Senior AI Software Engineer

About XCures
The best of medicine should belong to everyone. Nobody dreams of becoming good at being a patient. We have people to love, things we want to do, and plans we hope to keep. Illness already asks enough of us.
xCures® exists to give healthcare the capacity to care for everyone. Healthcare has more to give. Too much of its time, money, and talent goes into unnecessary work that keeps people waiting and drives up the cost of care. Freeing those resources can make excellent care possible for far more people.
xCures understands a patient’s history across the places they receive care and keeps that understanding current. It puts trusted information in the hands of the people who need it, when they need it, and uses that knowledge to take on more of the administrative work around care. Every extracted data point traces back to the exact document and page it came from.
Our ambition is to empower doctors to make better decisions, enable researchers to develop better treatments faster, and help healthcare organizations serve more people with fewer errors and lower costs. We work with diagnostic labs, providers, telehealth companies, health systems, payers, and consumer health platforms. We are a fully remote, venture-backed team that holds itself to the same standard as our product: trustworthy, precise, and purposeful.
We are building for the lives people want to live.
Here’s Where You’ll Make An Impact
xCures is looking for a Senior AI Software Engineer to help pioneer how AI gets used in one of the most regulated industries there is: healthcare. You will report directly to our Head of AI Engineering, designing and building systems that let us deliver more, faster, without giving up quality. You will help scale our technical foundation and performance as we grow. This is a chance to shape how AI-driven engineering works in a regulated space, and set the pattern the team follows.
Key Responsibilities
Own software design and architecture, making technical decisions that hold up as we scale
Write and ship production code across features and bug fixes, moving quickly without sacrificing quality
Identify and clear roadblocks, technical or cross-team, that slow down delivery
Partner with stakeholders across teams to land on solutions that serve company priorities, driving initiatives from idea to completion with minimal oversight
Champion adoption of AI-forward development workflows across the engineering org, measured by increased velocity and reduced backlog
Contribute to new platform and product deliverables as our architecture evolves
Qualifications
Required:
6+ years of professional software engineering experience
Hands-on experience building AI-powered workflows and software
Experience with AWS and GCP
Strong proficiency in an object-oriented programming language
Experience with database design and scaling
Demonstrated experience with software performance and optimization
Experience working in a highly regulated industry (e.g., healthcare, finance)
Experience with event-driven architecture or CQRS
Strong foundation in core computer science fundamentals and algorithmic thinking
An agile, systems-level thinker who can diagnose ambiguous problems and drive to a solution using first-principles reasoning
Self-directed: able to figure out what a task requires, identify who to loop in for missing details, and execute end to end
Bonus Points
Experience with data science or data engineering work
A metrics-driven approach to evaluating your own and your team's output
Location
xCures operates in a distributed, remote-first environment, with occasional travel to company offsites or key meetings throughout the year. Candidates may be located anywhere in the United States. The successful candidate must already have authorization to work in the United States. At this time, xCures does not offer sponsorship. All candidate information will be held in confidence and in accordance with EEOC guidelines.
Additional Considerations
We recognize that people bring a wealth of experience and talent beyond just the requirements listed in a job description. Diversity of experience and skills, combined with a shared passion for healthcare, is what drives us to innovate. We welcome candidates from all backgrounds and encourage you to apply, even if you don’t meet every qualification listed. xCures is an equal opportunity employer, committed to creating an inclusive environment for all employees.
Benefits
Great work deserves great support. We believe our people are our greatest asset, and we’re committed to supporting them with a strong, competitive benefits package. Our goal is to be a place where people genuinely want to build their careers, and our benefits are designed to support our team in the ways that matter most.
Remote-First
Unlimited Paid Time Off and 13 Company Holidays
Equity Package
Paid Parental Leave
Medical, Vision, and Dental
Employer HSA Contribution
Employer 401(k) Match
STD, LTD, Life Insurance and Critical Illness Plans
Employee Assistance Program
Adoption Assistance
Company Offsites
Monthly Internet Allowance
Professional Development Funds
And more!
Compensation
The anticipated salary range for this role is $150,000 to $220,000
Agency Notice: xCures does not accept unsolicited resumes from staffing agencies, search firms, or other third-party recruiters. Any resumes submitted without a signed, active agreement with xCures will not be considered, and no fee will be paid in the event of a hire.

Work arrangement
Yes