Staff Software Engineer

ABOUT US

Medical data exchange is one of the biggest unsolved problems in US healthcare. If you've spent any real time in the healthcare system, you've felt it, and it only gets worse the sicker and older you get. Metriport exists to fix that. We connect to the data sources the healthcare providers of tomorrow need, take raw data that's unusable in its source form, and turn it into a single clean format that care teams, and their agents, actually use to improve outcomes. Record retrieval across thousands of legacy systems and antiquated data pipes that used to take weeks now takes seconds. Clinicians walk into appointments with the full patient picture already in hand, and that speed can mean spotting a condition early enough to actually treat it.

We're not a healthcare company. We're a technology company that happens to operate in healthcare, and we build every layer ourselves: connect, transform, and insight. Legacy EHRs were built to get providers paid, not to serve the clinical experience. We're building what should have existed instead: the system of record for all of US healthcare. We started in data exchange. Today we compete with the largest data platforms in the space. Tomorrow we will be the infrastructure layer healthcare runs on.

We’ve raised $28.4 million from top tier VCs (including Matrix, ARTIS and Y Combinator), found product market fit (multi million dollar ARR, 100+ customers including Amazon One Medical, Circle Medical, Color Health, and Strive Health), and have years of runway ahead of us. If you’ve had a good healthcare experience in the past few years, there’s a good chance Metriport was behind it. That’s the version of healthcare we want people to not just expect, but demand. Join us and build the future.

About You

We're a small, high output team, mostly former founders including YC alumni, and we operate with real autonomy and almost no bureaucracy. We hire on competence, not pedigree. Leaders are in the office six days a week, and we generally expect the team to be available six days a week too. Not because we count hours, but because there's always more wood to chop when revolutionizing how tomorrow’s healthcare providers deliver care to their patients today. We trust our team to take the time off they need and we've never said no to a time off request.

You have an entrepreneurial mindset and a strong sense of ownership. You don't wait to be told what's broken. Instead, you believe you can figure out any problem that lands in your lap even outside your exact domain. When someone scopes something for three weeks, you ask why it can't be done in three days, and you also know the difference between shipping a fast v0 and cutting a corner that comes back to bite you. You walk the tightrope between craft and speed without falling off either side.

THE ROLE

We're looking for "generalist" engineers who can operate at a Staff level:

• You're confident in building scalable, distributed systems across the full stack with particular depth on the back end and people usually come to you for technical guidance.

• You've led engineers before as a team lead, tech lead, or founder and you own outcomes: technical direction, results, and the work of the people you lead. You're energized by multiplying a team's output, not just your own.

• You're entrepreneurial minded with an olympian level work ethic (about half our engineering team are former founders).

• You own reliability, security, and networking end to end designing for 99.99%+ uptime, thinking like an attacker to harden your systems, and diving into the network layer yourself rather than treating it as someone else's domain.

• You care about delivering value to customers, not about what frilly new tech is under the hood.

• When someone scopes a project for 3 weeks, you ask "why can't it be done in 3 days?" and you help others develop that same instinct.

• You're a hacker at heart, with a good sense of which rules should, and shouldn't, be broken.

WHAT YOU'LL BE DOING

We ingest clinical data for millions of patients from external healthcare sources, with continuous updates for a growing subset of those patients. You'll co own the architecture and evolution of the platform that powers our product and ship it to customers fast.

Day to day, that looks like:

• Setting the technical direction: defining patterns for low latency, highly scalable, event based systems integrations; being a champion for observability into every part of the platform; establishing patterns and best practices for maintainable code; and fostering effective use of AI in our product (evals, harnesses, observability).

• Working across our back end heavy platform: our public API (the core product our customers build on), integrations with health information networks (Carequality, CommonWell, eHealth Exchange) and third parties (EHRs, data vendors, partner platforms), and the platform work that lets the rest of the team ship faster.

• Driving projects end to end, from ideation to production rollout: writing Design Documents, shipping v0's quickly, and iterating to v1 and beyond.

• Eventually, acting as Team Lead for a group of engineers: breaking down and delegating work, unblocking teammates, and owning your team's delivery while staying hands on in the code.

• Multiplying the team: mentoring engineers, reviewing designs and PRs, judging when to invest in quality vs. ship fast, and improving our dev processes and tooling so quality and security are enforced by default.

• Driving bi weekly sprint planning and retros, contributing to the engineering roadmap, joining our daily 30 min remote stand up at 7:30am PST (our only mandatory meeting), and taking part in the on call rotation.

Example projects you could own:

• Refactoring our core data pipeline to process data 10x faster than originally designed.

• Use AI/ML to turn freeform doctors' notes into structured data we can add to patients' medical records.

• Identifying the biggest i