---
title: 'Backend Engineer, Agentic AI (Staff+ Level) at Granted'
canonical: 'https://feeny.ai/job/backend-engineer-agentic-ai-staff-level-granted-continental-968y4ab85r00'
type: 'job'
last_seen: '2026-09-07'
---

# Backend Engineer, Agentic AI (Staff+ Level) at Granted

- **Company:** Granted
- **Location:** Continental, United States
- **Compensation:** $150k–$225k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2025-10-21
- **Last confirmed live:** 2026-09-07
- **Apply:** https://jobs.ashbyhq.com/granted/8b792376-42d1-4f6d-99cc-2bbac0ce63a3

## Job description

## 💡 MISSION

The US healthcare system is complex, error-prone, and financially draining. Medical bills and insurance coverage shouldn’t be this hard to navigate. At Granted, we’re building the one solution every American can turn to for help.

Thanks to AI and new regulations, Granted can fight claim denials, correct billing errors, negotiate bills, and make coverage easier to understand—saving people time, money, and stress. Our goal is simple: to be the #1 platform that empowers all Americans to take charge of their healthcare.

## 🩺 ABOUT US

Founded by a former Oscar Health leader, we’re a seed-stage company with $17M in funding. We’re lucky to be backed by the founders and investors at Hugging Face, Rocket Money, Oscar Health, CaseText, Forerunner Ventures, RRE Ventures, and more. We are well-funded for the next few years.

👉 Curious about our engineering culture + tech stack? Check out this write-up. https://medbill-ai.notion.site/Engineering-Granted-128bbc89f6a280f1a055c79433d06912?pvs=74

Location: While parts of our engineering team operate remotely elsewhere in the US, we strongly encourage New York–based applicants who are excited to engage in a more in-person hybrid dynamic. Local employees typically work from our Chelsea office Monday through Thursday, with Fridays working from home.

## 🔎 ABOUT THE ROLE

The Automations pod turns complex healthcare case work into scalable, agentic workflows — driving automation coverage, lowering cost to serve, and ensuring users get fast, accurate outcomes without needing to navigate the system themselves.

As an engineer on this team, you’ll help build the intelligence layer behind these workflows — designing distributed systems, integrating AI models, and ensuring everything runs reliably at scale.

## 🚀 WHAT YOU’LL DO

- 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.

## 🧪 WHAT YOU MIGHT WORK ON

- 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.

## 👩‍💻 WE'LL BE MOST EXCITED IF YOU

- Bring 9+ years of backend engineering experience, ideally building production systems at scale.
- Are 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.
- (Bonus) Have experience with healthcare data, product engineering, ML systems, or web crawling.
- (Extra bonus) Have 10+ years of GPT-5 experience — or, failing that, a good sense of humor.

📢 You don't need to check every single box—if you're passionate, driven, and excited about the impact AI can make on the healthcare system, we'd love to hear from you!

Granted is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, protected veteran status, disability, or any other legally protected characteristics.

We are also committed to providing reasonable accommodations to qualified individuals with disabilities. If you need assistance or an accommodation during the application or interview process, please contact us.

## About Granted

## Company Overview
- **One-liner**: Granted is an AI-native healthcare advocate that helps consumers navigate health insurance, manage medical bills, and resolve billing disputes.
- **Entity Type**: Private (Seed stage)
- **Headquarters**: New York City, New York, United States
- **Founded**: 2023
- **Founders**: Julien Nakache (CEO & Founder)

## Core Business
- Primary industry: Healthcare technology, AI-powered consumer advocacy
- Target customers: B2C – individuals and families in the United States navigating health insurance and medical bills
- Mission or purpose statement: To make healthcare simpler, fairer, and more humane by putting an AI-native advocate in consumers’ hands that understands insurance and helps them navigate the healthcare system with clarity and confidence.

## Products & Services
- **[Granted Platform]**: A consumer-facing app and service that connects to over 1,300 insurance and patient portals. It uses AI to review medical bills for errors, flag incorrect charges, negotiate discounts, and secure unadvertised financial assistance programs. Real expert healthcare advocates handle the back-and-forth with insurers and providers. Free to use; customers pay a pre-agreed, small fee only if money is saved (average savings of 70% on medical bills).

## Market Standing
- **Valuation/Market Cap**: Not publicly available (stealth-mode startup)
- **Key Metric**: Total Funding – Seed round (January 2024) with 3 investors; amount undisclosed.
- **Notable Investors/Partners**: Backed by founders and operators across AI, healthcare, and consumer sectors (specific names not disclosed in source materials).
- **Growth Signals**: Strong early user satisfaction; preparing for public launch; headcount grew from ~15 to ~23 employees (+55.6% year-over-year as of mid-2025); currently hiring for 7+ open roles including engineering, product, and customer experience; high job posting growth (+75% monthly, +133.3% yearly).

## Competitive Advantages
- **AI-native, consumer-first model**: Unlike employer-tied health benefits tools, Granted works directly for the individual regardless of job changes or life stage.
- **Unique value proposition**: “Free to use, pay only if we save you money” – aligns incentives with customers.
- **Data moat**: Secure, HIPAA-compliant connection to over 1,300 insurance carriers and patient portals, enabling continuous, automated bill auditing.
- **Early mover in agentic AI for healthcare**: Leverages AI agents to take action on behalf of consumers in a deeply complex, regulation-heavy industry.

## Strategic Focus
- Scaling the platform responsibly from stealth mode to public launch.
- Building out engineering (especially agentic AI backend) and product/growth teams.
- Expanding consumer adoption while maintaining high satisfaction and trust.
- Developing a two-team operating model: remote engineering/CX across continental U.S., and NYC-based hybrid for other teams.

## Why Work Here
- **Mission-driven**: Directly impact people’s financial and emotional well-being by fighting medical billing errors and making healthcare navigation simpler.
- **Early-stage ownership**: “We’re past zero to one, with real users and real traction. We’re still small enough that every hire shapes the product, the culture, and the standards we carry forward.” Meaningful equity with fair vesting.
- **Remote-first culture**: Engineering and Customer Experience teams work remotely across the continental U.S. Other roles are hybrid (4 days in NYC office, Friday remote). Company-wide offsites 2–3 times per year for co-working, hackathons, and team bonding.
- **Top-tier benefits**: Health, dental, vision, mental health support, 401(k), flexible PTO, paid team meals for in-person members.
- **Competitive compensation**: Regularly benchmarked against industry-wide datasets.
- **Strong leadership**: Founded by operators with experience in AI, healthcare, and consumer startups.

## Sources
1. [grantedhealth.com](https://grantedhealth.com/careers)
2. [grantedhealth.com](https://grantedhealth.com/about)
3. [grantedhealth.com](https://grantedhealth.com/)
4. [builtin.com](https://builtin.com/company/granted)
5. [linkedin.com](https://www.linkedin.com/company/granted-health)
6. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/granted)

## Other roles at Granted

- [Production Designer](https://feeny.ai/job/production-designer-granted-new-york-3d6t2r7mny88) — New York, NY
- [Strategic Partnerships & Business Development Lead](https://feeny.ai/job/strategic-partnerships-business-development-lead-granted-new-york-cjyxt2d6p63j) — New York, NY
- [Healthcare Advocate (New Grad / Early Career Talent)](https://feeny.ai/job/healthcare-advocate-new-grad-early-career-talent-granted-continental-am26shzaq785) — Continental, United States
- [Founding Product Marketing Manager](https://feeny.ai/job/founding-product-marketing-manager-granted-new-york-fy2v6305kwgm) — New York, NY
- [AI Strategic Projects](https://feeny.ai/job/ai-strategic-projects-granted-new-york-tqeka0dem18v) — New York, NY
- [Healthcare Advocate](https://feeny.ai/job/healthcare-advocate-granted-continental-t78pe9a7j2t0) — Continental, United States
- [Agent Product Manager](https://feeny.ai/job/agent-product-manager-granted-new-york-ed5f529zrx2f) — New York, NY