At Decoda Health, we’re building the first AI-native operating system for medical practices - where intelligent agents don’t just assist, they do the work . Our platform automates scheduling, payments, communications, charting, and day-to-day operations so providers can focus on delivering exceptional care.

Join a high-ownership, fast-moving team shaping how modern clinics operate.

What you will do

You’ll help design and build the systems and interfaces that power AI-driven practice operations:

• Build scalable backend infrastructure, APIs, and data pipelines that support real-time decisions across clinics.
• Develop intuitive, modern UIs in React and Next.js that surface agent activity and streamline workflows.
• Build production grade AI workflows across our stack.
• Write clean, maintainable, well-tested code and contribute to design and architecture discussions.
• Ensure reliability, observability, and performance across the platform.
• Work directly with clients and help design the future of care.

What we're looking for

Engineers with strong foundations who can operate across one or more of the following areas:

Backend

• Python (FastAPI, SQLAlchemy) (2+ years)
• GCP (or other cloud equivalent), PostgreSQL (or other relational databases)

Frontend

• TypeScript (2+ years)
• React & Next.js, React Query, Tailwind
• Experience shipping beautiful, intuitive UIs to real users

Bonus

• Experience building with AI Agents in production interacting with real users.
• CI/CD, testing frameworks, Kubernetes, Pub/Sub, Elastic search.
• Very strong design instincts.

Why join Decoda

• Competitive salary & benefits
• High impact, high ownership role at a YC-backed company
• Work on meaningful problems at the intersection of AI and healthcare
• Build real, production AI systems used daily by clinics across the US