Founding Backend Engineer - AI Agents

Nestmed is redefining post-acute healthcare with AI-driven technology that helps clinicians work more efficiently and provide better patient care. As the founding Backend Engineer on our AI Agents team, you'll build AI agents for better patient care and to support providers by eliminating administrative burden.

Requirements

• 5+ years of backend engineering experience with focus on workflow automation, state machines, or distributed systems
• Strong AI/ML engineering background with production experience deploying and orchestrating LLMs, including prompt engineering and model fine-tuning
• Experience building workflow orchestration systems using frameworks like Temporal, Airflow, or custom state machine implementations
• Understanding of healthcare workflows or other complex, regulated industries with multi-stakeholder coordination and compliance requirements
• Proficiency in Python and experience with AI frameworks, vector databases, and building reliable AI systems that handle edge cases gracefully
• Track record building autonomous systems that make decisions with minimal human intervention while providing clear audit trails and intervention points
• Experience with API integrations and building systems that coordinate between multiple external services with different reliability characteristics

Benefits

• Opportunity to build high-impact products that solve real-world problems
• Chance to work with clinical teams to understand real-world healthcare workflows
• Potential for career growth and development as a founding member of the AI Agents team