Backbone Software

Founding Engineer, Applied Research

San Francisco · Exec

Sponsorship not specifiedDetected 49 days ago

RailsMachine LearningNLPAgentic AIMLOpsPatient CareResearch

About the role

FOUNDING ENGINEER, APPLIED RESEARCH ABOUT BACKBONE Care should be paid for the moment it's delivered.
As a result, patient care is delayed, clinicians burn out, margins crater, and hundreds of billions of dollars that should be funding care end up funding the friction itself.
We're backed by Andreessen Horowitz (a16z), Lightspeed, Hanabi, and a roster of operators and clinicians who have built and run the largest payers, providers, and healthcare technology platforms in the country.

Build evals for clinical reasoning, chart understanding, claims review, authorization logic, denial analysis, appeal generation, and payer policy interpretation
Excitement about building applied research systems where the output touches real workflows, real dollars, and real patient impact.
Backbone is dismantling this friction, building intelligent financial rails atop clinical AI research to facilitate instant payments between payers and providers.

Your work will touch product decisions, system architecture, user experience, and the core automation engine behind Backbone.
Improve Backbone's ability to read and reason over real clinical and financial data, with work across model behavior, prompting, fine-tuning, retrieval, structured reasoning, verification, and evaluation

Clear evidence of technical depth through papers, projects, internships, open-source work, competitions, or production ML systems.
Infrastructure or systems experience is a major plus.

We offer competitive compensation, meaningful ownership, and the opportunity to build foundational technology in a massive, broken, high-impact industry.

We also leverage continually improving browser-use and computer-use models to navigate payer portals, EHRs, practice management systems, and the messy software layer that healthcare runs on.
Build and improve agentic browser-use and computer-use capabilities for payer portals and healthcare software
New grad through ~5-6 years of experience, with experience with ML research, language models, NLP, evals, reinforcement learning, agentic systems, or model improvement
Healthcare experience is helpful, but not required.
turning fragmented healthcare workflows into software that actually helps people do their jobs faster and better.
At Backbone, we're making that possible for the first time by building the clinical AI layer for healthcare payments.

We offer competitive compensation, meaningful ownership, and the opportunity to build foundational technology in a massive, broken, high-impact industry.

This listing is sourced directly from Backbone Software's careers page and normalized into a canonical job model.