June 30, 2026

Customer Engineer, AI Solutions

Senior • Hybrid

Washington, DC

Who we are

Nitra's mission is to build a more efficient healthcare system and the technology that makes it possible. Our goal is to provide an ecosystem of fintech and software solutions that help doctors better manage their practices, so they can have time back to focus on what matters to them most.

We operate with urgency, intensity, and ambition. The bar is high because the opportunity is massive. We expect excellence, ownership, and intellectual rigor from every team member. We move fast, make bold decisions, and hold ourselves accountable to results. At the same time, we believe great companies are built on trust and respect. Every voice matters. Every contribution counts. When we win, we win together.

We are scaling rapidly and on a clear trajectory toward becoming a unicorn this year — and beyond. Our growth is not accidental; it’s the result of disciplined execution, relentless focus, and a team that refuses to settle. We are building a category-defining company, and we’re looking for people who want to do the most meaningful work of their careers.

If you want comfort, this isn’t the place. If you want impact, ownership, and the chance to help build a generational fintech company, welcome.

Nitra maintains a hybrid work policy, with team members working from the office four days per week and Wednesdays designated as a work-from-home day.

What we're looking for

We are looking for a highly technical, customer-focused Customer Engineer, AI Solutions to help scale one of Nitra's fastest-growing businesses. This role sits at the intersection of Sales, Customer Success, Product, and Engineering and will be responsible for helping healthcare practices successfully evaluate, implement, adopt, and expand Nitra's AI software platform.

This is a highly cross-functional role with three core responsibilities. First, you'll partner with Sales and Customer Success to secure the technical win for both new customer acquisitions and cross-sell opportunities. Second, you'll own successful customer implementations, ensuring customers quickly realize value from our AI platform. Third, you'll serve as the voice of the customer by working closely with Product, Product Marketing, and Engineering to influence roadmap decisions and continuously improve the customer experience.

The ideal candidate combines strong technical aptitude with exceptional customer-facing skills. You enjoy solving complex customer problems, translating technical capabilities into business value, and building repeatable implementation processes that scale. If you're excited about AI, healthcare technology, and working in a fast-paced startup environment, we'd love to meet you.

Responsibilities

  • Partner with Sales and Customer Success throughout the sales cycle by leading technical discovery, solution design, product demonstrations, proof-of-concepts, technical evaluations, and implementation planning.
  • Serve as the technical expert during customer engagements, helping healthcare organizations understand how Nitra's AI platform can automate workflows and improve operational efficiency.
  • Lead customer implementations from kickoff through production launch, including solution configuration, integrations, testing, training, validation, and go-live support.
  • Drive customer adoption by helping practices implement best practices, optimize workflows, and maximize long-term value from Nitra's AI software.
  • Partner closely with Product, Product Marketing, and Engineering to prioritize customer feedback, influence product roadmap decisions, and improve the customer experience.
  • Build scalable implementation methodologies, technical documentation, playbooks, demo environments, onboarding guides, and best practices that improve deployment quality and reduce time-to-value.
  • Troubleshoot technical issues and collaborate with Engineering to resolve complex customer challenges.
  • Measure and optimize implementation performance, technical win rates, customer adoption, customer satisfaction, and implementation quality.
  • Act as a trusted technical advisor throughout the customer lifecycle while identifying opportunities for expansion and additional product adoption.

Qualifications

  • 5+ years of experience in Solutions Engineering, Sales Engineering, Solutions Consulting, Technical Consulting, Professional Services, Implementation, or Customer Engineering within high-growth technology companies.
  • Proven success partnering with Sales organizations to win new business and Customer Success teams to expand existing customer relationships.
  • Experience leading SaaS or enterprise software implementations from technical discovery through production launch.
  • Strong technical aptitude with the ability to simplify complex software concepts for physicians, practice administrators, and business stakeholders.
  • Experience supporting high-velocity SMB and/or mid-market customer environments.
  • Experience working cross-functionally with Product, Engineering, Product Marketing, Sales, and Customer Success.
  • Bachelor's degree in Computer Science, Engineering, Information Systems, or a related field, or equivalent technical experience.
  • Excellent communication, presentation, and executive-facing consulting skills.
  • High energy, strong executive presence, and the ability to influence without direct authority.
  • Builder mindset with the ability to thrive in ambiguity and rapidly evolving startup environments.
  • Experience with healthcare software, healthcare workflows, EMRs/EHRs, or healthcare integrations is strongly preferred.
  • Experience working in VC-backed Series B-D technology companies is strongly preferred.

What we offer

  • Equity - Everyone at Nitra is an owner. When the company wins, you win.
  • Competitive Salary - Your salary will reflect your experience and reward your contributions.
  • Health Care - Comprehensive health, vision, and dental insurance options.
  • Retirement Benefits - Generous employer 401K match.
  • Hybrid work policy with four days in office and Wednesdays work-from-home.

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Salary: from 22000PLN net on B2B contract + 20 paid days off or from 18000PLN gross on Contract of Employment What you'll do: Client engagements Embed temporarily into the team that owns the problem - client engineering org or internal Netguru team Run discovery with stakeholders from CTO down to end-user Translate ambiguous pain into a written technical scope you can defend Lead pre-sales on AI opportunities - scope, price, propose, close Build Prototype in days, not weeks - working software, not slides Write production-grade Python or TypeScript (or whatever the client runs) Ship AI-enabled workflows: copilots, agents, RAG systems, automation, internal tooling Integrate with the client's existing stack Stand up evals, observability, and guardrails before going live Own the path to production: security review, procurement, change management Build internally (≈50% of the role) Extend Netguru's internal AI platform with new agents, MCPs, and skills based on field learnings Build enablement tooling for internal AI delivery teams — templates, runbooks, reusable skills Codify reusable client patterns back into NetguruOS Requirements Experience 5+ years total, including 3+ years hands-on building and shipping AI-assisted systems 2+ years in a client-facing consulting or pre-sales engineering role Proven full-cycle ownership: discovery → scoping → build → production → handoff Comfortable with both technical and business stakeholders in the same engagement Communicative (B2+) Polish and English. Technical Production-grade Python and/or TypeScript - shipped systems, not scripts LLM stack fluency (Claude, GPT, open-weight) - knows when to use which and why AI system design: agents, RAG pipelines, copilots, MCP servers, sub-agents Eval-driven development - defines success metrics before shipping, measures after Integration experience: REST APIs, iPaaS, common SaaS (CRM, PM, BI) Cloud deployment, security reviews, change management Consulting & communication Translates ambiguous client pain into written technical scope - and defends it Credible with a CEO and an engineer on the same day Proposal writing and deal scoping for AI engagements Senior stakeholder management without hand-holding Mindset Builder by default - running system over recommendation deck Stack-agnostic - picks the right tool, not the favorite one Walks into chaos, imposes structure, delivers clarity Ships in days, not weeks Nice to have: Domain experience in Finance, Retail, or Supply Chain Public presence - conference talks, open-source, published writing on AI SDLC orchestration and multi-agent pipelines What success looks like (first 6–12 months) First AI engagement scoped, built, and delivered to production At least one reusable asset (agent skill, MCP, eval suite) shipped into NetguruOS Measurable time savings from internal tooling contributions Benefits Access to the WorkSmile platform offering benefits adapted to your preferences: Multisport card. Private health insurance package. Life insurance. Hundreds of other options to choose from 15 categories (shopping, leisure, travel, food, etc.). Discounts on Apple products. Support for your growth - a head/manager’s budget available to every employee. PLN 175 monthly lump sum (ryczałt) for remote employees (Contract of Employment) Various internal initiatives: webinars, knowledge-sharing sessions, . Don't hesitate and apply right away! At Netguru, we're committed to creating an inclusive environment for everyone. If you require any disability-related accommodations during the recruitment process, please let us know. We're here to help!

Technology

Iterative Health

Forward Deployed Product Manager – AI

Mid

Hybrid

Southlake, TX

🏢 Summary: Hands-on Forward Deployed AI Product Manager role focused on building and deploying AI-powered workflows for clinical research operations. The position combines product management, AI application development, and cross-functional collaboration to improve operational efficiency and scalability. Candidates will work with LLMs, workflow automation, and healthcare-related systems in a fast-moving, iterative environment. 🗂️ Requirements: 4+ years building and shipping software products, AI applications, technical solutions, or production systems, Experience with large language models, prompt engineering, agent design, RAG, evaluation frameworks, and workflow automation, Strong technical fluency with modern AI development workflows and tooling, Experience translating business problems into scalable technical solutions, Familiarity with Python, Ability to work with engineering and technical teams throughout implementation, Strong written and verbal communication skills, Ability to prioritize and drive outcomes in ambiguous environments 📃 Skills: Python, LLM, RAG, AI, LangGraph, AgentCore, FHIR, OMOP, HIPAA, GxP, EMR 🏢 Description: Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need. Today, Iterative Health is headquartered in Cambridge, Massachusetts, and New York City with 250+ employees world-wide. At Iterative Health, we are transforming clinical research through the power of AI, technology, and human expertise. Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to improve patient outcomes. Through the Iterative Health Site Network — a premier network of 100+ clinical research sites across the US and Europe — we help expand and expedite access to novel therapeutics for patients in need. Accelerating clinical research is one of the defining challenges in healthcare. Promising therapies exist that patients can't access because the operational infrastructure to run clinical trials efficiently doesn't exist yet. We're building it. Why This Role Matters As a Forward Deployed AI Product Manager at Iterative Health, you will work cross functionally to identify, build, and deploy AI-powered solutions that transform how clinical research operations are executed. This is a highly hands-on role that sits at the intersection of product, engineering, and operations. You will partner closely with end users to understand their workflows, identify opportunities where AI can create meaningful leverage, rapidly prototype solutions, and deploy them into production. The ideal candidate combines strong product instincts with technical fluency and a builder mentality. You are equally comfortable sitting alongside a clinical operator to understand a workflow as you are working with engineers and AI tooling to bring a solution to life. You will work across Clinical Operations, Site Operations, Trial Enrollment, Business Development, and Corporate Functions, identifying high-impact opportunities and owning them from concept through deployment and adoption. This role reports to the Product organization and partners closely with Engineering, Data Science, Security, and Operational Leadership teams. Where You'll Drive Impact Embed within internal business teams to deeply understand workflows, decision-making processes, pain points, and opportunities for automation and augmentation Translate complex operational challenges into well-defined AI solutions with measurable business outcomes Design, prototype, and deploy AI-powered workflows and agentic systems leveraging modern LLM platforms, orchestration frameworks, and internal data infrastructure Own the full product lifecycle, including discovery, solution design, implementation, testing, rollout, adoption, and ongoing optimization Establish evaluation frameworks that measure AI performance against operational, quality, and business outcomes Partner with engineering, data, and security teams to ensure solutions meet company standards for reliability, governance, compliance, and scalability Work through the operational and technical details required to move solutions from proof-of-concept to production Identify patterns and opportunities that can evolve from one-off solutions into reusable platform capabilities Bring field insights and learnings back to Product and Engineering leadership to inform future investment decisions and product strategy Contribute to the evolution of Iterative Health's AI operating model, including tooling, evaluation methodologies, governance practices, and development standards Travel occasionally to business units, research sites, and company offices as needed (estimated less than 15%) Perform related duties as requested You Might Thrive in This Role If You enjoy operating in highly ambiguous environments and creating structure where none exists You are equally effective working with executives, operators, engineers, and data scientists You can quickly understand how people actually work and identify opportunities to improve workflows through technology You value rapid experimentation and iterative learning over lengthy planning cycles You have strong judgment about where AI adds value and where traditional solutions may be more appropriate You are energized by building and deploying solutions that create immediate impact for users You are comfortable moving between strategy, execution, and hands-on problem solving What Success Looks Like Within your first 12 months, you will: Deploy multiple AI-powered workflows that deliver measurable improvements in efficiency, quality, speed, or user experience Establish trusted partnerships with operational teams across the organization Develop repeatable frameworks for evaluating and scaling AI applications Identify and help operationalize reusable platform capabilities that accelerate future AI development Drive meaningful adoption of AI solutions across key business functions How We Work Collaborative and low-ego team environment Fast-moving and highly iterative culture Strong focus on ownership and accountability Mission-driven and patient-centered mindset Open communication and continuous learning Comfortable navigating evolving business needs What You Bring to the Team 4+ years of experience building and shipping software products, AI applications, technical solutions, or production systems Hands-on experience working with large language models, including prompt engineering, agent design, retrieval-augmented generation (RAG), evaluation frameworks, and workflow automation Strong technical fluency with modern AI development workflows and tooling Experience collaborating directly with end users to understand business problems and translate them into scalable solutions Familiarity with programming languages such as Python and the ability to work effectively with technical teams throughout implementation Ability to navigate ambiguity, prioritize effectively, and drive outcomes with limited direction Strong written and verbal communication skills with the ability to engage both technical and non-technical audiences Demonstrated ownership mindset and bias toward action Preferred Experience in healthcare, clinical research, or another regulated domain (HIPAA, GxP, financial services) Background as a technical founder, early engineer at a startup, or in a customer-facing engineering role (FDE, solutions engineering, applied AI) Interest in growing toward a senior product role over time — this role is designed as a natural bridge Experience with agent frameworks (Claude Agent SDK, LangGraph, AgentCore, etc.), MCP servers, or production LLM evaluation tooling Familiarity with EMR systems, clinical trial operations, or healthcare data standards (FHIR, OMOP) Experience working with messy, real-world data and turning it into something useful without pretending it's clean Benefits That Support You We believe great teams do their best work when they feel supported — professionally and personally. Hybrid work environment with in-office collaboration two days per week in either our NYC or Boston office Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered by Iterative Health Mental health and wellness support through Spring Health Health HSA or FSA options, and commuter FSA contributions supported by Iterative Health Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years 401(k) program with a company match of up to 3% (up to $3,000 annually) Weekly in-office lunch benefit every Tuesday 100% company-paid short-term and long-term disability coverage Annual wellness and professional development stipend to support your health and growth And more! At Iterative Health, we believe great people drive innovation. If you're excited about helping transform the future of clinical research while building scalable people strategies that support growth and impact, we encourage you to apply. New York pay range$170,000—$250,000 USDAt Iterative Health, we're actively working towards creating an environment that is representative of the diversity of patients our technology serves. We are focused on building an equitable and inclusive culture, and by extension, hiring process. If you require any accommodations to make the application process or interviewing experience more accessible to you, please contact CandidateAccommodations@iterative.health.

Technology

Iterative Health

Forward Deployed Product Manager – AI

Mid

Hybrid

Cambridge, MA

🏢 Summary: Hands-on Forward Deployed AI Product Manager role focused on building and deploying AI-powered workflows and agentic systems for clinical research operations. The position combines product management, AI development, and operational collaboration to improve efficiency, scalability, and user experience across healthcare research functions. The role offers hybrid work in NYC or Boston with strong benefits and opportunities to shape enterprise AI strategy and platforms. 🗂️ Requirements: 4+ years building and shipping software products, AI applications, or production systems, Experience with large language models, Experience with prompt engineering, Experience with agent design, Experience with retrieval-augmented generation, Experience with workflow automation, Strong technical fluency with modern AI development tooling, Ability to collaborate with end users and translate business problems into scalable solutions, Familiarity with Python, Strong written and verbal communication skills, Ability to work with technical and non-technical teams, Ability to navigate ambiguity and drive outcomes 📃 Skills: Python, LLM, RAG, AI, LangGraph, FHIR, OMOP, HIPAA, GxP, EMR, AgentCore, SDK 🏢 Description: Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need. Today, Iterative Health is headquartered in Cambridge, Massachusetts, and New York City with 250+ employees world-wide. At Iterative Health, we are transforming clinical research through the power of AI, technology, and human expertise. Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to improve patient outcomes. Through the Iterative Health Site Network — a premier network of 100+ clinical research sites across the US and Europe — we help expand and expedite access to novel therapeutics for patients in need. Accelerating clinical research is one of the defining challenges in healthcare. Promising therapies exist that patients can't access because the operational infrastructure to run clinical trials efficiently doesn't exist yet. We're building it. Why This Role Matters As a Forward Deployed AI Product Manager at Iterative Health, you will work cross functionally to identify, build, and deploy AI-powered solutions that transform how clinical research operations are executed. This is a highly hands-on role that sits at the intersection of product, engineering, and operations. You will partner closely with end users to understand their workflows, identify opportunities where AI can create meaningful leverage, rapidly prototype solutions, and deploy them into production. The ideal candidate combines strong product instincts with technical fluency and a builder mentality. You are equally comfortable sitting alongside a clinical operator to understand a workflow as you are working with engineers and AI tooling to bring a solution to life. You will work across Clinical Operations, Site Operations, Trial Enrollment, Business Development, and Corporate Functions, identifying high-impact opportunities and owning them from concept through deployment and adoption. This role reports to the Product organization and partners closely with Engineering, Data Science, Security, and Operational Leadership teams. Where You'll Drive Impact Embed within internal business teams to deeply understand workflows, decision-making processes, pain points, and opportunities for automation and augmentation Translate complex operational challenges into well-defined AI solutions with measurable business outcomes Design, prototype, and deploy AI-powered workflows and agentic systems leveraging modern LLM platforms, orchestration frameworks, and internal data infrastructure Own the full product lifecycle, including discovery, solution design, implementation, testing, rollout, adoption, and ongoing optimization Establish evaluation frameworks that measure AI performance against operational, quality, and business outcomes Partner with engineering, data, and security teams to ensure solutions meet company standards for reliability, governance, compliance, and scalability Work through the operational and technical details required to move solutions from proof-of-concept to production Identify patterns and opportunities that can evolve from one-off solutions into reusable platform capabilities Bring field insights and learnings back to Product and Engineering leadership to inform future investment decisions and product strategy Contribute to the evolution of Iterative Health's AI operating model, including tooling, evaluation methodologies, governance practices, and development standards Travel occasionally to business units, research sites, and company offices as needed (estimated less than 15%) Perform related duties as requested You Might Thrive in This Role If You enjoy operating in highly ambiguous environments and creating structure where none exists You are equally effective working with executives, operators, engineers, and data scientists You can quickly understand how people actually work and identify opportunities to improve workflows through technology You value rapid experimentation and iterative learning over lengthy planning cycles You have strong judgment about where AI adds value and where traditional solutions may be more appropriate You are energized by building and deploying solutions that create immediate impact for users You are comfortable moving between strategy, execution, and hands-on problem solving What Success Looks Like Within your first 12 months, you will: Deploy multiple AI-powered workflows that deliver measurable improvements in efficiency, quality, speed, or user experience Establish trusted partnerships with operational teams across the organization Develop repeatable frameworks for evaluating and scaling AI applications Identify and help operationalize reusable platform capabilities that accelerate future AI development Drive meaningful adoption of AI solutions across key business functions How We Work Collaborative and low-ego team environment Fast-moving and highly iterative culture Strong focus on ownership and accountability Mission-driven and patient-centered mindset Open communication and continuous learning Comfortable navigating evolving business needs What You Bring to the Team 4+ years of experience building and shipping software products, AI applications, technical solutions, or production systems Hands-on experience working with large language models, including prompt engineering, agent design, retrieval-augmented generation (RAG), evaluation frameworks, and workflow automation Strong technical fluency with modern AI development workflows and tooling Experience collaborating directly with end users to understand business problems and translate them into scalable solutions Familiarity with programming languages such as Python and the ability to work effectively with technical teams throughout implementation Ability to navigate ambiguity, prioritize effectively, and drive outcomes with limited direction Strong written and verbal communication skills with the ability to engage both technical and non-technical audiences Demonstrated ownership mindset and bias toward action Preferred Experience in healthcare, clinical research, or another regulated domain (HIPAA, GxP, financial services) Background as a technical founder, early engineer at a startup, or in a customer-facing engineering role (FDE, solutions engineering, applied AI) Interest in growing toward a senior product role over time — this role is designed as a natural bridge Experience with agent frameworks (Claude Agent SDK, LangGraph, AgentCore, etc.), MCP servers, or production LLM evaluation tooling Familiarity with EMR systems, clinical trial operations, or healthcare data standards (FHIR, OMOP) Experience working with messy, real-world data and turning it into something useful without pretending it's clean Benefits That Support You We believe great teams do their best work when they feel supported — professionally and personally. Hybrid work environment with in-office collaboration two days per week in either our NYC or Boston office Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered by Iterative Health Mental health and wellness support through Spring Health Health HSA or FSA options, and commuter FSA contributions supported by Iterative Health Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years 401(k) program with a company match of up to 3% (up to $3,000 annually) Weekly in-office lunch benefit every Tuesday 100% company-paid short-term and long-term disability coverage Annual wellness and professional development stipend to support your health and growth And more! At Iterative Health, we believe great people drive innovation. If you're excited about helping transform the future of clinical research while building scalable people strategies that support growth and impact, we encourage you to apply. New York pay range$170,000—$250,000 USDAt Iterative Health, we're actively working towards creating an environment that is representative of the diversity of patients our technology serves. We are focused on building an equitable and inclusive culture, and by extension, hiring process. If you require any accommodations to make the application process or interviewing experience more accessible to you, please contact CandidateAccommodations@iterative.health.

Technology

Iterative Health

Forward Deployed Product Manager – AI

Mid

Hybrid

New York, NY

🏢 Summary: Forward Deployed AI Product Manager role focused on building and deploying AI-powered workflows for clinical research operations. The position combines product management, AI solution development, and cross-functional collaboration to improve operational efficiency and scalability in healthcare research environments. Candidates will work closely with engineering, data, and operational teams to deliver production-ready AI systems using modern LLM technologies. 🗂️ Requirements: 4+ years building and shipping software products, AI applications, technical solutions, or production systems, Hands-on experience with large language models, Experience with prompt engineering, agent design, RAG, evaluation frameworks, and workflow automation, Strong technical fluency with modern AI development workflows and tooling, Experience translating business problems into scalable technical solutions, Familiarity with Python, Ability to work with technical and non-technical stakeholders, Strong written and verbal communication skills, Ability to navigate ambiguity and prioritize effectively 📃 Skills: Python, LLM, RAG, LangGraph, FHIR, OMOP, HIPAA, GxP, AI, EMR 🏢 Description: Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need. Today, Iterative Health is headquartered in Cambridge, Massachusetts, and New York City with 250+ employees world-wide. At Iterative Health, we are transforming clinical research through the power of AI, technology, and human expertise. Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to improve patient outcomes. Through the Iterative Health Site Network — a premier network of 100+ clinical research sites across the US and Europe — we help expand and expedite access to novel therapeutics for patients in need. Accelerating clinical research is one of the defining challenges in healthcare. Promising therapies exist that patients can't access because the operational infrastructure to run clinical trials efficiently doesn't exist yet. We're building it. Why This Role Matters As a Forward Deployed AI Product Manager at Iterative Health, you will work cross functionally to identify, build, and deploy AI-powered solutions that transform how clinical research operations are executed. This is a highly hands-on role that sits at the intersection of product, engineering, and operations. You will partner closely with end users to understand their workflows, identify opportunities where AI can create meaningful leverage, rapidly prototype solutions, and deploy them into production. The ideal candidate combines strong product instincts with technical fluency and a builder mentality. You are equally comfortable sitting alongside a clinical operator to understand a workflow as you are working with engineers and AI tooling to bring a solution to life. You will work across Clinical Operations, Site Operations, Trial Enrollment, Business Development, and Corporate Functions, identifying high-impact opportunities and owning them from concept through deployment and adoption. This role reports to the Product organization and partners closely with Engineering, Data Science, Security, and Operational Leadership teams. Where You'll Drive Impact Embed within internal business teams to deeply understand workflows, decision-making processes, pain points, and opportunities for automation and augmentation Translate complex operational challenges into well-defined AI solutions with measurable business outcomes Design, prototype, and deploy AI-powered workflows and agentic systems leveraging modern LLM platforms, orchestration frameworks, and internal data infrastructure Own the full product lifecycle, including discovery, solution design, implementation, testing, rollout, adoption, and ongoing optimization Establish evaluation frameworks that measure AI performance against operational, quality, and business outcomes Partner with engineering, data, and security teams to ensure solutions meet company standards for reliability, governance, compliance, and scalability Work through the operational and technical details required to move solutions from proof-of-concept to production Identify patterns and opportunities that can evolve from one-off solutions into reusable platform capabilities Bring field insights and learnings back to Product and Engineering leadership to inform future investment decisions and product strategy Contribute to the evolution of Iterative Health's AI operating model, including tooling, evaluation methodologies, governance practices, and development standards Travel occasionally to business units, research sites, and company offices as needed (estimated less than 15%) Perform related duties as requested You Might Thrive in This Role If You enjoy operating in highly ambiguous environments and creating structure where none exists You are equally effective working with executives, operators, engineers, and data scientists You can quickly understand how people actually work and identify opportunities to improve workflows through technology You value rapid experimentation and iterative learning over lengthy planning cycles You have strong judgment about where AI adds value and where traditional solutions may be more appropriate You are energized by building and deploying solutions that create immediate impact for users You are comfortable moving between strategy, execution, and hands-on problem solving What Success Looks Like Within your first 12 months, you will: Deploy multiple AI-powered workflows that deliver measurable improvements in efficiency, quality, speed, or user experience Establish trusted partnerships with operational teams across the organization Develop repeatable frameworks for evaluating and scaling AI applications Identify and help operationalize reusable platform capabilities that accelerate future AI development Drive meaningful adoption of AI solutions across key business functions How We Work Collaborative and low-ego team environment Fast-moving and highly iterative culture Strong focus on ownership and accountability Mission-driven and patient-centered mindset Open communication and continuous learning Comfortable navigating evolving business needs What You Bring to the Team 4+ years of experience building and shipping software products, AI applications, technical solutions, or production systems Hands-on experience working with large language models, including prompt engineering, agent design, retrieval-augmented generation (RAG), evaluation frameworks, and workflow automation Strong technical fluency with modern AI development workflows and tooling Experience collaborating directly with end users to understand business problems and translate them into scalable solutions Familiarity with programming languages such as Python and the ability to work effectively with technical teams throughout implementation Ability to navigate ambiguity, prioritize effectively, and drive outcomes with limited direction Strong written and verbal communication skills with the ability to engage both technical and non-technical audiences Demonstrated ownership mindset and bias toward action Preferred Experience in healthcare, clinical research, or another regulated domain (HIPAA, GxP, financial services) Background as a technical founder, early engineer at a startup, or in a customer-facing engineering role (FDE, solutions engineering, applied AI) Interest in growing toward a senior product role over time — this role is designed as a natural bridge Experience with agent frameworks (Claude Agent SDK, LangGraph, AgentCore, etc.), MCP servers, or production LLM evaluation tooling Familiarity with EMR systems, clinical trial operations, or healthcare data standards (FHIR, OMOP) Experience working with messy, real-world data and turning it into something useful without pretending it's clean Benefits That Support You We believe great teams do their best work when they feel supported — professionally and personally. Hybrid work environment with in-office collaboration two days per week in either our NYC or Boston office Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered by Iterative Health Mental health and wellness support through Spring Health Health HSA or FSA options, and commuter FSA contributions supported by Iterative Health Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years 401(k) program with a company match of up to 3% (up to $3,000 annually) Weekly in-office lunch benefit every Tuesday 100% company-paid short-term and long-term disability coverage Annual wellness and professional development stipend to support your health and growth And more! At Iterative Health, we believe great people drive innovation. If you're excited about helping transform the future of clinical research while building scalable people strategies that support growth and impact, we encourage you to apply. New York pay range$170,000—$250,000 USDAt Iterative Health, we're actively working towards creating an environment that is representative of the diversity of patients our technology serves. We are focused on building an equitable and inclusive culture, and by extension, hiring process. If you require any accommodations to make the application process or interviewing experience more accessible to you, please contact CandidateAccommodations@iterative.health.

Technology

Remodevs

Senior Fullstack Engineer (AI-assisted coding)

Senior

Remote

Warsaw, Poland

8,000 - 12,000 USD

🏢 Summary: Senior Software Engineer role focused on designing and building AI-powered backend systems that automate healthcare operations while supporting human workflows. The position involves hands-on system architecture, workflow orchestration, distributed systems, and AI process automation in a regulated environment. Remote-first work with required overlap with US Central Time. 🗂️ Requirements: 6+ years of experience building and maintaining production software systems, Strong experience designing and owning complex backend systems, Strong backend engineering skills, Experience with asynchronous, event-driven, or workflow-based distributed systems, Ability to work with 4–5 hour daily overlap with US team, Experience with AI or LLM-based systems and process automation, Strong spoken and written English communication skills, Ability to solve unclear problems with incomplete information, Self-motivated with strong ownership and responsibility 📃 Skills: TypeScript, Node.js, AI, LLM, Claude, Backend, APIs, HIPAA 🏢 Description: Please Note: Overlap with Central US Time required (until 20-21:00 CEST) We are a health technology company that helps older people and their families apply for important eldercare benefits, including Medicaid, Medicare, and VA programs. We work with healthcare, government systems, and people’s daily lives, so accuracy, reliability, and trust are very important. As the number of patients grows from hundreds to thousands, manual work is no longer enough. We are building AI-powered systems to automate routine tasks while keeping people involved for quality checks, difficult cases, and patient safety. Our goal is to make healthcare operations more scalable without losing the human connection. The Role We are looking for a Senior Software Engineer to lead the design and development of systems that combine AI automation with human workflows. This is an important role close to the core business. It is a fully hands-on position with no management duties or direct reports. You will not only build features, but also design systems, define best practices, and guide technical decisions as we grow. You should feel comfortable solving unclear problems, working closely with operations and product teams, and making smart decisions in a regulated environment. This role is a good fit for someone who enjoys system design, building reliable infrastructure, and taking ownership of their work. What You’ll Work On Designing workflow and orchestration systems for complex operations. Creating AI automations that handle routine tasks safely and send difficult cases to humans. Building systems where AI supports human work before, during, and after tasks. Managing long-running workflows that can last days or weeks. Connecting with external systems such as EVV platforms, insurers, government portals, and older messaging tools. Designing confidence scoring, auditing, and rollback systems for AI processes. Improving system reliability, monitoring, and error handling in production. Responsibilities Lead the technical design and development of scalable backend systems. Make and document architecture decisions with clear trade-offs. Create patterns for collaboration between AI systems and human workers. Work closely with operations teams to understand real-world issues and edge cases. Make sure systems are observable, auditable, and safe to run at scale. Identify technical risks early and suggest solutions. Maintain high standards for code quality, testing, and system design. Share knowledge and help improve the team’s technical standards through reviews and collaboration. What We’re Looking For Required 6+ years of experience building and maintaining production software systems. Strong experience designing and owning complex backend systems. Strong backend engineering skills (we use TypeScript and Node.js, but other languages are welcome). Experience with asynchronous, event-driven, or workflow-based distributed systems. Ability to work with a daily 4–5 hour overlap with the US team (until 20:00 or 21:00 Polish time). Comfortable working with unclear problems and incomplete information. Strong spoken and written English communication skills. Self-motivated with a strong sense of ownership and responsibility. Experience working with AI or LLM-based systems and process automation, such as using Anthropic’s API (Claude) or similar tools in business workflows. Nice to Have Experience in healthtech or other regulated industries. Knowledge of HIPAA and healthcare data privacy and security rules. Experience building systems with strict compliance or audit requirements. Experience with human review workflows. Experience integrating with unstable or legacy third-party APIs. Master’s or PhD in Computer Science, Engineering, or a related field. How We Work Remote-first company. Small, experienced teams with high trust and independence. Strong focus on system accuracy, reliability, and long-term maintenance. Practical and thoughtful use of AI, both for internal development and within our product. Direct connection to real users and operational impact.

Healthcare

Remodevs

Senior Fullstack Engineer (AI-assisted coding)

Senior

Remote

Warsaw, Poland

8,000 - 12,000 USD

🏢 Summary: Senior Software Engineer role focused on designing and building scalable backend systems that combine AI automation with human workflows in a regulated healthtech environment. The position involves hands-on system design, workflow orchestration, and development of reliable, auditable AI-powered processes integrated with external platforms. The engineer will lead technical decisions and ensure production-grade reliability, safety, and scalability. 🗂️ Requirements: 6+ years building and maintaining production software systems, Strong experience designing and owning complex backend systems, Strong backend engineering experience, Experience with asynchronous or event-driven distributed systems, Experience with workflow-based systems, Experience integrating AI or LLM-based systems into business workflows, Ability to design scalable, reliable, and auditable systems, Experience working with external or legacy APIs, Ability to overlap 4–5 hours with US time zone, Strong English communication skills 📃 Skills: TypeScript, Node.js, AI, LLM, Anthropic, Claude, APIs, DistributedSystems, EventDriven, Workflows, Backend, Architecture, Monitoring, Testing 🏢 Description: Please Note: Overlap with Central US Time required (until 20-21:00 CEST) We are a health technology company that helps older people and their families apply for important eldercare benefits, including Medicaid, Medicare, and VA programs. We work with healthcare, government systems, and people’s daily lives, so accuracy, reliability, and trust are very important. As the number of patients grows from hundreds to thousands, manual work is no longer enough. We are building AI-powered systems to automate routine tasks while keeping people involved for quality checks, difficult cases, and patient safety. Our goal is to make healthcare operations more scalable without losing the human connection. The Role We are looking for a Senior Software Engineer to lead the design and development of systems that combine AI automation with human workflows. This is an important role close to the core business. It is a fully hands-on position with no management duties or direct reports. You will not only build features, but also design systems, define best practices, and guide technical decisions as we grow. You should feel comfortable solving unclear problems, working closely with operations and product teams, and making smart decisions in a regulated environment. This role is a good fit for someone who enjoys system design, building reliable infrastructure, and taking ownership of their work. What You’ll Work On Designing workflow and orchestration systems for complex operations. Creating AI automations that handle routine tasks safely and send difficult cases to humans. Building systems where AI supports human work before, during, and after tasks. Managing long-running workflows that can last days or weeks. Connecting with external systems such as EVV platforms, insurers, government portals, and older messaging tools. Designing confidence scoring, auditing, and rollback systems for AI processes. Improving system reliability, monitoring, and error handling in production. Responsibilities Lead the technical design and development of scalable backend systems. Make and document architecture decisions with clear trade-offs. Create patterns for collaboration between AI systems and human workers. Work closely with operations teams to understand real-world issues and edge cases. Make sure systems are observable, auditable, and safe to run at scale. Identify technical risks early and suggest solutions. Maintain high standards for code quality, testing, and system design. Share knowledge and help improve the team’s technical standards through reviews and collaboration. What We’re Looking For Required 6+ years of experience building and maintaining production software systems. Strong experience designing and owning complex backend systems. Strong backend engineering skills (we use TypeScript and Node.js, but other languages are welcome). Experience with asynchronous, event-driven, or workflow-based distributed systems. Ability to work with a daily 4–5 hour overlap with the US team (until 20:00 or 21:00 Polish time). Comfortable working with unclear problems and incomplete information. Strong spoken and written English communication skills. Self-motivated with a strong sense of ownership and responsibility. Experience working with AI or LLM-based systems and process automation, such as using Anthropic’s API (Claude) or similar tools in business workflows. Nice to Have Experience in healthtech or other regulated industries. Knowledge of HIPAA and healthcare data privacy and security rules. Experience building systems with strict compliance or audit requirements. Experience with human review workflows. Experience integrating with unstable or legacy third-party APIs. Master’s or PhD in Computer Science, Engineering, or a related field. How We Work Remote-first company. Small, experienced teams with high trust and independence. Strong focus on system accuracy, reliability, and long-term maintenance. Practical and thoughtful use of AI, both for internal development and within our product. Direct connection to real users and operational impact.