2 months ago
Base Salary
$180k - $390k/yr
Responsibilities
- Design, build, deploy, tune, and evolve production-grade AI agents for healthcare interactions.
- Own the Agent Development Life Cycle from initial pilots through deployment and continuous production iteration.
- Develop agents for benefits and eligibility, provider search, scheduling, intake, billing, payments, and financial assistance.
- Maintain HIPAA compliance, PHI privacy, reliability, performance, and trust in sensitive healthcare workflows.
- Work directly with healthcare executives and technical teams to understand operational challenges and deliver solutions.
- Integrate with EHR, patient access, payer, provider, scheduling, practice management, and contact center systems.
- Prototype tools and features and collaborate with research, product, and platform teams to improve Sierra’s agent platform.
Requirements
- Experience building and scaling end-to-end production systems.
- Strong technical problem-solving skills in fast-changing and ambiguous environments.
- Builder and tinkerer mindset with high agency and ability to ship creative solutions.
- Comfort working directly with customers to understand needs and solve real-world problems.
- Excellent communication across technical and non-technical audiences.
- Genuine interest in healthcare and improving patient or member experiences.
- Preferred: experience in healthcare technology, health IT, or working with healthcare organizations.
- Preferred: familiarity with Epic, Cerner/Oracle Health, athenahealth, X12 EDI transactions, clearinghouse workflows, scheduling and patient access, practice management, and contact center platforms.
- Preferred: understanding of HIPAA, PHI handling, and healthcare data privacy.
- Preferred: experience building or deploying AI/LLM systems in production.
- Preferred: familiarity with evaluation frameworks, agent tooling, RAG pipelines, and prompt engineering.
- Preferred: prior experience with React, TypeScript, and/or Go.
- Preferred: experience interfacing with customers or leading technical projects with external stakeholders.
Benefits
- Flexible unlimited paid time off.
- Medical, dental, and vision benefits for employees and families.
- Life insurance and disability benefits.
- Retirement plan dependent on country of employment.
- Parental leave.
- Fertility and family-building benefits through Carrot.
- Lunch, snacks, and coffee.
- Discretionary benefit stipend.
- Free alphorn lessons.
- Equity plan participation for eligible full-time employees.
- Primarily in-person work, based in San Francisco, with offices across North America, Europe, and Asia.
Tech Stack
Categories
About Sierra
Sierra builds an enterprise conversational AI platform that powers customer service and other customer-facing interactions for large organizations. The company sells SaaS and deployed solutions that integrate with enterprise systems and meet security and compliance requirements. Headquartered in San Francisco with offices across North America, Europe, and Asia-Pacific, Sierra was co-founded by Bret Taylor and Clay Bavor, longtime leaders at Salesforce, Facebook, and Google.
