ABOUT ARTERA
Our Mission: Make healthcare #1 in customer service.
What We Deliver: Artera is an agentic company strengthening how healthcare providers communicate and care for patients. As an agentic partner, we bring over a decade of healthcare experience to address urgent workflows from day one and build custom solutions as healthcare providers’ needs evolve. Trusted by 1,000+ specialties, FQHCs, health systems, and federal agencies, Artera strengthens and protects and enhances patient relationships across every interaction - from intake and scheduling to referral management, post-visit care, and more.
Hear from our CEO, Guillaume de Zwirek, about why we are standing at the edge of the biggest technological shift in healthcare’s history!
Our award-winning culture: Our award-winning culture: Since founding in 2015, Artera has consistently been recognized for its innovative technology, business growth, and named a top place to work. Examples of these accolades include: Inc. 5000 Fastest Growing Private Companies (2020, 2021, 2022, 2023, 2024); Deloitte Technology Fast 500 (2021, 2022, 2023, 2024, 2025); Built In Best Companies to Work For (2021, 2022, 2023, 2024, 2025, 2026). Artera has also been recognized by Forbes as one of “America’s Best Startup Employers,” Newsweek as one of the “World’s Best Digital Health Companies,” and named one of the top “44 Startups to Bet your Career on in 2024” by Business Insider.
Applicants must be currently authorized and have the ability to provide proof of full-time, long-term authorization to work in the United States. We are unable to provide visa sponsorship or support visa transfers now or in the future.
ABOUT THE OPPORTUNITY
We are building the next generation of Artera's platform, creating custom agentic workflows purpose-built for healthcare. This is a foundational technical leadership role: you will define how we design, build, secure, and operate AI agents at scale, and you will establish the patterns and practices that enable multiple teams of customer-facing builders to deliver with speed, consistency, and confidence.
As a Senior Principal Agentic Technologist, you will report directly to the CTO and operate as the technical authority across Artera's engineering organization. You will shape our architecture, influence our product experience, and raise the bar for every builder at Artera.
Key Responsibilities
Agent Architecture & Design
Define Artera's reference architecture for AI agents
Establish design patterns for multi-agent orchestration, tool use, memory management, and human-in-the-loop workflows tailored to healthcare operations
Own technical decisions on agent decomposition, communication patterns, and failure handling for mission-critical healthcare workflows
Evaluate and integrate emerging agentic AI capabilities as they become available
Drive continuous improvements to Artera’s operational excellence and security posture
Scale-Out Enablement for Builder Teams
Design and maintain the AI development infrastructure — including AI coding skills, structured memory, MCP server tooling, and cross-customer pattern libraries — that enables multiple teams to build customer-specific agent workflows independently and consistently
Work backwards from customer outcomes: design and consume production evaluation systems that measure how agents actually perform for each customer, derive actionable insights from those evaluations, and feed improvements back into shared development infrastructure as codified best practices
Codify proven agent development patterns (intent expression, evaluation-driven development, semantic data discovery) into reusable templates and golden paths that keep pace with industry prescriptive guidance
Define the boundaries between shared platform capabilities (security, compliance, observability, evaluation frameworks) and team-owned customization layers (per-customer prompts, tools, orchestration)
Establish knowledge-compounding mechanisms so that what one team discovers — or what production evaluation reveals — reaches every other team through structured repositories, automated pattern discovery, and contextual delivery at the moment of relevance
Provide architectural mentorship and review that ensures teams build agents using intent-based design rather than procedural encoding, and that evaluation criteria are defined before agent construction begins
Security — Shift-Left by Default
Embed security into the earliest stages of the development lifecycle through automated threat modeling, policy-as-code, and secure-by-default infrastructure patterns
Define guardrails for agent permissions, data access scoping, and least-privilege execution in multi-tenant healthcare environments
Own the security architecture for agent-to-agent communication, secrets management, and PHI handling within agentic workflows
Partner with security and compliance teams to ensure agent behaviors remain auditable and aligned with healthcare data protection requirements
Observability & Operability
Design observability architecture for agentic systems — tracing agent reasoning chains, monitoring tool invocations, and measuring outcome quality
Define SLOs, error budgets, and operational runbooks for agent-powered workflows
Establish patterns for graceful degradation, circuit breaking, and fallback behaviors in agent systems
Design evaluation frameworks that measure agent effectiveness from the customer's perspective — not just system health, but whether patients achieved their intended outcomes (appointment scheduled, question answered, referral completed)
Close the feedback loop between production evaluation insights and development practices, ensuring that patterns which improve customer outcomes are systematically propagated to all builder teams
Ensure operational readiness criteria are met before any agent workflow reaches production
DevOps & Engineering Excellence
Raise the bar on CI/CD practices: define pipeline standards, deployment strategies, and infrastructure-as-code patterns for agent workloads
Drive adoption of trunk-based development, automated testing (unit, integration, end-to-end agent evaluation), and continuous deployment
Establish engineering quality standards including code review expectations, architecture decision records, and technical debt management
Define and maintain AI-assisted development workflows — including structured project memory, tool-augmented sessions, and automated pattern delivery — that accelerate onboarding and reduce tribal knowledge dependencies
Mentor engineers across the organization, conduct architecture reviews, and build a culture of operational ownership
Technical Leadership & Strategy
Serve as Artera's primary technical liaison with critical external vendors, maintaining alignment with their roadmap and prescriptive guidance
Influence product strategy with a deep understanding of what agentic AI can deliver for healthcare operations
Make high-judgment calls on build-vs-buy, technology selection, and architectural trade-offs
Represent Artera's technical vision externally through publications, conference talks, and community engagement
Basic Qualifications
12+ years of software engineering experience with increasing scope and technical leadership responsibility
Deep expertise in distributed systems design — building and operating large-scale, highly available, fault-tolerant services
Extensive hands-on experience with AWS services (compute, networking, identity, databases, serverless, AI/ML)
Demonstrated ability to define and drive technical strategy across multiple engineering teams
Track record of designing platform-level abstractions that enable other teams to deliver independently
Experience establishing and scaling DevOps, CI/CD, and infrastructure-as-code practices across an engineering organization
Strong written and verbal communication skills with the ability to influence without authority at all organizational levels
Preferred Qualifications
Experience with AI/ML systems in production — particularly LLM-based applications, agent frameworks, or multi-agent orchestration
Familiarity with AWS AgentCore, Amazon Bedrock, or equivalent agent infrastructure platforms
Healthcare industry experience including HIPAA compliance, BAA requirements, and PHI data handling in cloud environments
Background in platform engineering for multi-tenant SaaS products
Experience with security architecture in regulated industries — threat modeling, policy-as-code, zero-trust patterns
Experience designing evaluation and feedback systems for AI/ML applications that connect production performance back to development practices
History of publishing technical content, speaking at conferences, or contributing to open-source projects