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Job listing

San Francisco, United States$240K – $280K USD

Senior AI-Native Django Engineer at well-funded healthcare AI startup

Are you a senior engineer who has already embraced AI agents as your primary coding superpower? This well-funded healthcare startup in San Francisco is looking for a technical leader to own their Django monolith while operating at a higher level of abstraction. With a salary up to $280k and relocation assistance, you'll build HIPAA-compliant systems and shape an AI-native engineering culture from the ground up. If you have the production scar tissue to handle complex systems and the vision to leverage AI for rapid scaling, this is the career-defining role you've been waiting for.

Overview

Role overview

As a Senior AI-Native Django Engineer, you will lead development on a Django monolith in a HIPAA-compliant environment. You will own end-to-end system architecture and reliability while utilizing AI agents as your primary coding tool. This role requires a high-ownership mindset to maintain stability and performance for a rapidly scaling healthcare platform.

Company

About the company

Well-funded healthcare AI startup

Responsibilities

What you will do

  • Architect and maintain a scalable Django monolith using Celery for horizontal scaling and React for the frontend interface.
  • Design and implement strict HIPAA-compliant data pipelines and security guardrails to ensure AI agents never touch production PHI.
  • Establish LLM observability and evaluation infrastructure to monitor AI behavior and ensure the reliability of AI-generated code and services.

Candidate profile

Who this is a fit for

  • Has 8+ years of experience with complex Django monoliths, task queues, and managing high-performance production systems independently.
  • Demonstrates a proven track record of using AI agents (like Claude or Cursor) as a core coding methodology rather than just autocomplete.
  • Possesses deep knowledge of infrastructure, CI/CD, and security protocols, ideally within regulated environments like healthcare or fintech.

What makes it remarkable

Why this role is remarkable

  • Lead the transition to an AI-native engineering culture, using agents to multiply your output and focus on high-level system architecture.
  • Join a well-funded startup backed by top-tier VCs that is rapidly scaling its technical infrastructure to meet urgent healthcare demands.
  • Take complete ownership of a mission-critical platform where your decisions directly impact system reliability and patient data security.

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