Staff Engineer

Compiled Health is a clinical AI research company. We are building a future where the standard of care is executable: where what medicine knows is what medicine does, at every visit, in every setting. The accumulated, evidence-graded knowledge of medicine still lives in documents built to be read, not executed. We compile that knowledge into decision artifacts that are measurable against the standard, deterministic where they must be, and traceable to their source evidence. Our compiler is live in clinical production today: clinicians in public health networks act on its recommendations every day. About the Role Engineering at Compiled Health owns everything around the compiled artifact: the product clinicians interact with, the interoperability layer that wires recommendations into EHRs and clinical workflows, and the infrastructure that keeps it auditable and reliable. We sit unusually close to the clinic: you'll work with clinicians, researchers, and public-sector leaders who expect precision and will challenge your assumptions. This is a hands-on role first and an organizational one second: you set the technical bar by shipping, then raise it by hiring. You will work with the founders every day, direct your own work, and gain accountability that matches the scope and complexity of the problem we aim to solve. What You'll Do Own architecture, system design, and long-term technical direction, with emphasis on reliability and auditability. Contribute directly: ship features across the front end, back end, and infrastructure, review designs, and debug critical issues. Productize learnings and feedback from each incremental integration into our scalable platform. Skills and Qualifications Minimum qualifications: 3+ years shipping software at a start-up or tier 1 healthcare technology company. Experience building and deploying software that integrates with EHRs and clinical workflows. Experience implementing production healthcare data exchange using FHIR, HL7 v2, or related interoperability standards. Comfort moving between frontend and backend, curating high-quality UI/UX. Bias for action with a mindset to take initiative and drive impact across different stakeholders and subject matter experts. Bonus qualifications: Experience owning a system end-to-end in production: architecture, releases, and risk management. Experience deploying LLM-enabled systems in production, including evaluation, observability, and failure handling. Track record of building or contributing to widely used systems, platforms, or tools. Logistics Location: This role is remote, with offsites multiple times per year. Work authorization: You must be eligible to work in the United States or Canada. We are not able to sponsor visas at this time. Benefits: Compiled Health offers health, dental, and vision benefits, flexible PTO, and paid parental leave. We are an equal opportunity employer and evaluate candidates on merit alone.