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Redesign Health is a global venture and applied technology firm building next-generation healthcare companies. The company combines venture capital and venture buyout strategies powered by an AI operating system, with a team of technologists, entrepreneurs, and investors from leading healthcare, AI, and software institutions. Since 2018, Redesign and its portfolio companies have touched over 15 million patients, raised $1.5B+ from premier investors, and built partnerships with marquee healthcare organizations.
The technology practice combines a frontier applied AI lab with deep healthtech investing expertise. You will join a global technology practice built around senior individual contributors with unusually broad ownership.
In this role, you will own the backend and internal platform layer between Redesign's infrastructure and its applied AI products. This is the technology that makes data, tools, and development patterns usable by engineers, agents, and domain experts building software across the firm.
Key responsibilities:
- Build the backend platform behind Redesign's operating system, owning APIs, databases, services, resource models, migrations, and access patterns that back the core AI operating system. Make primitives easy to discover, safe to extend, and hard to misuse.
- Define the paradigm for AI-native development, owning systems and conventions that let agents drive software engineering: agentic coding patterns, harness design, memory management, verification loops, and self-learning multi-agent code review.
- Build for a workforce where everyone creates software. Own the developer experience for a builder population combining infrastructure engineers, applied AI engineers, and domain experts without formal software backgrounds. Design powerful primitives that cut across teams, decisions, and geographies.
One distinctive feature of Redesign is that every person at the company is, in some meaningful sense, a software engineer. The backend is the shared layer of data, access, tools, and conventions that lets many kinds of builders create safely. You will report to a VP of Technology.
Company values emphasize patient urgency, AI-driven excellence, talent density, trust with rigorous debate, craft pride, going beyond expectations, partnership integrity, and no shortcuts on patient safety and clinical standards.
REQUIREMENTS:
- 10-12+ years of engineering experience, with meaningful time at staff, principal, or equivalent level at a serious software company. You have anchored technical work of a small, fast team and owned backend, data, developer-platform, or internal-platform systems that other people built on every day.
- Shipped production backend systems in Python and/or TypeScript, with ownership of database schemas, migrations, API contracts, authentication, and permissions. Deep experience with Postgres or similar relational databases; built authorization or identity layers with scoped access for users, services, and agents; shipped APIs and data services multiple teams depended on.
- Built or operated agent-facing infrastructure teams used every day: MCP servers and tools, Claude Code or Cursor conventions, skills or plugin systems, sandboxed execution, code-review automation, evals, usage and cost controls, and safe defaults. Understand that agents are now first-class consumers of backend systems.
- Range across product craft and developer experience. Built tools, applications, or internal platforms for experienced engineers and for builders without traditional software backgrounds. Understand how different kinds of builders climb the AI curve, where they get stuck, and what great first experiences should feel like.
- AI-native mindset. LLMs and agents have rewired how you build. Proficient with modern agent frameworks (Anthropic Agent SDK, Lang* / Deep Agents, or similar) and have shipped production systems on top of them. Built sophisticated systems on top of coding agents like Claude Code (skills, MCPs, custom harnesses) and have hardly written code by hand in over a year.
- Technology is one of your passions, and you find deep meaning in some other pursuit: a creative or athletic outlet, a family business, or service.
Strong plus: track record as a founder, founding engineer, or 0-to-1 product engineering owner inside a small, fast team.
Bonus: quantitative degree from a strong program; open-source contributions; published work; or a side project other people have actually used.
