ai systems engineer at meadow medicine remote
- Salary
- $30–$50/hrUSD per hour
- Hiring from
- United States
- Work type
- Remote
- Posted
- Sep 27, 2026
**AI Systems Engineer**
Alternate titles: Product Operations Engineer, Internal Tools Developer
**The role**
We're looking for a highly detail-oriented builder to own our internal systems: CRM, automations, and the tooling our sales and operations teams run on daily. You'll scope, build, and maintain these systems using AI-assisted development, moving fast without breaking what works.
Ideal candidates have led the buildout of a CRM or core internal platform at a small company and are comfortable owning both the technical work and the process design behind it.
Requires at least 5 hours of daily overlap with 9-5 PST.
**What we're building**
Meadow is a licensed psilocybin service center in Portland operating under Oregon's Measure 109 framework. Almost everything that runs the business is built in-house.
Client-facing: a multi-step application funnel, a medication screener with a taper readiness score, prescription intake with drug autocomplete, and an eligibility assessment tool that gates who we can serve.
Internal: a facilitator portal with role-based access, a custom booking system tied to calendars, a capacity dashboard for scheduling across facilitators, a sales pipeline for our setter and closer team, and an accounting tool that produces our P&Ls.
Most of this is Next.js, Supabase, Vercel, and API glue between systems, built quickly with AI-assisted tooling. We recently moved off our third-party CRM, so a meaningful part of this role is owning what replaces it.
The work is a mix of net-new builds and hardening what exists. Since these tools touch clinical intake and regulated compliance requirements, correctness matters more than speed. That's why the detail orientation is non-negotiable.
**Required experience**
- 3+ years building production web applications, with at least one internal platform or CRM you owned end to end <br/>- Fluent with AI-assisted development (Cursor, Claude Code, or similar) as a primary workflow, not an occasional assist <br/>- Next.js and TypeScript, plus a Postgres-backed stack (Supabase preferred) <br/>- Real API integration work: OAuth flows, webhooks, third-party systems that break in unexpected ways <br/>- Experience translating fuzzy operational requirements into specs, then shipping against them without hand-holding <br/>- Track record of working directly with non-technical operators to define what a tool should do
**Nice to have**
- Worked in a regulated or clinical environment where data accuracy has consequences <br/>- Background in product, ops or revenue tooling (pipelines, attribution, dialers) <br/>- Built or replaced a CRM rather than just configuring one <br/>- Comfortable with light data and reporting work
**What this role is not**
Not a ticket-taking implementation job. You'll be the person deciding how these systems should work, so you need opinions and the judgment to know when to slow down.
**To Apply:** Send your resume and portfolio/sample works to **recruiting@meadowmedicine.org** with the subject:
**AI Systems Engineer – [Your Name]**
Pay: $30.00 - $50.00 per hour
Work Location: Remote
Location: Remote (Remote)
Remote: Yes