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
This is a rare opportunity to join Midstream at a formative stage and help shape our foundational product. You’ll work at the intersection of product, systems, and cloud infrastructure, designing and building a ML and AI native platform. This role is perfect for mid-senior level engineers who are passionate about user experience and bring a craft that emphasizes scalability, reliability and performance.
What they're looking for
- Problem-Solving: Excellent problem-solving skills with a knack for tackling complex technical challenges
- Communication: Strong communication skills, capable of working collaboratively within cross-functional teams and articulating technical concepts to diverse audiences
- Adaptability: Ability to thrive in a fast-paced environment, with resilience and effective task prioritization
- Programming Skills: Excellent coding abilities in high-level languages such as Python and Typescript
- SaaS Platform Development : Knowledge in building scalable SaaS platforms, including API design, CI/CD, multi-tenancy, RBAC
- Cloud Platforms : Strong experience with cloud services (GCP, AWS) and infrastructure as code tools (Kubernetes, Terraform), with the ability to leverage cloud-native services for computing, storage, 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.
This is a rare opportunity to join Midstream at a formative stage and help shape our foundational product. You’ll work at the intersection of product, systems, and cloud infrastructure, designing and building a ML and AI native platform. This role is perfect for mid-senior level engineers who are passionate about user...
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