Software Engineer, Product

Benefits

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Weekend work

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About this role

Software Engineer, Product San Francisco, United States 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. Opportunity 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. This is a hybrid position, based in the Bay Area. What you'll be doing We're looking for a driven Software Engineer to take ownership of critical components within our software platform. You'll work closely with healthcare data, contributing to capabilities that assist medical provider networks, ensuring secure, efficient handling of sensitive information to improve outcomes across the healthcare sector.

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