Steer Health is the AI Workforce for Healthcare Operations.

We help hospitals, health systems, and medical groups grow revenue, reduce operating costs, and deliver the modern patient experience without adding headcount.

Healthcare organizations lose millions every year to missed patient calls, scheduling gaps, administrative burden, incomplete clinical documentation, and slow revenue cycle workflows. Steer Health eliminates these inefficiencies through an AI native platform that unifies patient access, clinical intelligence, and revenue cycle management into one intelligent operating layer.

Powered by Steer Studio, our orchestration engine, Steer Health seamlessly integrates with more than 24 leading EHRs with no rip and replace required, enabling organizations to automate workflows while preserving existing technology investments.

Our AI solutions include:

FastTrackCare
Luna, our AI voice agent, captures every patient opportunity by answering calls, scheduling appointments, reducing abandonment, and improving patient access across voice, web, chat, SMS, and after hours.

SteerNotes
Agentic Clinical Intelligence that automates clinical documentation, streamlines after visit workflows, supports coding accuracy, identifies care gaps, and gives providers more time to focus on patients instead of paperwork.

RCM AI
Accelerates reimbursement by improving coding quality, reducing denials, optimizing claims workflows, and helping providers convert delivered care into collected revenue faster.

Trusted by leading healthcare organizations

• 22M+ patients managed
• +12% EBITDA improvement
• +98 NPS
• 48+ medical specialties supported
• Up to 7x ROI

AI native since 2021. Performance based pricing means our success is measured by yours. We deliver measurable operational, financial, and patient experience outcomes that healthcare organizations can trust.


Steer Health

AI Native Patient Capture And Revenue Operations Platform

About Steer Health

Steer Health is the AI-native growth and automation platform for healthcare. Health systems, hospitals, and specialty medical groups use our platform to attract and convert patients, automate front-office and clinical workflows, and accelerate revenue. Our AI agents answer calls, book appointments, document visits, and close operational gaps around the clock, connected directly to the systems clinicians already use.

The platform integrates with 36 EHRs, including direct Epic integration with SSO, and serves provider organizations nationwide, covering millions of patient lives. Steer Health is a KLAS Emerging Solutions Top 20 company, an athenahealth Marketplace certified partner, and winner of the 2026 Hearst Health Prize.

The Role

We are hiring a Senior Backend Engineer to design, build, and scale the core services behind our platform. You will work on event-driven pipelines that move clinical and operational data in real time, integrations with EHRs and third-party systems, and the backend infrastructure that powers our AI agents. This is a high-ownership role: you will take problems from architecture through production and operate what you ship.

What You Will Do

Design, build, and operate backend services and APIs in Node.js and TypeScriptArchitect and extend our event-driven systems on Kafka, including topic design, producers and consumers, stream processing, delivery guarantees, and back-pressure at scaleOwn MongoDB data modeling and performance, including schema design, indexing, aggregation pipelines, replication, and query optimizationBuild reliable, secure integrations with EHRs, healthcare data standards (FHIR, HL7), and third-party APIsSupport AI agent workflows with fast, resilient backend services and real-time data pipelinesDrive reliability and observability: monitoring, alerting, load testing, incident response, and postmortemsHandle PHI responsibly and uphold HIPAA-grade security practices across every service you touchRaise the engineering bar through design docs, code reviews, and mentoring

Requirements

Must-Have Qualifications

5+ years of backend engineering experience with clear senior-level ownership of production systemsExpert-level Node.js and TypeScript in production environmentsHands-on experience designing and operating Kafka-based eventing architecturesDeep MongoDB experience at scale, including schema design, indexing strategy, and performance tuningA track record of building and scaling systems at a high-growth or high-traffic companyStrong API design fundamentals and disciplined habits around testing, code quality, and documentation

Strongly Preferred

Healthcare or health tech background, including EHR integrations, FHIR or HL7, HIPAA, and PHI handlingExperience at a high-scaling technology company where reliability and throughput were mission critical

Nice to Have

Cloud infrastructure experience (AWS preferred), Docker, and KubernetesRedis or other caching and search layersExposure to LLM or AI product pipelinesEarly-stage startup experience and comfort with ambiguity

Our Stack

Node.js, TypeScript, Kafka, and MongoDB, with Next.js on the front end and a purpose-built eventing engine at the core of the platform.

Benefits

Why Join Steer Health

Build AI that measurably improves how patients access and receive care, at real scaleHigh ownership and direct access to the founding team; your work ships fast and mattersAward-winning product with strong market momentumCompetitive salary, equity, and benefits

Steer Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all