Concurrence, New York City +1
As a Staff Backend/Infra Engineer at Concurrence, you'll build the core services behind our agent platform. The systems you own handle millions of conversations a month, so concurrency, reliability, and clean design are the job itself, not an afterthought. You'll own services end to end, from design through production.
If patients aren't getting better care, we haven't earned the right to scale. Every internal decision gets pressure-tested: does this make patients' lives better? If we can't draw the line, we question why we're doing it.
We hold a high bar for the team because patients are counting on us to get this right. But high standards only work with genuine investment in each other. You can take risks, admit mistakes, and challenge ideas. Not despite our standards, but because of them.
We move fast by default, but speed without judgment is recklessness. The discipline is knowing which decisions are reversible vs. not. In healthcare AI, the companies that win will be fast everywhere they can be and careful everywhere they must be. We build the muscle to do both.
We instrument patient outcomes, provider ROI, system performance, and clinical accuracy. But data without action is surveillance. Every metric should have an owner, a threshold, and a response plan. If we're measuring something but never acting on it, we stop measuring it.
Concurrence (formerly Amigo) is building the platform healthcare organizations use to build their own clinical AI agents. Our mission is to make excellent care accessible to every patient, not rationed by the limits of clinician time.
Underneath our platform is the Health World Model, which unifies a health system’s data into a living, event-level record of every patient’s care. On top of it, agents handle work across the patient journey, from intake and scheduling to medication management and clinical decision support.
Our agents have supported more than 10 million patient encounters and are on track to grow tenfold this year. We run natively on Databricks, integrate with every major EHR, and are backed by Madrona, General Catalyst, and Optum Ventures. We’re about 35 people, working in person in New York and San Francisco.
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This base pay is above the median for staff infrastructure, platform and SRE jobs in the Bay Area.
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