Senior Software Engineer, Aledade
AI Enablement
Primary care centers and services
Be an early applicant
Primary care centers and services
1001+ employees
Be an early applicant
1001+ employees
Company mission
To create a better health care system for patients, for doctors and for society.
Role
Who you are
- BS/BTech (or higher) in Computer Science, Engineering or a related field
- 5+ years professional software engineering experience
- Production ownership of a backend service or developer platform. API gateway, service proxy, SDK/CLI, internal developer platform, or comparable, including its auth model, release process, and operational health
- Strong production experience in at least one modern application stack (Python, TypeScript/Node, Go, or similar) and modern CI/CD
- Hands-on experience with authentication and authorization for machine-to-machine traffic (OAuth2, OIDC, M2M credentials, token scoping, secret management)
- Demonstrated experience instrumenting a system you own; metrics, structured logging, tracing, or usage analytics, and using that data to drive a decision
- Direct hands-on experience with one or more agentic coding tools in a production or near-production setting (Claude Code, Cursor, Cody, Copilot agents, Aider, or equivalent)
- Strong written communication: comfortable producing documentation, runbooks, and educational artifacts for engineers who weren't in the room
Desirable
- Experience authoring or maintaining MCP (Model Context Protocol) servers, Claude Code plugins, skills, hooks, or comparable LLM-tooling integrations
- Experience running an LLM gateway or inference proxy in production (LiteLLM, Bedrock, vLLM, or similar) — routing, fallback, caching, quota, and cost attribution
- Experience building evaluation harnesses or benchmarks for LLM systems, including A/B comparison of prompts, tools, or model versions
- Experience operating a package registry, plugin ecosystem, or extension marketplace — publishing pipelines, semantic versioning, compatibility, and deprecation
- Background in healthcare technology, HIPAA-regulated environments, or PHI-handling systems; familiarity with BAA and data-residency constraints on third-party tooling
- Familiarity with Aledade's stack (Python/FastAPI, Vue/TypeScript, Postgres, AWS, Auth0, Datadog, Sumo Logic) is a plus but not required
- Comfort across the full stack (frontend/backend/infra) — platform work at this stage doesn't honor team boundaries
- Experience as an early engineer on a platform whose users are internal colleagues, where adoption has to be earned rather than mandated
What the job involves
- The AI Enablement Platform Engineer is the engineer accountable for the substrate: the MCP Gateway that brokers every tool call between agents and Aledade's systems, the plugin marketplace and installer that distribute agentic capability to engineers and non-engineers alike, the model gateway configuration that determines what Aledade spends on inference and how well it performs, and the telemetry that makes all of it measurable
- This is a platform role with unusually direct business consequences
- The model-routing and harness-evaluation work this engineer owns is what distinguishes a diversified, cost-optimized inference strategy from a single-vendor one
- It is the right role for an engineer who wants platform depth without platform abstraction: real users, real spend, measurable adoption, and a short line between a design decision and its effect
- Own and extend the MCP Gateway and connector platform. Build and harden MCP server integrations (Glean, Slack, Jira, Snowflake, Salesforce, Monday, Tableau, Databricks and beyond) on the gateway; own auth, scopes, tenancy, rate limiting, and read/write policy enforcement for non-BAA tools; partner with Security and platform owners on safe-by-default access paths
- Own the distribution layer, run the marketplace publishing pipeline: versioning, CI/CD, plugin PR review, release hygiene, and the developer tooling sync processes. Build and maintain shared plugins, skills, hooks, and Spec-Driven Development tooling consumed across PTA teams, plus the authorship guides that let other teams contribute without hand-holding
- Own platform observability, model-gateway configuration, and cost attribution. Extend the usage-rollup and telemetry pipeline so adoption, tool-call health, and inference spend are attributable by team, workload, and model. Define model routing and build the benchmarks and harness/evaluations that let Aledade choose models on evidence
- Extend the agent output and collaboration surface. Build out infrastructure to support mapping agent outputs into a browsable, searchable, commentable surface, discovery and tagging, per-viewer engagement instrumentation, comments, expiry, and share notifications
- Enablement and platform stewardship. Run office hours and brownbags as a practitioner; mentor engineers on agentic-coding and plugin-authorship patterns; triage and dedupe inbound feature requests; carry on-call for marketplace-published artifacts and gateway availability
Our take
The US primary care system suffers from a 'chronic lack of adequate support'. Aledade has set out to improve this by assisting independent physician practices from reducing costs to data integration support.
The company prides itself on stats of over 2.8 million patients across 46 states since its founding in 2014. The acquisition of Curia, (a leader in value-based care analytics using practical applications of AI to optimize the targeting of patient care and engagement programs) is also bringing the company to the modern world, enhancing its data understanding capabilities and challenging others in its sector with this advancement.
Aledade has won several awards over the years and is now considered the largest network of independent primary care in the country. Alongside this, the company is valued in the billions of dollars with many successful funding rounds. With the company consistently expanding and enhancing its technology it has become a pillar in the industry and therefore a very exciting company to keep an eye on.
Freddie
Company Specialist at Welcome to the Jungle
Insights
Company
Funding (last 2 of 10 rounds)
Jun 2023
$260m
SERIES F
Jun 2022
$123m
SERIES E
Total funding: $680.6m
Company benefits
- Remote-first working environment and flexible work schedules
- Three office locations you can visit/work from as desired: Bethesda, MD (headquarters), Novi, MI, Durham, NC and Austin, TX
- 168 PTO hours (21 days!) in your first year
- 12 weeks paid parental leave for all new parents
- Fully paid six-week sabbatical following each six-year period of continuous employment
- Generous nationwide PPO medical, dental and vision plans
- 401(k) with up to 4% match
- Company stock options
Company HQ
Bethesda, MD
Leadership
Farzad Mostashari
(Co-Founder & CEO)Farzad has a background in the healthcare sector previously working as a National Coordinator for Health Information Technology at the US Department of Health and Human Services.
Matt Kendall
(Co-Founder & President)Matt previously worked as the Director of the Office of Provider Adoption Support at the Office of the National Coordinator for Health Information Technology alongside other roles in Management and Operations in the healthcare sector.
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