Backend Engineer, Agentic AI (Senior/Staff Level) jobs in United States
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Granted · 1 day ago

Backend Engineer, Agentic AI (Senior/Staff Level)

Granted is a seed-stage company focused on simplifying the complex US healthcare system through AI. They are seeking a Backend Engineer to design scalable systems and integrate AI models for automating healthcare processes, ensuring reliable outcomes for users.

Artificial Intelligence (AI)Consumer SoftwareFinTechHealth Care
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H1B Sponsor Likelynote

Responsibilities

Design and build scalable systems and APIs that power agentic workflows from case activation through resolution
Push the frontier of AI-driven engineering, working on prompt orchestration, agent frameworks, and model evaluation loops
Collaborate closely with Product, Engineering, and domain experts to translate complex healthcare processes into reliable automations
Architect systems for scale and reliability, ensuring human escalation pathways are transparent and seamless
Play a key role in shaping the pod’s technical strategy, and mentor others as the team grows
Creating and optimizing AI pipelines to identify, categorize, and resolve errors in medical billing and insurance claims
Building automated agents and backend services that handle complex case flows with minimal human intervention
Integrating domain-specific healthcare knowledge into models and decision engines to improve accuracy
Developing tooling and infrastructure to measure and improve AI performance in real-world scenarios

Qualification

Backend engineeringScalable systems designAI integrationHealthcare data experienceML systemsCollaborationCommunicationProblem-solving

Required

6-10+ years of backend engineering experience, ideally building production systems at scale
Deeply curious about AI — from prompt engineering and agent orchestration to model evaluation
Excel at designing pragmatic solutions to complex technical challenges
Communicate clearly and collaborate effectively across disciplines
Thrive in high-autonomy, fast-moving environments

Preferred

Experience with healthcare data, product engineering, ML systems, or web crawling
10+ years of GPT-5 experience — or, failing that, a good sense of humor

Benefits

Equal Opportunity Employer
Creating an inclusive environment for all employees
Reasonable accommodations to qualified individuals with disabilities

Company

Granted

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Healthcare in the U.S. is broken - complex, confusing, and often unfair.

H1B Sponsorship

Granted has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)

Funding

Current Stage
Early Stage
Total Funding
$16.25M
Key Investors
Red Sea Ventures
2024-07-23Seed· $16.25M
2023-08-01Pre Seed
Company data provided by crunchbase