August Health

Senior Software Engineer, AI

United States · Senior

Sponsorship not specifiedDetected 46 days ago

TypeScriptScalaNode.jsAWSLLMsAI OrchestrationA/B TestingComplianceHIPAAEHR/EMR

About the role

August Intelligence is the AI layer woven throughout the August Health platform.
Today, August Intelligence runs primarily through a TypeScript service that orchestrates Claude on AWS Bedrock against carefully permissioned, PHI-aware context from our backend.
This is a high-autonomy, high-ownership role.

Design and ship LLM-powered product features end to end, including prompt and context design, structured output, tool/agent orchestration, and the UI/API work needed to land them in the product.
Pair with product-vertical engineers to unblock AI feature work and help teams apply August Intelligence patterns in their own product areas.
Partner with product managers and vertical engineering teams to translate clinical and operational workflows into AI capabilities.
Help drive responsible AI tool use inside engineering by modeling effective workflows, reviewing AI-assisted output, and raising shared standards without turning experimentation into ceremony.
Be ambitious - build something great

You have 5+ years of experience building and shipping production software.
You have owned customer-facing features end to end and care about what happens after launch.
You are strong in production TypeScript, including typed Node services, testing, APIs, and clean data modeling.
You can explain exactly how your code works, including code an LLM helped you write.
You enjoy pairing with other engineers, teaching through real work, and helping teams adopt new patterns without taking ownership away from them.
You are comfortable working with sensitive data and treat permissioning, privacy, and safety as table stakes.
You have high agency and low ego.

Experience with Mastra, the Vercel AI SDK, LangChain, LlamaIndex, or similar applied-LLM frameworks.
Experience with eval or observability tooling for LLM systems, such as Phoenix/Arize, Langfuse, Helicone, or related tools.
Experience helping an engineering team adopt AI tools, agentic coding workflows, or new development practices responsibly.
Experience with functional TypeScript or Effect.
Experience as an early engineer on a small, high-ownership team.
You will join a small, senior, mission-driven engineering organization that values depth, candor, and shipping.
August Intelligence is a focused effort with outsized impact: our AI features are already being used in beta communities, and demand is accelerating across product areas.

We offer market-competitive compensation based on experience and ability, including significant equity option grants.

Our team brings together deep expertise in technology, healthcare, and company-building.
We've led teams at Apple, Google, Landmark Health, and Adobe, co-founded and exited multiple companies, shipped products used by hundreds of millions of users, and managed clinical teams caring for thousands of patients.
Backed by top-tier Silicon Valley investors, we are partnering with some of the largest senior care organizations in the U.S. to transform the future of senior living.
We offer market-competitive compensation based on experience and ability, including significant equity option grants.
Our benefits prioritize your well-being with 100% company-paid premiums for health, dental, and vision coverage, along with company contributions to your HSA.
We help you plan for the future with a 2% 401(k) match, and support your physical and mental health through services like Rightway Health Advocacy and Spring Health Mental Wellness.
Beyond traditional benefits, we offer a flexible time off policy, 100% paid family leave, and all-expenses-paid, in-person company offsites twice a year.
Build and extend our evaluation discipline so we can measure quality, catch regressions, and reason about nondeterministic behavior before customers feel it.

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