Product Engineer / Senior Product Engineer

• Own the path from signed customer to live in production: provisioning, EHR integration, configuration, and go-live, then make that path faster and more repeatable every time.
• Build and harden integrations with EHR systems (FHIR, HL7, vendor APIs) so new customers connect with less custom work.
• Design multi-tenant infrastructure that lets us onboard and isolate customers safely and at speed.
• Build the deploy, CI/CD, and infrastructure-as-code that make launches fast and rollbacks safe.
• Instrument agent behavior in production – logging, metrics, tracing, and alerting — so we know our AI is making the right clinical judgments, and we catch it when it doesn't.
• Ship full-stack product features end-to-end alongside the infra work; the two aren't separate here.
• Own reliability for systems doing patient-facing clinical work, including on-call and turning incidents into permanent fixes.
• Build internal tooling so onboarding a customer stops requiring an engineer in the loop.

• 3+ years building and operating production software as a full-stack or backend engineer.
• Strong with Python and React and able to ship a full-stack feature on your own.
• Experience building and operating integrations against third-party or partner APIs.
• Solid grasp of observability and debugging in production: logs, metrics, traces, and the instincts to use them.
• A bias toward shipping and a high tolerance for the ambiguity of an early-stage, fast-moving environment.

• Experience with healthcare data and standards (FHIR, HL7, EHR integrations) — or eagerness to go deep fast.
• Familiarity with HIPAA, SOC 2, PHI handling, and building under compliance constraints.
• Experience taking a product through rapid customer growth, where onboarding velocity was the bottleneck.
• Background building internal platforms or self-serve tooling that removed engineers from a manual loop.
• Experience deploying or operating LLM-based / agentic systems in production.

• Competitive salary: $130,000-$200,000 + meaningful early-stage equity
• Health insurance
• A YC-backed company with proven distribution, signing customers fast — your work directly unblocks growth
• A small NYC team where you ship every day and your impact is visible
• Hybrid 3x a week in office

There are never enough staff in a medical practice, physician or non-clinical, to handle all the work to be done — from reviewing patients’ test results, to calling patients to discuss them, to answering patient calls about scheduling and clinical questions, to calling patients to check if they’re taking meds rights. Simbie is the clinically intelligent AI voice agent that automates and expands all of this work, saving practices time and money while adding patient touchpoints that save lives, but that practices can’t afford human staff for.

We're the first platform executing AI workflows requiring real clinical judgment, directly in the EHR.

We're YC-backed, distribution is proven, and we're signing customers faster than we can currently bring them live. That's the problem we need you to solve.