Full-Time

Applied AI Solutions Architect

Midstream Health

Midstream Health

11-50 employees

AI-powered platform for hospital cost optimization

No salary listed

Remote in USA + 1 more

More locations: San Francisco, CA, USA

Hybrid

Hybrid work is listed for San Francisco and the United States.

Category
Solution Engineering (1)
Required Skills
LLM
Python
ERP
Machine Learning
Data Engineering
RAG
REST APIs
Data Analysis

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Requirements
  • Experience working as a Solutions Architect, Solutions Consultant, Applied AI Architect, Sales Engineer, or similar customer-facing technical role supporting complex enterprise software.
  • Understanding of application programming interfaces, cloud architecture, enterprise integrations, identity management, data engineering, and artificial intelligence workflows.
  • Ability to translate technical concepts into business outcomes.
  • Ability to lead executive strategy conversations, whiteboard architecture with engineering teams, facilitate technical workshops, and present live demonstrations.
  • Ability to create reusable demonstrations, implementation patterns, documentation, and technical assets.
  • Ability to collaborate across Sales, Product, Engineering, and Customer Success while aligning diverse stakeholders around a common technical vision.
Responsibilities
  • Partner with prospective customers to understand their technical landscape, business objectives, integration requirements, artificial intelligence governance considerations, and long-term technology strategy.
  • Develop solution architectures, artificial intelligence implementation strategies, and phased deployment approaches for complex healthcare environments.
  • Lead technical discovery sessions, architecture reviews, executive workshops, product demonstrations, security discussions, and technical evaluations throughout the enterprise buying process.
  • Guide enterprise customers through their artificial intelligence adoption journey and help stakeholders evaluate technical tradeoffs, implementation approaches, and long-term architecture decisions.
  • Help customers define evaluation criteria, success metrics, governance models, and implementation approaches for safe artificial intelligence deployment in healthcare environments.
  • Improve demonstration environments, technical documentation, reference architectures, integration patterns, implementation playbooks, and reusable technical frameworks.
  • Partner with Product and Engineering to identify recurring implementation patterns, customer needs, and integration opportunities that inform product strategy and future platform capabilities.
  • Create repeatable demonstrations, technical messaging, architecture patterns, and implementation methodologies that reduce technical risk and accelerate enterprise sales cycles.
Desired Qualifications
  • Experience supporting enterprise artificial intelligence, machine learning, analytics, or cloud platform deployments.
  • Familiarity with modern large language models, artificial intelligence agents, evaluation frameworks, retrieval-augmented generation, or enterprise artificial intelligence architecture.
  • Experience designing secure cloud-native architectures and integrating enterprise applications through application programming interfaces.
  • Python experience or the ability to prototype technical workflows.
  • Healthcare interoperability, enterprise resource planning, finance, supply chain, payer, or enterprise healthcare systems experience.

Midstream Health builds an AI-powered financial action platform for health systems to cut costs beyond traditional revenue cycle management. It ingests and unifies financial, operational, and contract data into a single trusted source of truth, then uses domain-trained AI agents to identify and prioritize cost-saving actions such as recovering rebates, correcting invoices, preventing overpayments, and spotting payer underpayments, turning insights into real-time tasks. The platform is designed for fast deployment and promises a return on effort within four months. Midstream uses a shared-savings model, taking a portion of the savings it creates for large health systems like Mount Sinai, CommonSpirit Health, and Houston Methodist, with solutions for supply chain, managed care, and pharmacy.

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

San Francisco, California

Founded

2023

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Simplify Jobs

Simplify's Take

What believers are saying

  • CommonSpirit partnered in February 2026, then expanded Midstream into enterprise financial operations.
  • Houston Methodist expanded deployment in April 2026, starting with supply chain and broadening quickly.
  • Leadership additions in April 2026 signal hiring momentum and commercialization across live customers.

What critics are saying

  • Seed-only funding limits endurance against Oracle, Workday, and Epic entering health system finance.
  • Shared-savings pricing depends on provable savings; weak deployments kill renewals within twelve months.
  • Three flagship health systems create concentration risk; one failed rollout damages credibility across the coalition.

What makes Midstream Health unique

  • Midstream unifies fragmented hospital finance, contract, and spend data into validated action workflows.
  • Contract-aware AI agents target rebates, underpayments, and supply chain waste, not dashboards.
  • CommonSpirit, Mount Sinai, and Houston Methodist validate enterprise adoption across $80B net patient revenue.

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Benefits

Hybrid Work Options

Growth & Insights

Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%