Founding Engineer
Tahoma AI
Tahoma builds AI agents that automate healthcare Revenue Cycle Management (eligibility, claim status, claim submission, denials, and payment posting). The Founding Engineer will own the core platform end-to-end, making architecture decisions around resilience, exactly-once guarantees, observability, and cost per run for production agents used by enterprise customers.
What you’ll do
- Own the core platform end to end
- Design for resilience to portal changes
- Implement exactly-once guarantees
- Build observability for agent runs
- Optimize cost per run
- Work on deterministic orchestration layer where model calls are bounded steps
What they’re looking for
- Experience building production systems (post mentions live in production with paying enterprise customers)
- Ability to operate agents that interact with payer portals behind MFA
- Experience with green-screen terminals over SSH and Windows desktop automation where actions may be irreversible
- Comfort making architecture-level decisions for resilience and correctness
- Provide resume and one thing you've shipped when applying
Skills
- TypeScript: Node.js, TypeScript/Node.js
- Playwright: Playwright
- Agent tooling: computer-use agents, AI agents, model calls as bounded steps
- Anthropic Claude: Claude
- Postgres: Postgres
- Azure: Azure
- Kubernetes: K8s, Kubernetes
The post
Tahoma AI | tahoma.io | Austin, TX or Seattle, WA (ONSITE optional) | REMOTE (US) | Full-time | Founding Engineer
Tahoma builds AI agents that automate healthcare Revenue Cycle Management (RCM): eligibility, claim status, claim submission, denials, and payment posting. We're live in production with paying enterprise customers.
Our agents operate payer portals behind MFA, green-screen terminals over SSH, and Windows desktop software, where some actions are irreversible. They run on a deterministic orchestration layer we built in-house, with model calls as bounded steps, not the control loop.
Stack: TypeScript/Node.js, Playwright, computer-use agents, Claude, Postgres, Azure, K8s.
You'll get to own the core platform end to end and make the real architecture calls: resilience to portal changes, exactly-once guarantees, observability, and cost per run.
Team: Founder from AWS, the former UnitedHealthcare CIO, advisors from Microsoft Research and Shopify's AI team, and a remote engineering team in-flight.
Please write us at careers@tahoma.io with your resume and one thing you've shipped. You can see more at https://www.tahoma.io/careers
Thanks!