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About the Role
You will design, build, edit, and deploy the internal software and agentic workflows that power GNF. This role goes far beyond simple RPA scripts or Zapier zaps: you will architect resilient, event-driven pipelines where autonomous AI agents augment human expertise —handling everything from automated patient chart preparation and cycle intake to real-time prior-authorization processing and care coordination.
Responsibilities
- Design, test, and deploy multi-agent systems that autonomously execute multi-step operational tasks (e.g., insurance verification, medication schedule reconciliation, lab result triaging, and patient-tailored educational updates).
- Build resilient, state-driven workflow pipelines (using modern orchestration platforms like Temporal, Inngest, or LangGraph) that safely bridge probabilistic LLM outputs with deterministic clinical operations.
- Architect internal tooling and queues that allow physicians, embryologists, and patient coordinators to supervise, inspect, and approve AI-generated actions before they write back to production systems.
- Build reliable API-level integrations connecting our core Electronic Health Record (EHR) / IVF Practice Management Systems (eIVF) with our communications stack, billing engines, and laboratory data layers.
- Implement programmatic validation layers (e.g., Pydantic, Instructor), safety guardrails, and automated evaluation suites to continuously measure model latency, hallucination rate, token cost, and clinical accuracy.
- Embed with clinical coordinators, billing specialists, and fertility doctors to reverse-engineer messy, manual workflows and convert them into clean, high-scale software systems.
Requirements
- 3–5+ years of professional software development experience (proficient in Python and/or modern TypeScript).
- Solid understanding of API architecture (REST, webhooks, GraphQL), event-driven systems, and modern relational databases (PostgreSQL/SQL).
- Direct experience working with healthcare standards and APIs (FHIR, HL7, SMART on FHIR), and working within HIPAA/HITECH security envelopes.
- Hands-on experience building with modern LLM orchestration frameworks (LangGraph, LlamaIndex, CrewAI, AutoGen) and stateful workflow engines (Temporal, Inngest, or AWS Step Functions).
- Deep knowledge of tool-calling / function-calling, structured data extraction (Pydantic, Instructor, Outlines), and Retrieval-Augmented Generation (RAG) over clinical or operational SOPs.
- Familiarity with tracing, evals, and observability tools (e.g., Langfuse, LangSmith, Arize Phoenix, DeepEval).
- Pragmatism Over Hype: You recognize when a problem calls for an autonomous agent vs. a fast deterministic Python script vs. a vendor SaaS tool. You optimize for uptime, clinical safety, and user adoption.
- Cross-Functional Fluency: You can speak technical details with software vendors in the morning, and sit elbow-to-elbow with a clinical coordinator or fertility physician in the afternoon to map their workflow.
- Product Ownership: Comfortable operating in a fast-paced environment where you own the full lifecycle from problem discovery through implementation, unit testing, user training, and maintenance.
- Direct domain experience in fertility care, reproductive endocrinology, ambulatory care, or health-tech startups.
- Experience building custom internal front-ends (Retool, Streamlit, React, or Next.js) for internal human-review interfaces.
- Track record of successfully replacing legacy RPA (UiPath, Power Automate) with clean, maintainable code-based microservices.
Skills
- Python
- TypeScript
- REST
- Webhooks
- GraphQL
- PostgreSQL
- SQL
- FHIR
- HL7
- SMART on FHIR
- HIPAA
- HITECH
- LangGraph
- LlamaIndex
- CrewAI
- AutoGen
- Temporal
- Inngest
- AWS Step Functions
- Pydantic
- Instructor
- Outlines
- Retrieval-Augmented Generation (RAG)
- Langfuse
- LangSmith
- Arize Phoenix
- DeepEval
- Retool
- Streamlit
- React
- Next.js
- UiPath
- Power Automate
Location
- Midtown Manhattan, NYC
Work Type
- Hybrid
- Remote
Experience Level
- 3-5+ years of professional software development experience
Salary/Compensations
- 150-200k yearly
Benefits
- Competitive salary
- bonus
- health insurance
- 401(k) matching
- work flexibility
About the Company
- Generation Next Fertility (GNF) is a premier, physician-led reproductive care practice.
- Fertility treatments (IVF, egg freezing, embryo transfers, pre-conception testing) require deeply complex, high-touch workflows spanning clinical decision-making, real-time lab orchestration, insurance pre-authorizations, and compassionate patient communication.
- We believe the future of clinical excellence lies at the intersection of empathetic care and agentic software infrastructure.