About Amigo

Amigo builds AI agents for healthcare. For managed service customers, we are responsible for maintaining and uplifting agent performance, ensuring clinical safety and continuous improvement of patient outcomes.

Our agents operate autonomously within bounded clinical domains. Clear inclusions, exclusions, and handoff protocols. The scope of autonomous operation expands over time as we validate performance across patient populations.

The platform handles both clinical workflows and patient engagement at scale: post-discharge monitoring, intake, medication adherence, care gap closure, and more. Context-aware agents with memory across sessions and clinical action capabilities.

Series A from leading investors. Clinical validation and evidence generation in partnership with leading academic medical institutions.

About this role

As a Staff Full-Stack Engineer at Amigo, you'll own the technical direction of the foundational applications that power clinical operations. Three products: Control Center for real-time oversight of agent conversations, Research Platform for natural language queries over healthcare data, and Agent Forge for designing agent behavior without code.

You'll drive architecture decisions, establish engineering standards, and build systems that scale. These applications handle sensitive patient data and support clinical workflows—correctness and reliability are non-negotiable. You'll mentor engineers, shape technical culture, and ensure we maintain elite engineering standards as the team grows.

What you'll do

• Own technical architecture and system design across Control Center, Research Platform, and Agent Forge

• Drive engineering standards for code quality, testing, observability, and incident response

• Architect real-time systems for clinical oversight—streaming conversations, escalation workflows, audit trails

• Design the technical approach for natural language queries over healthcare data

• Architect no-code tools that enable non-engineers to design and configure agent behaviors

• Design APIs, data models, and caching strategies that support real-time streaming, voice, and multi-channel communication at scale

• Own authentication, authorization, and audit logging architecture for healthcare compliance

• Make build vs. buy decisions and evaluate technical tradeoffs across the platform

• Mentor engineers and establish patterns that raise the bar for the entire team

• Collaborate with agent engineers, clinicians, and customers to understand complex workflow requirements

• Define and maintain shared component libraries, design system, and development infrastructure

What we're looking for

• 7+ years of production full-stack engineering experience, with significant time at elite engineering organizations

• Expert-level React/TypeScript skills with deep understanding of performance, rendering, and state management

• Strong experience building Python backend services, REST APIs, and distributed systems

• Proven track record designing systems that scale—you've built and operated high-traffic production applications

• Deep understanding of real-time systems (WebSockets, streaming, event-driven architectures)

• Experience with relational databases, data modeling, query optimization, and caching strategies

• History of establishing engineering standards and mentoring engineers

• Extremely high standards for code quality, reliability, and operational excellence

• Both execution-oriented and defensive-minded: you ship fast while anticipating failure modes

• Strong product instincts—can translate ambiguous requirements into robust technical solutions

• Excellent written and verbal communication across engineering and executive stakeholders

Nice to have

• Experience with healthcare applications or regulated industries (HIPAA, SOC 2)

• Background with voice/telephony systems or real-time communication protocols

• Experience building no-code/low-code platforms or developer tools

• Track record building and scaling engineering teams

• Understanding of accessibility requirements for clinical software

• Experience with mobile development (React Native, iOS, Android)

Benefits

Health & Wellness

• Comprehensive health, dental, and vision insurance

• Mental health support and wellness coaching

• Flexible wellness stipend for fitness, therapy, or personal growth

• Daily catered lunch and dinner

Growth & Development

• Annual learning budget for courses, books, or conferences

• Conference attendance budget for professional development

• Development setup of your choice

• Academic collaboration opportunities