Curative is building the future of health insurance with an innovative employer-based plan aimed at making care accessible. They are seeking a forward deployed software engineer to take technical ownership of their care coordination platform, collaborating closely with clinical teams to enhance software solutions based on real user feedback and operational metrics.
Responsibilities:
- The codebase. A full-stack Python + TypeScript application with significant domain complexity. You own code review, architectural decisions, and the quality bar. Most commits will be AI-authored, human-directed, human-reviewed. All of them are yours
- AI leverage. The internal tooling, prompts, skills, and evals that let one engineer operate a service of this scope. You will extend it
- Production. Cloud infrastructure, deploy pipeline, observability, on-call, incident response, and cost
- Operational metrics. You watch how the platform performs for its users — not just uptime, but workflow completion rates, navigator efficiency, time-to-resolution, and the other numbers that tell you whether the software is actually helping. You surface what the data shows, propose changes, and close the loop
- Stakeholder relationships. You are the engineer in the room with care navigators, clinicians, and ops leads. You translate their pain into scope, push back when a request won't solve the real problem, and build trust by shipping reliably
- The roadmap. Co-owning the product plan with clinical and product stakeholders. Sequencing work, flagging what is infeasible, proposing alternatives — and sometimes arguing for the thing nobody asked for yet because you are close enough to the problem to see it
- Strategy for your surface. You don't just execute a roadmap handed to you — you shape it. You see patterns across clinical feedback, production data, and business goals, and propose what to build next
- Integrations. A growing set of connections to other internal services and third-party healthcare systems
- The clinical domain. You will not arrive a healthcare expert, but within 90 days you will understand the workflows well enough that every prompt you write is loaded with the right context
Requirements:
- 5+ years shipping production software. Enough reps that you recognize bad code before you can articulate why
- Real fluency in Python and TypeScript. Not 'I can read it' — fluent. You will direct work in both every day
- Strong SQL and relational database fundamentals. You can read a query plan, spot an N+1, and know when a migration is unsafe at scale
- Comfort with operational data. You have built or maintained dashboards, dug into usage metrics to find problems, and used data to argue for or against a product change
- Systems thinking. Can sketch a service's architecture on a whiteboard, identify the failure modes, and reason about blast radius
- Production cloud experience (AWS, GCP, or equivalent). You have been on-call for something real
- Comfort working directly with non-technical stakeholders. You can run a 30-minute workflow review with a nurse navigator, extract the real requirements, and leave them feeling heard — not bulldozed
- Sharp written communication. You will spend more time writing prompts, specs, and PR descriptions than writing code
- You already use Claude Code, Cursor, Codex, or equivalent as your primary development tool — not as a side autocomplete
- You have opinions about how to structure prompts, when to split work into subagents, and how to keep AI output from drifting
- You review every AI-generated diff. You do not merge on vibes
- You treat the AI as a junior engineer with infinite throughput: high leverage, zero judgment, and needs supervision
- You enjoy building tooling that makes AI more effective on your codebase — skills, evals, fixtures, integrations
- You see AI leverage as what makes it possible for one engineer to own a full product surface and stay close to users — not as a reason to stay heads-down in a terminal
- A portfolio of AI-assisted work — skills you wrote, agents you built, automations you shipped
- Experience being the single owner of a non-trivial service in production