Artera 22d ago

New

USD 220000–300000/yr

Senior Principal Agentic Technologist

United States·SeattleFull Timesenior

OtherTechnologist

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Quick Summary

Overview

ABOUT ARTERA Our Mission: Make healthcare #1 in customer service. What We Deliver: Artera is an agentic company strengthening how healthcare providers communicate and care for patients.

Technical Tools

OtherTechnologist

Our Mission: Make healthcare #1 in customer service.

What We Deliver: Artera is an agentic company strengthening how healthcare providers communicate and care for patients. As an agentic partner, we bring over a decade of healthcare experience to address urgent workflows from day one and build custom solutions as healthcare providers’ needs evolve. Trusted by 1,000+ specialties, FQHCs, health systems, and federal agencies, Artera strengthens and protects and enhances patient relationships across every interaction - from intake and scheduling to referral management, post-visit care, and more.

Hear from our CEO, Guillaume de Zwirek, about why we are standing at the edge of the biggest technological shift in healthcare’s history!

Our award-winning culture: Our award-winning culture: Since founding in 2015, Artera has consistently been recognized for its innovative technology, business growth, and named a top place to work. Examples of these accolades include: Inc. 5000 Fastest Growing Private Companies (2020, 2021, 2022, 2023, 2024); Deloitte Technology Fast 500 (2021, 2022, 2023, 2024, 2025); Built In Best Companies to Work For (2021, 2022, 2023, 2024, 2025, 2026). Artera has also been recognized by Forbes as one of “America’s Best Startup Employers,” Newsweek as one of the “World’s Best Digital Health Companies,” and named one of the top “44 Startups to Bet your Career on in 2024” by Business Insider.

Applicants must be currently authorized and have the ability to provide proof of full-time, long-term authorization to work in the United States. We are unable to provide visa sponsorship or support visa transfers now or in the future.

About the Role

~5 min read

We are building the next generation of Artera's platform, creating custom agentic workflows purpose-built for healthcare. This is a foundational technical leadership role: you will define how we design, build, secure, and operate AI agents at scale, and you will establish the patterns and practices that enable multiple teams of customer-facing builders to deliver with speed, consistency, and confidence.

As a Senior Principal Agentic Technologist, you will report directly to the CTO and operate as the technical authority across Artera's engineering organization. You will shape our architecture, influence our product experience, and raise the bar for every builder at Artera.

Agent Architecture & Design

Define Artera's reference architecture for AI agents

Establish design patterns for multi-agent orchestration, tool use, memory management, and human-in-the-loop workflows tailored to healthcare operations

Own technical decisions on agent decomposition, communication patterns, and failure handling for mission-critical healthcare workflows

Evaluate and integrate emerging agentic AI capabilities as they become available

Drive continuous improvements to Artera’s operational excellence and security posture

Scale-Out Enablement for Builder Teams

Design and maintain the AI development infrastructure — including AI coding skills, structured memory, MCP server tooling, and cross-customer pattern libraries — that enables multiple teams to build customer-specific agent workflows independently and consistently

Work backwards from customer outcomes: design and consume production evaluation systems that measure how agents actually perform for each customer, derive actionable insights from those evaluations, and feed improvements back into shared development infrastructure as codified best practices

Codify proven agent development patterns (intent expression, evaluation-driven development, semantic data discovery) into reusable templates and golden paths that keep pace with industry prescriptive guidance

Define the boundaries between shared platform capabilities (security, compliance, observability, evaluation frameworks) and team-owned customization layers (per-customer prompts, tools, orchestration)

Establish knowledge-compounding mechanisms so that what one team discovers — or what production evaluation reveals — reaches every other team through structured repositories, automated pattern discovery, and contextual delivery at the moment of relevance

Provide architectural mentorship and review that ensures teams build agents using intent-based design rather than procedural encoding, and that evaluation criteria are defined before agent construction begins

Security — Shift-Left by Default

Embed security into the earliest stages of the development lifecycle through automated threat modeling, policy-as-code, and secure-by-default infrastructure patterns

Define guardrails for agent permissions, data access scoping, and least-privilege execution in multi-tenant healthcare environments

Own the security architecture for agent-to-agent communication, secrets management, and PHI handling within agentic workflows

Partner with security and compliance teams to ensure agent behaviors remain auditable and aligned with healthcare data protection requirements

Observability & Operability

Design observability architecture for agentic systems — tracing agent reasoning chains, monitoring tool invocations, and measuring outcome quality

Define SLOs, error budgets, and operational runbooks for agent-powered workflows

Establish patterns for graceful degradation, circuit breaking, and fallback behaviors in agent systems

Design evaluation frameworks that measure agent effectiveness from the customer's perspective — not just system health, but whether patients achieved their intended outcomes (appointment scheduled, question answered, referral completed)

Close the feedback loop between production evaluation insights and development practices, ensuring that patterns which improve customer outcomes are systematically propagated to all builder teams

Ensure operational readiness criteria are met before any agent workflow reaches production

DevOps & Engineering Excellence

Raise the bar on CI/CD practices: define pipeline standards, deployment strategies, and infrastructure-as-code patterns for agent workloads

Drive adoption of trunk-based development, automated testing (unit, integration, end-to-end agent evaluation), and continuous deployment

Establish engineering quality standards including code review expectations, architecture decision records, and technical debt management

Define and maintain AI-assisted development workflows — including structured project memory, tool-augmented sessions, and automated pattern delivery — that accelerate onboarding and reduce tribal knowledge dependencies

Mentor engineers across the organization, conduct architecture reviews, and build a culture of operational ownership

Technical Leadership & Strategy

Serve as Artera's primary technical liaison with critical external vendors, maintaining alignment with their roadmap and prescriptive guidance

Influence product strategy with a deep understanding of what agentic AI can deliver for healthcare operations

Make high-judgment calls on build-vs-buy, technology selection, and architectural trade-offs

Represent Artera's technical vision externally through publications, conference talks, and community engagement

12+ years of software engineering experience with increasing scope and technical leadership responsibility

Deep expertise in distributed systems design — building and operating large-scale, highly available, fault-tolerant services

Extensive hands-on experience with AWS services (compute, networking, identity, databases, serverless, AI/ML)

Demonstrated ability to define and drive technical strategy across multiple engineering teams

Track record of designing platform-level abstractions that enable other teams to deliver independently

Experience establishing and scaling DevOps, CI/CD, and infrastructure-as-code practices across an engineering organization

Strong written and verbal communication skills with the ability to influence without authority at all organizational levels

Experience with AI/ML systems in production — particularly LLM-based applications, agent frameworks, or multi-agent orchestration

Familiarity with AWS AgentCore, Amazon Bedrock, or equivalent agent infrastructure platforms

Healthcare industry experience including HIPAA compliance, BAA requirements, and PHI data handling in cloud environments

Background in platform engineering for multi-tenant SaaS products

Experience with security architecture in regulated industries — threat modeling, policy-as-code, zero-trust patterns

Experience designing evaluation and feedback systems for AI/ML applications that connect production performance back to development practices

History of publishing technical content, speaking at conferences, or contributing to open-source projects

At Artera, we believe the best work happens when people are truly connected. Our AI services model has shown what’s possible when small, focused teams move fast together — the speed of collaboration, pace of career growth, and quality of what we build can become stronger when teams share space. As we grow, we want every new teammate to feel part of an in-person community from day one.

That’s why we are focusing our U.S. hiring in three cities, where we are investing in offices and building strong local teams:

Santa Barbara, CA (Our HQ)
Seattle, WA
Kansas City, KS/MO

Unless a role’s posting states otherwise, new U.S. roles are based in one of these three cities, and candidates should reside in (or be willing to relocate to) one of these areas. Each location follows an in-person schedule that reflects how our local teams work best; we’ll walk you through what to expect for your specific role and city during the interview process.

Focusing on offices and hiring in a few locations, rather than spreading thin across many cities, lets us invest deeply in each one so every team has real community, mentorship, and momentum in person.

Company benefits - Full health benefits (medical, dental, and vision), flexible spending accounts, company paid life insurance, company paid short-term & long-term disability, company equity, voluntary benefits, 401(k) and more!

Career development - Manager development resources, employee development funds

Generous time off - Company holidays, Winter & Summer break, and flexible time off

Employee Resource Groups (ERGs) - We believe that everyone should belong at their workplace. Our ERGs are available for identifying employees or allies to join.

Artera is an Equal Opportunity Employer and is committed to fair and equitable hiring practices. All hiring decisions at Artera are based on strategic business needs, job requirements, and individual qualifications. All candidates are considered without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetics, protected veteran status, or any other protected status.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.

Artera is committed to providing employees with a work environment free of discrimination and harassment; Artera will not tolerate discrimination or harassment of any kind. Artera provides reasonable accommodations for applicants and employees in compliance with state and federal laws. If you need an accommodation, please reach out to hr@artera.io.

Artera values your privacy. By submitting your application, you consent to the processing of your personal information provided in conjunction with your application. For more information please refer to our Privacy Policy.

Requirements

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All employees are responsible for protecting the confidentiality, integrity, and availability of the organization’s systems and data, including safeguarding Artera’s sensitive information such as, Personal identifiable Information (PII) and Protected Health Information (PHI). Those with specific security or privacy responsibilities must ensure compliance with organizational policies, regulatory requirements, and applicable standards and frameworks by implementing safeguards, monitoring for threats, reporting incidents, and addressing data handling risks or breaches.