[Remote] Backend Engineer, Agentic AI (Staff+ Level)

Note The job is a remote job and is open to candidates in USA. Granted is a seed-stage company focused on simplifying the complex US healthcare system through AI-driven solutions. The role involves designing scalable systems and APIs, integrating AI models, and ensuring reliable outcomes for users navigating healthcare processes. Responsibilities Design and build scalable systems and APIs that power agentic workflows from case activation through resolution Push the frontier of AI-driven engineering, working on prompt orchestration, agent frameworks, and model evaluation loops Collaborate closely with Product, Engineering, and domain experts to translate complex healthcare processes into reliable automations Architect systems for scale and reliability, ensuring human escalation pathways are transparent and seamless Play a key role in shaping the pod’s technical strategy, and mentor others as the team grows Creating and optimizing AI pipelines to identify, categorize, and resolve errors in medical billing and insurance claims Building automated agents and backend services that handle complex case flows with minimal human intervention Integrating domain-specific healthcare knowledge into models and decision engines to improve accuracy Developing tooling and infrastructure to measure and improve AI performance in real-world scenarios Skills 9+ years of backend engineering experience, ideally building production systems at scale Deeply curious about AI — from prompt engineering and agent orchestration to model evaluation Excel at designing pragmatic solutions to complex technical challenges Communicate clearly and collaborate effectively across disciplines Thrive in high-autonomy, fast-moving environments Experience with healthcare data, product engineering, ML systems, or web crawling 10+ years of GPT-5 experience — or, failing that, a good sense of humor Benefits Local employees typically work from our Chelsea office Monday through Thursday, with Fridays working from home. Company Overview Healthcare in the U.S. is broken - complex, confusing, and often unfair. It was founded in 2023, and is headquartered in New York, New York, USA, with a workforce of 11-50 employees. Its website is https//grantedhealth.com. Company H1B Sponsorship Granted has a track record of offering H1B sponsorships, with 1 in 2026. Please note that this does not guarantee sponsorship for this specific role.