SmarterDx
150-250k+ + equity + benefits | Remote (US only)
hn · Remote (US only)
Jose is an exceptional AI/ML engineer with proven ability to build production systems at scale, ship products end-to-end, and handle complex technical architecture—all critical for SmarterDx's clinical AI platform. His experience with LLM agents, real-time systems, data pipelines, and working in regulated/high-stakes environments (emergency response, healthcare-adjacent) directly translates to the messy clinical data and medical reasoning challenges. However, he lacks direct healthcare domain experience and clinical/regulatory knowledge that would be valuable in a revenue-cycle compliance context.
Hook: Your founding engineer experience shipping LLM agents and data pipelines in production, combined with your work on high-stakes systems at scale, makes you a strong fit for SmarterDx's clinical AI platform challenge.
Missing: Healthcare domain knowledge, Clinical/regulatory compliance experience, Healthcare data standards (HL7, FHIR), Revenue cycle or medical billing background
Posting
SmarterDx | 150-250k+ + equity + benefits | Remote (US only) | Multiple roles | https://smarterdx.com/careers SmarterDx builds clinical AI for one of healthcare’s most broken systems: how hospitals get paid for the care they actually deliver. Our physician-designed clinical AI platform reviews the clinical record, understands the nuance of patient care, and helps hospitals capture appropriate reimbursement across the revenue cycle. The core problem is hard: messy clinical data, complex regulations, payer rules, medical reasoning, and real financial stakes. When we get it right, hospitals recover millions in earned revenue, reduce manual review burden, and keep clinical and revenue teams focused on higher-value work. We’ve hit serious scale while keeping the team unusually strong and technical: MD/data scientist hybrids, Stanford LLM researchers, former Google and Amazon engineers, former ASF board member, and others who are among the best in their fields. Many teammates have been here since we bootstrapped to $1M+ in contracted revenue before raising capital. In 2025, SmarterDx became part of Smarter Technologies through a $1.1B deal with New Mountain Capital, reaching unicorn status while continuing to operate with the autonomy, urgency, and product velocity that got us here. Before that, we raised $71M from Floodgate, Transformation Capital, and Bessemer, including a $50M Series B. We have real product-market fit: 85+ health systems, 300+ hospital sites, rapid customer growth, and 150% YoY headcount growth (currently at ~550). Now we’re scaling the platform. For more and to apply, see https://smarterdx.com/careers