Member of Technical Staff - Product Engineering, AI
Full-stack engineer (Member of Technical Staff) owning features end to end for an AI-native platform that helps healthcare practices run their operations. Day to day you build AI agents for clinic workflows (insurance, intake, claims), ship web/mobile features, and own services in production using Python/TypeScript, React/Next.js, PostgreSQL, AWS, Temporal and LLM tooling like Claude Code.
- Compensation
- Not disclosed
- Location
- Remote – Montevideo
- Work setup
- Remote
- Seniority
- Not specified
- Employment
- Contract
- Experience
- 5+ years
- Category
- Software engineering
- Posted
Skills
Must have
- 3+ years of experience building and shipping production software
- Track record of owning products or features end to end, from unclear problem to system people depend on
- Strong full-stack skills in Python and TypeScript, with experience across frontend, backend, databases and cloud infrastructure
- Comfort working in a large, established codebase
- Hands-on experience building with LLMs: tool use, agent orchestration, structured outputs, retrieval and evals (LangGraph, an agents SDK or similar)
- Daily use of AI coding agents (Claude Code, Codex or Cursor), including setup (project instructions, skills, MCP servers, hooks, subagents), running parallel tasks and careful output review
- Good product sense and ability to make solid UI decisions without a dedicated designer, using the component library
- High agency: unblock yourself, look for context, ask questions when needed
- Clear written communication
Nice to have
- Experience in healthcare or another regulated industry (HIPAA, payer and claims workflows, EHR integrations, HL7/FHIR)
- Temporal or another durable workflow engine
- React Native
- Running LLM evaluations or safety checks on model output in production
- Building your own agent harness, MCP server or plugin for a coding agent
- Open-source work, side projects or internal tools that other people use
Full description
Member of Technical Staff - Product Engineer, AI
3Y Health · Remote, Uruguay · Full-time, Contractor
About 3Y Health
3Y Health is building the operating system for healthcare practices, an AI-native platform that helps clinicians start, run and grow their practice. We work as a managed services organization (MSO): along with the software, our operations team runs the back office for the clinics we partner with, including billing, insurance and compliance. We currently serve applied behavior analysis (ABA) therapy practices and are expanding into speech, occupational and physical therapy, and psychiatry.
About the role
Members of Technical Staff own features end to end. You'll work with the clinicians and operators who use what we build, scope the problem, design and build the solution across the stack, deploy it and follow how it performs in production. Our engineering team is flat, with no sub-teams, so you'll work across the whole platform. We build with AI coding agents every day and expect you to do the same.
What you'll do
- Design and build AI agents and automated workflows for clinic operations, such as insurance benefits verification, prior authorizations, patient intake, claims and clinical documentation
- Build features for clinicians, patients and families, and our internal operations team, on web and mobile
- Take ambiguous problems from 0 to 1, working with operators and clinicians to define the problem, write the spec and ship a first version
- Design the services, data models and APIs behind your features and manage the infrastructure as code
- Own your services in production: deployments, monitoring and incident response
- Write evals for model-facing features and track the metrics of the workflows you ship
- Work with protected health information (PHI) safely, with least-privilege access, no PHI in logs and auditable changes
- Build and maintain the skills, plugins, MCP integrations and review bots our engineers use with Claude Code and Codex
Our stack
- Backend: Python (our primary language for new services), Kotlin with Hasura (GraphQL) on our established platform, plus TypeScript (NestJS) and some Go
- Frontend and mobile: React, Next.js, React Native
- Data: PostgreSQL (including pgvector), Snowflake
- Workflows and contracts: Temporal, gRPC/Protobuf
- Infrastructure: AWS (ECS Fargate, RDS), Terraform, GitHub Actions, Datadog, LaunchDarkly
- AI: Claude and OpenAI models, Claude Code and Codex, with our own skills, plugins, MCP integrations and an AI code-review bot