Senior AI Builder

Artera is hiring a Senior Staff AI Builder to help define what comes next for our agentic platform. You'll be the recognized AI-native expert whose influence compounds across squads— a senior IC who turns ambitious AI strategy into the production systems our customers count on every day.

You’ll bring industry-leading AI-native fluency to planning, evaluation, and reliability across multiple squads, graduating shared capabilities from one squad’s project into primitives the whole company builds on.

At this level, you’ll cut through ambiguity with conviction, tackling systemic problems where quality, velocity, cost, and risk collide—and where the external AI landscape shifts faster than anyone’s roadmap. You’ll own the operational plans that shape our short‑to‑mid‑term results, and set the ethical bar for how builders work with customer data, patient communications, and AI systems.

• Own a multi‑squad technical area (agentic patterns, integration surface, reliability, evaluation, voice and messaging, migration, or similar) and drive it to a measurably better place.
• Partner with Heads of Segment across squads, the Primitives Squad, and the Knowledge and Tools Squad to graduate shared capabilities that multiply builder output.
• Establish and execute on functional‑level goals; define processes, standards, and best practices that other squads adopt.
• Represent Artera’s engineering practice in senior customer conversations, architecture reviews, and partnerships with EHR and platform vendors.
• Diagnose systemic issues (quality, reliability, velocity, or cost) and lead the cross‑squad work needed to fix them at the root.
• Sponsor, mentor, and develop other builders; model the transition from personal output to organizational leverage.
• Set the ethical standards for how builders work with customer data, patient communications, and AI systems.

• Industry‑leading AI‑native fluency: consistently demonstrates and teaches an AI‑native practice that produces the output of a traditional team (hard requirement).
• Typically 10+ years of professional engineering experience, or equivalent demonstrated output, with multiple examples of systems you architected and ran at scale.
• Recognized expertise in at least one domain that maps directly to Artera’s critical capabilities (agentic platforms, EHR integrations, AWS‑scale reliability, AI evaluation, voice and messaging, security engineering).
• Track record of leading technical initiatives across multiple teams that materially changed business outcomes.
• Strong commercial judgment: can frame technical choices in terms of customer impact, revenue, cost, and risk.
• Exceptional written and verbal communication, including at senior customer and executive level.
• Demonstrated ability to influence without authority across multiple squads and functions.

• Prior staff or senior staff‑level experience at a healthcare, AI‑native, or agentic platform company.
• Experience designing systems for multi‑tenant, HIPAA/HITRUST/FedRAMP‑constrained environments at scale.
• Experience as a board, advisor, or external technical contributor in the healthcare or AI space.
• Recognized external profile: publications, conference talks, or open source influence.
• Experience leading incident response and post‑incident organizational change.

$250,000 - $350,000 a year. This position also comes with equity and a variety of benefits.

We are focusing new U.S. hiring in three locations – Santa Barbara, Seattle, and Kansas City – and opening new, dedicated offices in Seattle and Kansas City. All new U.S. roles will be based in one of these three cities. If you are not currently based in one of these metro areas, we will require relocation for this role and will offer a relocation package as needed.

Remote work is not available for this position.

For Santa Barbara employees: we’ll be moving to full‑time on‑site (5 days/week) by September 1. For Seattle‑area employees: we’ll open an office in June in Pioneer Square, start with a hybrid schedule – Tuesdays and Thursdays in‑office – and move toward 3 days per week by September 1. For Kansas City‑area employees: our next…