage, data, and ML applications
More about this role
Midstream is an AI-native financial operating system for health systems, founded by experienced entrepreneurs and backed by top-tier investors. We give finance, supply chain, and managed care teams real-time visibility into where margin is at risk, with a precise action plan for capturing it before it's gone.
Purpose-built for healthcare's complexity, Midstream transforms structured, unstructured, and external data into instant, contract-aware insights that drive smarter decisions. Our AI agents unify spend and revenue operations across the full back-office, learning and adapting with every interaction and delivering always-on intelligence that no point solution or one-off engagement can match.
We're compressing months to minutes and turning post-period hindsight into in-the-moment foresight. The tempo of healthcare finance is changing, and Midstream is leading it.
As a Member of Technical Staff, you’ll build AI-native products that solve complex, high-impact problems for some of the country’s largest health systems.
Your work will span wherever you can create the most value. You might spend a week at a customer site rapidly building and testing a prototype, then turn those...
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