---
title: 'Member of Technical Staff at Midstream Health'
canonical: 'https://feeny.ai/job/member-of-technical-staff-midstream-health-san-francisco-p2pvstdfk2j1'
type: 'job'
last_seen: '2026-10-16'
---

# Member of Technical Staff at Midstream Health

- **Company:** Midstream Health
- **Location:** San Francisco, CA
- **Employment:** full-time
- **Work type:** onsite
- **Posted:** 2026-10-06
- **Last confirmed live:** 2026-10-16
- **Apply:** https://jobs.ashbyhq.com/midstream/a5990455-e253-4bee-983c-077c05e36089

## Job description

Midstream is an AI-native financial operating system for health systems, founded by experienced entrepreneurs and backed by top-tier investors. We give finance, supply chain, and managed care teams real-time visibility into where margin is at risk, with a precise action plan for capturing it before it's gone. Purpose-built for healthcare's complexity, Midstream transforms structured, unstructured, and external data into instant, contract-aware insights that drive smarter decisions. Our AI agents unify spend and revenue operations across the full back-office, learning and adapting with every interaction and delivering always-on intelligence that no point solution or one-off engagement can match. We're compressing months to minutes and turning post-period hindsight into in-the-moment foresight. The tempo of healthcare finance is changing, and Midstream is leading it.

Opportunity As a Member of Technical Staff, you’ll build AI-native products that solve complex, high-impact problems for some of the country’s largest health systems. Your work will span wherever you can create the most value. You might spend a week at a customer site rapidly building and testing a prototype, then turn those learnings into a scalable platform capability back at HQ. At other times, you may go deep on our data infrastructure, agentic workflows, ML platform, or core product experience. We’re looking for engineers with strong technical craft who are motivated by the mission, not the boundaries of a particular domain. You’re excited to go wherever the most important problem takes you—and use AI and software to meaningfully change how healthcare operates.

## How you'll make an impact

You’ll take ownership of critical capabilities across the Midstream platform, moving fluidly between foundational platform investments and rapidly building solutions to real customer problems. Your work may include some or all of the following:

- SaaS Platform & Infrastructure: Develop key components of our multi-tenant SaaS platform, including Identity & Access Management, connector provisioning, and infrastructure improvements that increase the speed, reliability, and scalability of our products.
- API Development: Design and implement APIs and data models that can support complex healthcare workflows, shared platform capabilities, and customer-specific needs without sacrificing scalability.
- ML Platform Development: Leverage foundational models and develop novel ML solutions to solve problems across complex, high-dimensional healthcare data.
- Agentic Workflows: Build tools and agents that transform how healthcare operators work, including natural-language analytics and workflows that enable rapid discovery of insights with source-level traceability.
- UI Development: Build intuitive product experiences that turn complex datasets and AI-generated insights into clear, actionable workflows for health system users.
- Security & Compliance: Build security into the foundation of our platform, including encryption, role-based access controls, and infrastructure designed to meet standards such as SOC 2 and HIPAA.
- Set Standards and Deliver Impact: As a member of our early engineering team, you’ll work closely with our founders, Product, and customers to identify the highest-impact problems and solve them. Sometimes that means investing deeply in our platform; other times it means getting close to a customer, building quickly, and learning from real-world use. You’ll help set the technical and cultural standards for how we build as the company grows.

Your impact won’t be defined by a particular layer of the stack. It will be defined by the problems you solve, what you learn from customers, and your ability to turn those learnings into technology that can create value across health systems.

## Who you are

- Problem-Solving: You’re energized by hard, ambiguous problems and have the technical judgment to break them down, learn quickly, and find a path forward—even when the answer isn’t obvious.
- Communication: You’re a strong communicator who can collaborate across Engineering, Product, and our health system partners. You can explain technical concepts clearly and are comfortable getting close to users to understand the problems you're solving.
- Adaptability: You thrive in fast-moving environments and are comfortable following the most important problem. You can move from building a customer prototype to strengthening a core platform capability without viewing either as outside your job.
- Programming Skills: You have excellent coding abilities in high-level languages such as Python and TypeScript and strong software engineering fundamentals.
- SaaS Platform Development: You have experience building scalable software platforms, including API design, CI/CD, multi-tenancy, and role-based access control.
- Cloud Platforms: You have strong experience with cloud services such as GCP or AWS and infrastructure-as-code technologies such as Kubernetes and Terraform, with the ability to leverage cloud-native services across compute, storage, data, and ML applications.
- Experience: You have a bachelor's degree in Computer Science, Engineering, or a closely related field, or equivalent professional software engineering experience.

Above all, you’re excited by the opportunity to use technology and AI to make a meaningful impact on healthcare. You care about building excellent software, but you care even more about whether what you build solves a real problem. You’re willing to learn a new domain, pick up a new technology, sit alongside a customer, or work outside your usual comfort zone when that’s what it takes to deliver meaningful impact.

## About Midstream Health

## Company Overview
- **One-liner**: Midstream Health provides an AI-powered financial action platform that gives health systems real-time visibility into margin risks and enables proactive optimization of revenue and cost.
- **Entity Type**: Private (venture-backed, stage not publicly disclosed)
- **Headquarters**: San Francisco, CA, USA (primary office)
- **Founded**: 2009 (per Built In profile; other sources indicate a more recent inception – conflicting reports)
- **Founders**: Venkat Mocherla (CEO) and Sumit Kadakia (President)

## Core Business
- **Primary industry**: Healthcare Financial Technology (HealthTech / FinTech for health systems)
- **Target customers**: Health systems, hospitals, and managed care organizations (B2B, enterprise)
- **Mission / Purpose Statement**: “Restoring financial clarity to healthcare by surfacing what matters, when it matters.”

## Products & Services
- **AI-Powered Financial Action Platform**: A SaaS platform that ingests fragmented contract, pricing, rebate, and payer data to surface margin opportunities (e.g., missed rebates, underpayments, pricing variances). Features include 24/7 AI agents, natural-language query, real-time scenario planning, and verified traceability back to source data. Designed for supply chain, pharmacy, managed care, and finance teams.

## Market Standing
- **Valuation / Market Cap**: Not publicly disclosed
- **Key Metrics**:  
  - Over **$80B in net patient revenue** managed through the platform (as of late 2025)  
  - **1,461+** opportunities surfaced (likely metric)  
  - **90 days** to realise value? (incomplete data)  
  - **Funding**: Not publicly available. Notable advisors include Mo Kaushal (Advisor to General Catalyst), suggesting VC backing.
- **Notable Investors / Partners**: Advisors include Mo Kaushal (General Catalyst), Vance Moore (ex-President Mercy), Mitch Morris (ex-Vice Chairman Deloitte), Nancy McCutchen (ex-SVP Optum), Debby Meredith (ex-VP Engineering Netscape), and Andy Murphy (Partner Chartis). Customer reference: CommonSpirit Health (CIO Daniel Barchi).
- **Growth Signals**: Emphasis on “measurable margin impact in days”; platform deployment is fast (“no multi-year implementation”); hiring across engineering, product, and partnerships (7 open roles as of July 2025).

## Competitive Advantages
- **Purpose-built for healthcare**: Integrates with existing health system workflows; fills critical data gaps with proprietary datasets.
- **Speed to value**: AI agents surface opportunities that can be acted on in days, not months.
- **Closed-loop execution**: Not just analytics – every opportunity is traced to source data, enabling leaders to act immediately.
- **Domain‑trained AI**: Continuously learns from contract, pricing, and rebate data to become smarter over time.
- **Strong advisory network** with deep healthcare and technology expertise.

## Strategic Focus
- **Proactive vs. reactive**: Shift health system finance from post-period hindsight to real-time foresight.
- **Data completeness**: Build proprietary datasets to complement fragmented health system data.
- **Agentic optimization**: Expand AI agent coverage across supply chain, pharmacy, and managed care.
- **Scaled impact**: Target larger health systems and multi-hospital networks (e.g., CommonSpirit Health).

## Why Work Here
- **Culture**: Small, tight-knit team with values of transparency, collaboration, ownership mindset, and speed. “We build with, not for, each other.”
- **Work model**: Hybrid office in San Francisco (employees split time between remote and on-site). Some roles listed as remote.
- **Perks**: Competitive pay & equity, full medical/dental/vision, flexible PTO & family leave, commuter benefits, pet-friendly office, daily team lunches, professional development stipends, weekly social events.
- **Engineering culture**: “We ship early and often” – emphasis on fast iteration and ownership of outcomes. Team includes operators, engineers, and health system experts.

## Sources
1. [midstream.health](https://www.midstream.health/) – Company landing page  
2. [midstream.health/careers](https://www.midstream.health/careers) – Careers page with perks and job openings  
3. [midstream.health/about](https://www.midstream.health/about) – About page with leadership, advisors, and values  
4. [builtin.com/company/midstream-health](https://builtin.com/company/midstream-health) – Company profile including founded year, office location, and job listings  
5. [jobs.ashbyhq.com/midstream](https://jobs.ashbyhq.com/midstream) – Active job postings

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