AI Solutions Engineer / Product Builder

Overview

Confluent Health supports ~850 clinics across 40+ brands in physical therapy and rehabilitation. Our clinical, operational and financial teams run on many systems that don't talk to each other, and a lot of work still moves by hand between them.

We're hiring a software engineer to design and build the applications, integrations and AI-enabled automations that fix that. You'll take complex, sometimes messy business processes, work out with the business team how they should run, and build solutions that simplify and automate them, connecting disconnected platforms through APIs, MCP servers and modern development tools.

This is a hands-on build role on a new and growing team. You'll be one of its first engineers, and you'll help shape how we build: architecture, security, testing and code quality. We use AI heavily in how we build, and we expect you to as well, with the judgment to keep the result secure, efficient and maintainable.

What you'll do

• Build applications and automations that simplify and automate business processes across ClinOps, Finance, HR, Marketing and other teams: internal web apps, multi-step workflows, AI agents and assistants, and the services and data behind them.
• Integrate disconnected platforms. Design and build integrations across internal and vendor systems using REST APIs, webhooks, OAuth 2.0, event-driven patterns and Model Context Protocol (MCP) servers and clients.
• Build with AI the right way. Design LLM-powered features and agents (tool calling, retrieval, prompt design, evaluation) and use AI coding tools to move fast, while reviewing and owning every line that ships.
• Engineer for scale and efficiency. Design solutions that perform well, scale with use and keep running costs (including AI model costs) under control.
• Build security and privacy in from the start. Apply accepted practices for healthcare data: least-privilege access, secrets management, encryption, audit logging, data minimization and safe handling of protected health information (PHI) under HIPAA.
• Own quality end to end for what you build: version control, code review, automated tests, CI/CD, monitoring and documentation.
• Work directly with business teams to understand the process, ask the right questions up front, and turn requests into clear technical plans, then build with autonomy.
• Help build the team's foundation: contribute reusable patterns, shared components and coding standards that the team will build on as it grows.

Responsibilities

What success looks like

• Business processes that used to take hours of manual work run reliably on their own.
• Platforms that didn't talk to each other share data securely and accurately.
• Solutions are secure, well-tested, observable and documented, so others can support them.
• AI is used where it adds real value, with costs, accuracy and risk managed.
• You contribute to the engineering standards and reusable building blocks the team grows on.
• Business leaders see IT as a partner that delivers.

Qualifications

• 3–5 years of professional software development, including production applications or integrations you built and supported.
• Strong skills in multiple languages: TypeScript/JavaScript and Python, plus SQL and at least one scripting language (e.g. PowerShell or Bash).
• Integration skills: REST APIs, webhooks, OAuth 2.0 and other authentication methods; experience connecting systems that weren't designed to work together.
• Hands-on experience building with LLMs: tool calling, agents, retrieval (RAG), prompt design, and building or using MCP servers or similar tool-integration patterns.
• Modern web and data skills: a modern front-end framework (we use React) and relational database design and query performance (we use PostgreSQL).
• Security and privacy awareness: you apply secure development practices (e.g. OWASP), access control and data protection in what you build.
• Engineering discipline: Git, code review, automated testing, CI/CD, logging and monitoring.
• Clear communication with both business and technical audiences.

Strongly preferred

• Healthcare or other regulated-industry experience (HIPAA, PHI, audit and compliance needs).
• Microsoft 365 / Microsoft Graph and Azure integration (SharePoint, Outlook, Teams, Excel).
• Workflow orchestration and agent reliability: retries, evaluation, guardrails, human-in-the-loop.
• Experience as an early engineer on a small team, where you owned work end to end.

Helpful

• Healthcare data standards (HL7, FHIR) or EMR integrations.
• Low-code/pro-code platforms combined with custom code.
• Persistent memory, knowledge graphs or multi-step AI systems.

About

Pay range for this role is between $140,000-$150,000

Confluent Health, LLC and its affiliates are equal opportunity employers committed to building a diverse and inclusive workforce. We do not discriminate based on race, color, religion, sex, sexual orientation, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, national origin, marital status, age, disability, veteran status, or other applicable legally protected characteristics. If you need assistance or would like to request an accommodation due to a disability, please contact us at [email protected]. 

Confluent Health, LLC and its affiliates are equal opportunity employers committed to building a diverse and inclusive workforce. We do not discriminate based on race, color, religion, sex, sexual orientation, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, national origin, marital status, age, disability, veteran status, or other applicable legally protected characteristics. If you need assistance or would like to request an accommodation due to a disability, please contact us at [email protected].