Platform Engineer, AI Platform

Optura is healthcare’s AI orchestration platform. We help healthcare organizations transform disconnected AI pilots into a unified, enterprise-scale program that delivers measurable value. Our platform enables teams to design, execute, and monitor intelligent agents that drive automation, insights, and action, while providing the control and observability needed to scale safely. Built for real-world complexity, Optura supports multiple model providers, integrates seamlessly with existing infrastructure, and offers both SaaS and self-hosted options. Our mission: revolutionize how healthcare deploys and operationalizes AI in production.

We’re looking for a Senior Platform Engineer to design, build, and operate the core services that power Optura’s AI Platform. In this role, you will own systems end-to-end. From model and agent orchestration to routing, reliability, and observability. You will partner closely with product and application teams to deliver secure, scalable, HIPAA-aware services. You will play a critical role in shaping the foundation that enables customers to safely deploy AI in real-world healthcare environments.

Location:Open to remote or San Francisco Bay Area, Nashville Metro Area, or Raleigh, NC Area

What you’ll do:Build core platform services in Python and TypeScript for orchestration, routing, model gateways, retrieval-augmented generation (RAG), and evaluation pipelines

Leverage AI-assisted development tools (e.g., Claude, Cursor) alongside tests, linters, and benchmarks to improve velocity and quality

Own services from design through deployment, including SLO creation, dashboards, runbooks, and operational readiness

Improve reliability by optimizing system latency, availability, performance, and cost; lead and participate in incident response and postmortems

Develop production AI capabilities including guardrails, prompt and version management, offline and online evaluations, and multi-provider integrations

Build and maintain data and storage systems including vector search (pgvector, Pinecone, OpenSearch), caching, and Postgres/RDS patterns

Implement security and compliance best practices aligned to HIPAA, including RBAC, audit logging, least-privilege access, and secrets management

What we’re looking for:5+ years of software engineering experience with strong proficiency in Python and TypeScript

2+ years of experience operating AI systems in production (agentic workflows, RAG, orchestration, or similar)

Experience with operating in Cloud environments, including the use of containers/Kubernetes (EKS or ECS) and Terraform

Experience designing and operating distributed systems with a focus on performance optimization and deep debugging

Experience with observability systems (metrics, tracing, logging) and on-call ownership

What we would like to see:Experience working in healthcare or other regulated industries, including HIPAA or PHI-handling practices

Experience with LLMOps, including prompt management, evaluation frameworks, guardrails, and cost and latency tuning

Experience building or operating model gateways, traffic shaping, multi-provider routing, and caching at scale

Benefits at Optura:We offer a competitive compensation and benefits package, including:

Health, dental, and vision insurance

Generous paid time off

Opportunities for professional growth and development

Equal Employment Opportunity:At Optura.AI, we’re not just building a product; we are intentionally building the team, culture, and equity we want to see in the tech world. That starts with recognizing that innovation thrives when diverse perspectives come together. Optura is an Equal Employment Opportunity Employer, period. We actively welcome and celebrate every candidate regardless of their race, color, religion, age, marital status, sex (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity or gender expression, national origin, veteran or military status, disability (physical or mental), genetic information, or any other protected characteristic.

More than compliance, we are deeply committed to diversity and inclusion because it’s a non-negotiable part of our foundation. We believe a truly diverse and inclusive workplace is the engine for long-term professional growth and competitive business success, directly fueling our mission to innovate. As part of the Optura team, your voice will be heard, your contributions will directly matter to our trajectory, and your unique background and experiences won't just be celebrated—they will be a vital part of our success. Let's build something exceptional, together.

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