Backend Engineer, Agentic AI (Staff+ Level)

Granted is a seed-stage company focused on simplifying the US healthcare system through AI-driven solutions. The role involves designing scalable systems and APIs for automating complex healthcare workflows, collaborating with various teams to enhance operational efficiency.

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

Requirements:

• 9+ 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
• 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