{"id":142936,"url":"https://alion.io/job/simbie-ai-product-engineer-senior-product-engineer-2","title":"Product Engineer / Senior Product Engineer","company":{"id":1989,"name":"Simbie AI","domain":"simbie.ai","url":"https://alion.io/company/simbie-ai","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Work at a Startup","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["New York, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":120000,"max":160000,"currency":"USD","period":"year","gross":null,"usd_annual":160000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"CI/CD","optional":false},{"name":"FHIR","optional":false},{"name":"HL7","optional":false},{"name":"Python","optional":false},{"name":"Voice Agents","optional":false},{"name":"HIPAA","optional":true},{"name":"LLM","optional":true},{"name":"SOC 2","optional":true}],"status":"live","first_seen_at":"2026-08-28T04:20:35Z","employer_posted_date":"2026-10-22","last_verified_at":"2026-10-31T15:43:24Z","board_verified":true,"closed_at":null,"days_open":64,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":64},"description":"NYC (Hybrid) | Full Time | Early Team\nAbout Simbie AI\nThere are never enough staff in a medical practice, physician or non-clinical, to handle all the work to be done - from reviewing patients’ test results, to calling patients to discuss them, to answering patient calls about scheduling and clinical questions, to calling patients to check if they’re taking meds rights. Simbie is the clinically intelligent AI voice agent that automates and expands all of this work, saving practices time and money while adding patient touchpoints that save lives, but that practices can’t afford human staff for. We're the first platform executing AI workflows requiring real clinical judgment, directly in the EHR.\nWe're YC-backed, distribution is proven, and we're signing customers faster than we can currently bring them live. That's the problem we need you to solve.\nAbout the Role\nEvery new customer means taking our AI agents from handshake to production - wired into their EHR, validated against their clinical workflows, and running reliably from day one. Right now that path is too slow for the rate we're signing. We're hiring a Product Engineer to own and accelerate it.\nYou'll work across the full stack but anchor in infrastructure: the deployment pipeline, EHR integrations, multi-tenant systems, and the observability that tells us our agents are doing the right thing in production. This isn't a pure platform or SRE role - you'll be close to customers and clinical workflows, while building the systems that let us launch the next customer in days instead of weeks.\nYou're a great fit if you want to turn a high-touch, founder-driven onboarding process into repeatable, self-serve infrastructure - and own scale and reliability of the product.\nWhat You'll Do\nOwn the path from signed customer to live in production: provisioning, EHR integration, configuration, and go-live, then make that path faster and more repeatable every time.\nBuild and harden integrations with EHR systems (FHIR, HL7, vendor APIs) so new customers connect with less custom work.\nDesign multi-tenant infrastructure that lets us onboard and isolate customers safely and at speed.\nBuild the deploy, CI/CD, and infrastructure-as-code that make launches fast and rollbacks safe.\nInstrument agent behavior in production - logging, metrics, tracing, and alerting - so we know our AI is making the right clinical judgments, and we catch it when it doesn't.\nShip full-stack product features end-to-end alongside the infra work; the two aren't separate here.\nOwn reliability for systems doing patient-facing clinical work, including on-call and turning incidents into permanent fixes.\nBuild internal tooling so onboarding a customer stops requiring an engineer in the loop.\nWhat We're Looking For\n3+ years building and operating production software as a full-stack or backend engineer.\nStrong with Python and React and able to ship a full-stack feature on your own.\nExperience building and operating integrations against third-party or partner APIs.\nSolid grasp of observability and debugging in production: logs, metrics, traces, and the instincts to use them.\nA bias toward shipping and a high tolerance for the ambiguity of an early-stage, fast-moving environment.\nNice to Have\nExperience with healthcare data and standards (FHIR, HL7, EHR integrations) - or eagerness to go deep fast.\nFamiliarity with HIPAA, SOC 2, PHI handling, and building under compliance constraints.\nExperience taking a product through rapid customer growth, where onboarding velocity was the bottleneck.\nBackground building internal platforms or self-serve tooling that removed engineers from a manual loop.\nExperience deploying or operating LLM-based / agentic systems in production.\nWhat We Offer\nCompetitive salary: $130,000-$200,000 + meaningful early-stage equity\nHealth insurance\nA YC-backed company with proven distribution, signing customers fast - your work directly unblocks growth\nA small NYC team where you ship every day and your impact is visible\nHybrid 3x a week in office","description_format":"text","description_chars":4036,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Equity","Health insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["AI Agents","EHR & Clinical Software"],"lifecycle":[{"event":"open","at":"2026-08-28T04:20:35Z"}],"visa":[],"liveness":{"score":19,"band":"cold","label":"Long shot","p_open":1,"p_active":0.524,"p_room":0.36,"age_days":64,"expected_fill_days":36,"reasons":["conf:1","win:tail","crowd:"],"computed_at":"2026-10-31T05:58:55Z"},"pay":{"stated_usd_annual":160000,"is_top_pay":false},"html_url":"https://alion.io/job/simbie-ai-product-engineer-senior-product-engineer-2","json_url":"https://alion.io/job/simbie-ai-product-engineer-senior-product-engineer-2.json","meta":{"generated_at":"2026-10-31T18:18:40Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":28557,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-01T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1989},"rest":"https://alion.io/mcp/rest/get_company?id=1989"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fsimbie-ai-product-engineer-senior-product-engineer-2"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fsimbie-ai-product-engineer-senior-product-engineer-2"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fsimbie-ai-product-engineer-senior-product-engineer-2"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/simbie-ai-product-engineer-senior-product-engineer-2\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fsimbie-ai-product-engineer-senior-product-engineer-2"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":142936}},{"tool":"search_jobs","arguments":{"company":"simbie.ai","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":142936},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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