Senior Software Engineer - Full Stack NYC or SF

At Concurrence, we're building the clinical AI infrastructure that health systems, life sciences companies, payors, and government agencies run their patient-facing care on. Our agents work across the whole patient journey: pre-visit intake, care navigation, post-visit care plans, and ongoing monitoring. Our mission is to make excellent care accessible to every patient, not rationed by the limits of clinician time.

Job Description

This hasn’t been solved because the underlying record was never built for it. EHRs were designed for billing, not for systems that learn. So instead of layering another point solution on top, we’re rebuilding the medical record as a timeline of clinical events and running agents on top of it that improve with every patient interaction. Unlike single-purpose chatbots or scribes, Concurrence is the platform our customers use to build their own agents.

That means our work has to hold up across specialties, workflows, and regulatory environments and not just one narrow use case.

Our agents have supported more than 10 million patient encounters and are on track to grow tenfold this year. Our work is validated through partnerships with leading academic medical institutions. We’re fresh off our Series A, backed by Tier 1 VCs such as Madrona, General Catalyst, and Optum Ventures.

We’re a small team of around 35 people, working in person in New York City and San Francisco. We care deeply about craft, clinical rigor, and the speed at which good ideas reach patients. If you want your work to be measured in outcomes rather than releases, we’d like to hear from you.

As a Senior Full Stack Engineer at Concurrence, you'll build the applications that clinical teams, researchers, and customers use every day: real-time oversight of live agent conversations, natural language research over healthcare data, and tools for designing agent behavior without code. You'll own features end to end, from the database to the UI, in systems that handle sensitive patient data. The bar for correctness and reliability is high.

• Building real-time interfaces for clinical oversight of live agent conversations
• Owning a feature end to end, from schema to API to UI
• Designing tools that let non-engineers shape agent behavior safely
• Making healthcare data explorable through natural language
• Hardening the reliability and performance of applications clinicians depend on
• Working with designers, clinicians, and customers to get the details right

• You've shipped production full-stack features end to end and owned the outcome
• You're strong across the stack, from data modeling and APIs to modern front-end work
• You sweat correctness and reliability, especially where sensitive data is involved
• You have good product instincts and care how things feel to use
• You're low ego, direct, and hold yourself to a high bar
• You can work on site in New York City or San Francisco

• Experience in a regulated or critical, low margin for error domain (healthcare, finance, legal)
• Experience and familiarity with Web Sockets, SSE client and server implementations
  
  Background with design systems or complex UI state
• Experience with production AI or ML products

• Comprehensive health, dental, and vision insurance
• Daily catered lunch and dinner
• Mental health support and wellness coaching
• Flexible wellness stipend for fitness, therapy, or personal growth

• Annual learning budget for courses, books, or conferences
• Conference attendance budget for professional development
• Annual team offsite
• Academic collaboration opportunities
• Unlimited PTO

If patients aren't…