Key skills
JavaScriptTypeScriptPythonSQLAINLPLLMClaudeGeminiRAGAgenticLangGraphReactAngularFastAPIGraphQLAWSECSFargateLambdaS3OracleGrafanaSentryOpenTelemetryCI/CD
About this role
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women’s health, and organ health. They are seeking a Staff Software Engineer to revolutionize Revenue Cycle Management through advanced AI services, focusing on architecting autonomous agents that automate complex billing workflows while ensuring compliance with healthcare standards.
Responsibilities:
- Design and deploy production-grade FastAPI services that wrap LLM calls, maintain stateful agent loops, and expose secure REST/GraphQL endpoints
- Build and orchestrate intelligent agents capable of handling unstructured documents (EOBs, medical records) using vision-augmented NLP and multimodal LLMs
- Develop agentic RAG pipelines (chunking, embeddings, vector search) to surface critical codes and payer-specific rules in real-time
- Containerize and operate the stack on AWS ECS/Fargate. Own the IaC pipelines to ensure seamless, high-frequency deployments (dev → staging → prod) multiple times a day
- Instrument services with OpenTelemetry, Grafana, and Sentry. Create dashboards to forecast denial rates, claim risks, and turnaround times
- Extend our React-based UI to allow human operators to launch agents, replay conversations, and inspect evaluation traces
- Ensure every feature is architected to meet HIPAA, SOC 2, and Natera’s internal security benchmarks
Requirements:
- Expert-level Python developer with a focus on FastAPI for high-performance, asynchronous services
- Deep experience with LLM orchestration (LangGraph, CrewAI, or similar) and building agentic workflows
- Proficient in AI-augmented development using Claude Code, Gemini, and Cursor to accelerate delivery
- Solid experience with AWS (ECS/Fargate, Lambda, S3) and CI/CD best practices
- Direct experience in Revenue Cycle Management, medical billing, or healthcare tech
- Experience processing unstructured healthcare data and a solid grasp of multimodal AI (text + vision)
- Ability to translate complex requirements from billing, compliance, and finance experts into resilient backend code
- A 'production-first' mentality—you don't just write code; you operate and monitor it
- Object Oriented Programming
- Python, FastAPI
- Typescript
- Relational Database and SQL Programming, prefer Oracle
- REST APIs and other Web service backend technologies
- CI / CD
- Quality Assurance Mindset; Nice to have: familiarity with regulated environments
- Experience designing, configuring, and implementing external applications and integrations with a LabVantage LIMS application
- Experience designing, configuring, and implementing infrastructure and software used by the LabVantage LIMS application
- Experience in configuration and customization of commercial off-the-shelf product LIMS system to support order to result workflows
- Experience performing upgrades of a LabVantage LIMS system
- Experience with front-end web programming, preferably with modern JavaScript frameworks (react, angular, etc.)
- Healthcare IT experience