Senior Backend/Infra Engineer
Concurrence
Senior Backend/Infra Engineer
Concurrence
Builds AI agents that handle patient intake and triage
Concurrence (formerly Amigo) is building the platform healthcare organizations use to build their own clinical AI agents. Our mission is to make excellent care accessible to every patient, not rationed by the limits of clinician time.
Underneath our platform is the Health World Model, which unifies a health system’s data into a living, event-level record of every patient’s care. On top of it, agents handle work across the patient journey, from intake and scheduling to medication management and clinical decision support.
Our agents have supported more than 10 million patient encounters and are on track to grow tenfold this year. We run natively on Databricks, integrate with every major EHR, and are backed by Madrona, General Catalyst, and Optum Ventures. We’re about 35 people, working in person in New York and San Francisco.
As a Senior Backend/Infra Engineer at Concurrence, you'll build the core services behind our agent platform. The systems you own handle millions of conversations a month, so concurrency, reliability, and clean design are the job itself, not an afterthought. You'll own services end to end, from design through production.
Designing high-throughput services that handle concurrent conversations at scale
Owning a core platform service from design to production
Building systems that stay available and degrade gracefully when things fail
Handling sensitive healthcare data with the care it requires
Improving performance, observability, and operational health across services
Shaping architectural decisions as the platform grows
Think carefully and holistically about system design under time pressure.
You've built and operated production backend systems at scale and owned the outcome
You're strong with concurrency, distributed systems, and service design
You prefer simple, maintainable solutions to hard problems
You debug well across services, queues, and databases
You're low ego, direct, and hold yourself to a high bar
You can work on site in New York City or San Francisco
Experience in a regulated or high-reliability domain (healthcare, finance, legal)
High-throughput or low-latency system design
Experience with production AI or ML systems
Comprehensive health, dental, and vision insurance
Daily catered lunch and dinner
Mental health support and wellness coaching
Flexible wellness stipend for fitness, therapy, or personal growth
Annual learning budget for courses, books, or conferences
Conference attendance budget for professional development
Annual team offsite
Academic collaboration opportunities
Unlimited PTO
Patients Win, We Win
If patients aren't getting better care, we haven't earned the right to scale. Every internal decision gets pressure-tested: does this make patients' lives better? If we can't draw the line, we question why we're doing it.
High Standards, High Care
We hold a high bar for the team because patients are counting on us to get this right. But high standards only work with genuine investment in each other. You can take risks, admit mistakes, and challenge ideas. Not despite our standards, but because of them.
Thoughtful Urgency
We move fast by default, but speed without judgment is recklessness. The discipline is knowing which decisions are reversible vs. not. In healthcare AI, the companies that win will be fast everywhere they can be and careful everywhere they must be. We build the muscle to do both.
Intensely Measured
We instrument patient outcomes, provider ROI, system performance, and clinical accuracy. But data without action is surveillance. Every metric should have an owner, a threshold, and a response plan. If we're measuring something but never acting on it, we stop measuring it.
Low ego: Politics and territory don't interest you. The best ideas win, regardless of who has them.
Direct: You say the hard thing, challenge ideas openly, and commit fully once decided.
High agency: You thrive on trust rather than instruction. When you see something is broken, you fix it. You don’t file tickets and wait for someone else.
Bar of excellence: You hold yourself to a bar most people wouldn't, and you want teammates who do the same.
Skeptical: You push back on rules that don’t make sense and question assumptions that haven’t earned their place.
Builds AI agents that handle patient intake and triage
Concurrence builds AI agents that automate patient-facing clinical workflows like intake, triage, 24/7 care navigation, and post-visit support. The agents are trained on a proprietary “digital residency” model using millions of simulated patient scenarios, achieving a 100% safety pass before real-patient use, and they operate within a shared Health World Model that includes configured workflows, supervision, and outcome evaluation. The platform natively integrates with major EHRs (Epic, Oracle, Athenahealth) in over 100 languages, and has logged over 3 million autonomous patient encounters without safety incidents. The goal is to extend healthcare teams and care capacity by scaling AI-enabled care within existing IT ecosystems while meeting regulatory requirements.
Explore more opportunities at Concurrence