--- title: 'Software Engineer, Product at Midstream Health' canonical: 'https://feeny.ai/job/software-engineer-product-midstream-health-san-francisco-94aqgd3mksw7' type: 'job' last_seen: '2026-09-11' --- # Software Engineer, Product at Midstream Health - **Company:** Midstream Health - **Location:** San Francisco, CA - **Employment:** full-time - **Work type:** hybrid - **Posted:** 2025-12-09 - **Last confirmed live:** 2026-09-11 - **Apply:** https://jobs.ashbyhq.com/midstream/64549fb3-f933-476b-919e-37524f8b3d1e ## 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 This is a rare opportunity to join Midstream at a formative stage and help shape our foundational product. You’ll work at the intersection of product, systems, and cloud infrastructure, designing and building a ML and AI native platform. This role is perfect for mid-senior level engineers who are passionate about user experience and bring a craft that emphasizes scalability, reliability and performance. This is a hybrid position, based in the Bay Area. ## How you'll make an impact We’re looking for a driven Software Engineer to take ownership of critical components within our software platform. You’ll work closely with healthcare data, contributing to capabilities that assist medical provider networks, ensuring secure, efficient handling of sensitive information to improve outcomes across the healthcare sector. These responsibilities include some / all of the following: - SaaS Platform & Infrastructure: Develop key components of our multi-tenant SaaS platform, including Identity & Access Management, connector provisioning, and infrastructure enhancements to improve speed and service integration. - API Development: Play a key role in the design and implementation of our APIs and data models, ensuring they meet the needs of diverse verticals and support both open/shared and customer-specific datasets effectively. - ML Platform Development: Leverage existing foundational models and develop novel ML solutions to solve problems with complex, high dimensional healthcare data - Agentic workflows: Build tools and and agents to power our natural language analytics that enables rapid discovery of insights with source document traceability. - UI Development: Build a world-class user experience into the Midstream platform to provide actionable insights over large data sets. - Security & Compliance: Implement and maintain robust security measures, including encryption and role-based access control, while ensuring compliance with standards like SOC 2 and HIPAA - Setting standards and delivering impact: You will be a member of the founding engineering team working closely with the founders and have the opportunity to make big early impacts on our systems. Your work will directly contribute to the platform's evolution, enabling robust data integration and analysis capabilities, supporting machine learning deployment, and ensuring our platform remains secure and compliant. ## Who you are - Problem-Solving: Excellent problem-solving skills with a knack for tackling complex technical challenges. - Communication: Strong communication skills, capable of working collaboratively within cross-functional teams and articulating technical concepts to diverse audiences. - Adaptability: Ability to thrive in a fast-paced environment, with resilience and effective task prioritization. - Programming Skills: Excellent coding abilities in high-level languages such as Python and Typescript - SaaS Platform Development: Knowledge in building scalable SaaS platforms, including API design, CI/CD, multi-tenancy, RBAC - Cloud Platforms: Strong experience with cloud services (GCP, AWS) and infrastructure as code tools (Kubernetes, Terraform), with the ability to leverage cloud-native services for computing, storage, and ML applications. - A bachelor's degree in Computer Science, Engineering, or a closely related field OR relevant software engineering experience ## 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. 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