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Salary
$230k – $300k per year
Location
In office (New York)
Seniority
Staff
Employment
Full-Time
Overview
Company
Impact
Profile match
Anterior automates clinical review work for health insurers, using large language models to judge prior authorisation requests against medical policy. Founded in 2022 by a physician and machine learning engineers, it aims to shorten decisions that keep patients waiting for care. The company was previously known as Co:Helm.

About Anterior

Anterior is on a mission to transform healthcare administration, making it seamless and invisible so clinicians can focus on delivering care. We’ve built an AI-powered platform designed by clinicians, for clinicians, to simplify administrative workflows and improve patient outcomes. By combining clinical expertise with cutting-edge technology, we’re revolutionizing healthcare operations with responsible AI.

We're growing rapidly and are backed by world-class investors including Sequoia, New Enterprise Associates (NEA), and Neo along with notable angels including the founders of DeepMind, Google AI, and Inflection AI.

Anterior is improving the experience of healthcare for everyone. We're working on the cutting edge of using technology to make clinical decision-making frictionless.

We're building exciting tech for huge customers and we trust in the foundations: keep it simple, build strong foundations, and the rest will follow.

The Team

At Anterior, engineers share a strong "sense of product" and solve meaningful problems that simplify healthcare workflows. We collaborate in multidisciplinary teams to deliver secure, scalable, and user-focused solutions guided by best practices and modular design.

We value diverse experiences and skill sets, continually expanding our team to tackle modern healthcare’s challenges with creativity and precision.

About You

You have a passion for doing things The Right Way, you believe Less is More, you want to focus on the foundations of system design and architecture (pacelc, consistency guarantees), you care as much about the code you do not write, you’re tired of the hype treadmill and care about the fundamentals. You have battle scars from over-engineered and underperforming slop, and you care about writing code that lasts.

Your depth is on the backend and/or infrastructure. You may be the person building APIs, integrations, data pipelines, and distributed systems - or you may be the person scaling and hardening the cloud infrastructure underneath them. Either way, you've owned system design decisions, shipped them to production, and operated them at scale. You've been the person other engineers come to when something is broken or when a design needs a second opinion. You've led projects, mentored junior engineers, and made architectural decisions that stuck. You may be coming from a scale-up, a big tech platform team, an engineering finance shop, or anywhere with a serious AWS footprint - what matters is that you've seen real complexity and you want more ownership over what you build.

Come share your proudest firefighting story with us in an interview, bring your GitHub, and let’s see if we’re a good fit.

https://電.anterior.app/ - if you find something here that resonates, mention it in your application.

About the Role

Members of Technical Staff at Anterior own problems end-to-end - from system design through to production. You'll drive technical direction, shape architecture, and set the bar for engineering quality.

A day's work may include:

  • Scaling and hardening our AWS infrastructure to meet growing enterprise demand

  • Analyzing request logs, debugging event streams, and improving system reliability

  • Designing and building backend services, APIs, and data pipelines that power our AI platform

  • Working directly with customers to understand real-world healthcare workflows, scope integrations, and translate requirements into product specs

  • Building internal tooling to automate workflows and increase team leverage

  • Writing evals to identify weaknesses and drive improvements in our LLM-powered systems

  • Working across the stack when needed - from backend services to frontend - to ship complete solutions

  • Contributing to Anterior's SDKs, developer documentation, and platform architecture

Tech

  • Langs: Python / Go / TS, React (and HTMX if you can help!)

  • Infra: Nix, AWS (currently on CDKTF - actively looking to migrate, bonus points if you've done this before)

What’s in it for you

This is an opportunity to join a company at its major inflection point, using cutting-edge technology to have a meaningful impact in healthcare. You'll work with a world-class team, hold significant responsibility, and have the opportunity to learn and grow rapidly.

We take pride in our strong apprenticeship and coaching culture. We expect our early hires to become leaders both within our company and across the industry. You’ll be given a lot of responsibility and the opportunity for rapid growth.

Benefits:

  • Equity package

  • Competitive, top-of-market salary

  • 100% covered health, dental, and vision insurance

  • Catered lunches and a stocked kitchen

  • Commuter benefits

  • Company laptop along w/ tools you need to succeed

  • Learning & development budget

  • Team-building events

  • Flexible PTO

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