Member of Technical Staff

Overview

Midstream is an AI-native financial operating system for health systems, founded by experienced entrepreneurs and backed by top-tier investors. We give finance, supply chain, and managed care teams real-time visibility into where margin is at risk, with a precise action plan for capturing it before it's gone.

Purpose-built for healthcare's complexity, Midstream transforms structured, unstructured, and external data into instant, contract-aware insights that drive smarter decisions. Our AI agents unify spend and revenue operations across the full back-office, learning and adapting with every interaction and delivering always-on intelligence that no point solution or one-off engagement can match.

We're compressing months to minutes and turning post-period hindsight into in-the-moment foresight. The tempo of healthcare finance is changing, and Midstream is leading it.

What you need

Problem-Solving: You’re energized by hard, ambiguous problems and have the technical judgment to break them down, learn quickly, and find a path forward—even when the answer isn’t obvious.

How you'll make an impact

You’ll take ownership of critical capabilities across the Midstream platform, moving fluidly between foundational platform investments and rapidly building solutions to real customer problems. Your work may include some or all of the following:

SaaS Platform & Infrastructure: Develop key components of our multi-tenant SaaS platform, including Identity & Access Management, connector provisioning, and infrastructure improvements that increase the speed, reliability, and scalability of our products.
API Development: Design and implement APIs and data models that can support complex healthcare workflows, shared platform capabilities, and customer-specific needs without sacrificing scalability.
ML Platform Development: Leverage foundational models and develop novel ML solutions to solve problems across complex, high-dimensional healthcare data.
Agentic Workflows: Build tools and agents that transform how healthcare operators work, including natural-language analytics and workflows that enable rapid discovery of insights with source-level traceability.
UI Development: Build intuitive product experiences that turn complex datasets and AI-generated insights into clear, actionable workflows for health system users.
Security & Compliance: Build security into the foundation of our platform, including encryption, role-based access controls, and infrastructure designed to meet standards such as SOC 2 and HIPAA.
Set Standards and Deliver Impact: As a member of our early engineering team, you’ll work closely with our founders, Product, and customers to identify the highest-impact problems and solve them. Sometimes that means investing deeply in our platform; other times it means getting close to a customer, building quickly, and learning from real-world use. You’ll help set the technical and cultural standards for how we build as the company grows.

Your impact won’t be defined by a particular layer of the stack. It will be defined by the problems you solve, what you learn from customers, and your ability to turn those learnings into technology that can create value across health systems.

Member of Technical Staff

Overview

What you need

Member of Technical Staff

Overview

What you need

Opportunity

How you'll make an impact

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Midstream Health