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Posted 25 days ago

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Senior Staff AI Builder

SeattleRemoteFull-time

AI Summary

Senior Staff AI Builder responsible for defining and delivering scalable AI-native capabilities across multiple squads, shaping engineering practices, and ensuring ethical handling of customer data in a healthcare AI platform.

About this role

ABOUT ARTERA

Our Mission: Make healthcare #1 in customer service.

What We Deliver: Artera, a SaaS leader in digital health, transforms patient experience with AI-powered virtual agents (voice and text) for every step of the patient journey. Trusted by 1,000+ provider organizations — including specialty groups, FQHCs, large IDNs and federal agencies — engaging 100 million patients annually. Artera’s virtual agents support front desk staff to improve patient access including self-scheduling, intake, forms, billing and more. Whether augmenting a team or unleashing a fully autonomous digital workforce, Artera offers multiple virtual agent options to meet healthcare organizations where they are in their AI journey. Artera helps support 2B communications in 109 languages across voice, text and web. A decade of healthcare expertise, powered by AI.

Our Impact: Trusted by 1,000+ provider organizations — including specialty groups, FQHCs, large IDNs and federal agencies — engaging 100 million patients annually. 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

Artera is hiring a Senior Staff AI Builder to help define what comes next for our agentic platform. You'll be the recognized AI-native expert whose influence compounds across squads — a senior IC who turns ambitious AI strategy into the production systems our customers count on every day.

You'll bring industry-leading AI-native fluency to planning, evaluation, and reliability across multiple squads, graduating shared capabilities from one squad's project into primitives the whole company builds on.

At this level, you'll cut through ambiguity with conviction, taking on the systemic problems where quality, velocity, cost, and risk collide - and where the external AI landscape shifts faster than anyone's roadmap. You'll own the operational plans that shape our short to mid-term results, and set the ethical bar for how builders work with customer data, patient communications, and AI systems.

Key Responsibilities

  • Own a multi-squad technical area (agentic patterns, integration surface, reliability, evaluation, voice and messaging, migration, or similar) and drive it to a measurably better place.
  • Partner with Heads of Segment across squads, the Primitives Squad, and the Knowledge and Tools Squad to graduate shared capabilities that multiply builder output.
  • Establish and execute on functional-level goals; define processes, standards, and best practices that other squads adopt.
  • Represent Artera's engineering practice in senior customer conversations, architecture reviews, and partnerships with EHR and platform vendors.
  • Diagnose systemic issues (quality, reliability, velocity, or cost) and lead the cross-squad work needed to fix them at the root.
  • Sponsor, mentor, and develop other builders; model the transition from personal output to organizational leverage.
  • Set the ethical standards for how builders work with customer data, patient communications, and AI systems.
  • Basic Qualifications

  • Industry-leading AI-native fluency: consistently demonstrates and teaches an AI-native practice that produces the output of a traditional team (hard requirement).
  • Typically 10+ years of professional engineering experience, or equivalent demonstrated output, with multiple examples of systems you architected and ran at scale.
  • Recognized expertise in at least one domain that maps directly to Artera's critical capabilities (agentic platforms, EHR integrations, AWS-scale reliability, AI evaluation, voice and messaging, security engineering).
  • Track record of leading technical initiatives across multiple teams that materially changed business outcomes.
  • Strong commercial judgment: can frame technical choices in terms of customer impact, revenue, cost, and risk.
  • Exceptional written and verbal communication, including at senior customer and executive level.
  • Demonstrated ability to influence without authority across multiple squads and functions.
  • Preferred Qualifications

  • Prior staff or senior staff-level experience at a healthcare, AI-native, or agentic platform company.
  • Experience designing systems for multi-tenant, HIPAA/HITRUST/FedRAMP-constrained environments at scale.
  • Experience as a board, advisor, or external technical contributor in the healthcare or AI space.
  • Recognized external profile: publications, conference talks, or open source influence.
  • Experience leading incident response and post-incident organizational change.
  • Skills

    AI EvaluationAI-native DevelopmentAutomationAWS-scale ReliabilityCost OptimizationCross-squad CollaborationCustomer-facing ArchitectureData GovernanceEHR IntegrationsEngineering LeadershipHIPAA/HITRUST/FedRAMP ComplianceIncident ResponseIntegration SurfacesMigration StrategiesMulti-squad LeadershipMulti-tenant SystemsPrimitives PlatformQuality MetricsReliability EngineeringSecurity EngineeringSystem ArchitectureVoice And Messaging

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