Transform Healthcare Through AI?Orchestrated Workflows Build and operate Azure?ready AI systems that power clinical workflows end?to?end. If you thrive at the intersection of AI engineering, orchestration, and product, and you can turn complex, multi?model pipelines into reliable, cost?efficient production systems, this role is for you. About Zenara Founder?led US health?tech startup building AI?powered clinical software clinicians love. We combine cutting?edge technology with deep healthcare expertise to solve real provider problems. Our culture values builders who ship, leaders who serve, and teams that deliver through clear communication and collaboration. Why This Role Is Different You architect and ship GA?ready AI orchestration on Azure that directly improves patient care. You balance robust pipelines (prompt chaining, RAG, tool?calling, multi?model) with cross?functional coordination so every feature is reliable, observable, low?latency, and cost?effective. What Success Looks Like First 30 days: Ship improvements to deterministic multi?step prompt chains for patient intake, validation, summarization, document generation, and outbound artifacts Establish flows?as?code and prompt versioning with GitHub and environments Provide clarity and hands?on guidance on complex model/tool integrations First 90 days: Operationalize multi?model workflows (GPT?4.1/5 + SLMs like LLaMA/Nous) with step?specific model selection for latency/cost Stand up automated evaluation workflows, telemetry, and dashboards (App Insights/OpenTelemetry) Implement resilience patterns: idempotency, retry/backoff, dead?letter queues, rate?limit handling Azure GA stack in production for orchestration, scaling, and retries (e.g., Azure Functions Durable, Container Apps, Queues/Event Grid, KEDA) First 6 months: Act as the AI/technical hub for the team, mentoring engineers on prompt engineering, structured generation, tool?calling, and agentic best practices Align stakeholders; maintain clear documentation; drive sprints that deliver decisions and outcomes Core Responsibilities Builder (40%) Design and deploy LLM solutions for clinical workflows with deterministic, multi?step prompt chaining Implement structured generation pipelines and evaluation harnesses; build test suites for AI features Operationalize RAG: ingestion pipelines from Azure Blob/ADLS Gen2, indexing in Azure AI Search (vector), chunking/embeddings, retrieval strategies Integrate and debug complex multi?model setups (GPT?4.1/5 + SLMs) with step?wise tool selection and cost controls Standardize tool?calling (MCP) for EHR/EMR, scheduling/communications, internal knowledge APIs; mix remote and custom?hosted tools Establish flows?as?code, prompt versioning, environments, and CI/CD (GitHub Actions) for controlled updates Orchestrator (40%) Translate AI/product vision into executable technical roadmaps; facilitate planning for AI releases Operate a GA?ready Azure stack for orchestration, retries, and auto?scaling: Azure Functions Durable (stateful workflows), Azure Container Apps, Azure Queues/Event Grid, KEDA auto?scaling Observability with Azure Monitor/App Insights/OpenTelemetry; log/metric correlation per step/tool call Reliability and performance: Interactive experiences: stream outputs and design responsive tool?calls/RAG so users perceive fast feedback Batch workflows: predictable end?to?end durations with clear SLAs and automated retries; timeouts aligned to flow needs Concurrency: horizontally scalable execution with graceful handling under burst; autoscaling and backpressure controls Cost: optimize architecture/model selection to meet budget goals; instrument and tune regularly for efficiency Resilience: idempotency, retry/backoff, DLQs, circuit breakers, and rate?limit handling across steps and tools Communicator (20%) Bridge technical and non?technical stakeholders; run decisive meetings that produce decisions and unblock execution Document processes, architectures, and technical decisions clearly; maintain Jira/Confluence hygiene and Git workflows Promote psychological safety; surface hidden blockers early; facilitate AI?focused problem?solving Technical Requirements 3+ years in LLM/prompt engineering, structured generation, evaluation workflows; daily user of AI assistants and automation tools 4-8 years hands?on development with technical leadership/TPM experience; ability to break large projects into flows?as?code Azure?first stack: Orchestration: Azure Functions Durable, Azure Container Apps, Azure Queues/Event Grid, KEDA Data: Azure Blob/ADLS Gen2, Azure AI Search (vector), CosmosDB/SQL, Redis Observability: App Insights, Azure Monitor, OpenTelemetry CI/CD: GitHub Actions; environments; PR?based governance; prompt/version management Web and services: TypeScript/React for front?ends; Python/Node.js for services/workers/tooling REST/gRPC; async jobs and streaming outputs; webhook/callback patterns AI/ML: Multi?model orchestration (GPT?4.1/5 + SLMs like LLaMA/Nous) with step?wise selection for latency/cost RAG pipelines; embeddings; retrieval strategies; evaluation and guardrails Tool?calling/MCP; remote and custom?hosted tool integration; EHR/EMR integrations preferred Healthcare/regulatory: Familiarity with healthcare data models (FHIR) and regulated environments Security/compliance: HIPAA, SOC 2 (HITRUST a plus); audit/readiness (Vanta or equivalent) Communication Requirements Facilitate technical design sessions to consensus; translate between technical and business stakeholders Run sprints/meetings that produce decisions; resolve conflicts constructively Excellent written and verbal communication across cultures and time zones; strong async communication for remote work Intangibles We Value Proactive communication; crisp documentation of complex topics Builds trust across technical/non?technical teams; steady under pressure; bold when shipping Sees conflicts and ambiguity as opportunities for better solutions Major Advantages Healthcare technology or regulated industry experience Experience facilitating architecture reviews and technical decisions; flows?as?code governance Stories of aligning misaligned teams; cross?cultural collaboration; Azure AI stack familiarity (Foundry/Agent Framework awareness) What We Offer Competitive compensation; 100% remote work from anywhere Direct mentorship from technical leadership; ideas ship if they work; minimal bureaucracy Job Types & Benefits Full?time, Permanent, Contractual/Temporary Internet reimbursement; Work from home Schedule: Monday to Friday, US shift Supplemental Pay: Joining bonus, performance bonus, yearly bonus
Job Description: Backend/Platform Engineer SDK Wrappers + Agentic Hooks Combine backend APIs, SDK-thin wrappers, and agentic automation to empower the developer experience. You'll enable workflows from issues ? RCA ? micro-commit ? PR ? preview while ensuring minimal payload endpoints, robust CI hooks, and secure operations. Values & Vibe (Who You Are) We want a problem-solver who is detail-oriented, proactive, and collaborative . You love shaping APIs, automating workflows, and improving developer velocity without compromising reliability or security. You communicate clearly with both engineers and product teams and thrive in a fast-paced, mission-driven environment. A Day in Flow (The Feel, Not a Script) Morning: check CI dashboards, evaluate any failed agentic automation jobs, review latency metrics. During sprints: build SDK wrappers, author GitHub Actions, implement Intercom?Issue automations. Afternoon: instrument dashboards for latency/cost, update documentation, troubleshoot payload or secret handling issues. Quiet impact, zero drama. What You'll Own SDK & API Wrappers: Build lightweight SDK wrappers for MCP/API, returning minimal payloads for maximal efficiency. Agentic Automation: Implement Intercom?Issue automation, author acceptance templates, and orchestrate agentic RCA/micro-commit flows using GitHub Actions. CI/CD & Monitoring: Instrument latency and cost dashboards, guard secrets, manage retries, timeouts, and rate limits. Collaboration & Documentation: Work with developers and product managers to ensure clear, secure, and reproducible backend operations. Authority (Ramped on Purpose) You'll own backend/API workflows and SDK development for the projects you touch. Scope ramps as you deliver: enforce secure secret handling, implement CI best practices, and ensure automated processes are robust and reliable. Schedule (India) Works daytime hours with 4-8 hours of overlap to US Pacific (e.g., 11:00am-7:00pm CT / 9:00am-5:00pm PT), with flexibility for critical deployments, reviews, or debugging sessions. What Success Looks Like SDK wrappers and API endpoints are lightweight, reliable, and secure. Automated agentic workflows are fully operational with minimal manual intervention. CI/CD pipelines and dashboards accurately monitor latency, costs, and secrets. Teams can move faster with safe, predictable backend processes. What You've Done 4+ years in backend/API development using Node.js, TypeScript, or Python. Experience with cloud platforms such as Azure and Azure OpenAI (AOAI). Strong experience in GitHub Actions, CI/CD orchestration, and micro-commit workflows. Expertise in payload shaping, retries, timeouts, and secure secret handling. Excellent communication and collaboration skills across engineering teams. Preferred: experience with agentic automation, MCP/API workflows, or developer experience optimization. Benefits Remote-first across India Equipment stipend Local holidays (India) Learning budget for backend development, automation, and cloud technologies Job Type: Full-time Remote
Why this role exists Our customers deserve a calm, helpful, human experience. We're looking for an Intercom expert to set up and run onboarding + support so people succeed quickly and feel cared for every step of the way. What You'll Do Stand up Intercom the right way: inboxes, assignment rules, SLAs/office hours, tags, macros/saved replies, surveys/CSAT, Messenger, and forms Onboarding that works: build Product Tours and Checklists (no-code), segment audiences, set triggers, measure completionand keep improving Help Center: create and maintain a clear, searchable knowledge base with friendly, skimmable articles Delightful support: handle conversations with warmth and clarity; turn problems into progress and advocacy Quality & feedback loops: write tone guides, coach reply quality, track common issues, and propose small product/content fixes that reduce repeat questions Metrics you own: first-response time, time-to-resolution, CSAT, self-serve solves (deflection), tour/checklist completion A day in flow (the feel, not a script) Morning: check health of the inbox, yesterday's CSAT, any stuck threads; fix one friction point (macro, article, or tour step) Mid-day: greet new signups with a friendly nudge and a checklist that actually helps; jump into a few live conversations to unblock Afternoon: publish one KB update, one saved reply improvement, and a tiny onboarding tweak. End day with a tidy queue and a short wins note What You've Done 4-8 years in Customer Success/Support with Intercom as a primary tool (admin + daily operator) Shipped Product Tours/Checklists, set up Help Center, and tuned bots/automation without making things feel robotic Consistently improved FRT/CSAT/deflection with small, smart changes Excellent written English (clear, kind, on-brand) and high empathycustomers feel better after talking to you Education: Bachelor's required (any discipline). We value outcomes over credentials Schedule Remote across India with ? 4 hours daily overlap to US Pacific (you choose the exact window; flex during launches) How To Apply Apply via our company portal to launch a short AI-driven live interview . We review every complete application. Apply here: https://tinyurl.com/imhintercom Job Type: Full-time Benefits Remote-first Equipment stipend Local holidays (India) Learning budget (CX & AI)
The role that guarantees everything (and keeps the team confident) This is partnership, not just testing. Be the guardian of quality across our software. Own QAmanual, automated, and process-drivenso every release is reliable, performant, and secure. You'll turn complex requirements into test plans, enforce standards, and prevent defects before they reach clinicians and patients. Values & vibe (who you are) We want a velvet lens: meticulous, collaborative, and proactivewho also ships results. You enforce quality with kind authority, make testing practices accessible, and help the team deliver software they can trust. You're the amplifier for a creative engineering team that never compromises patient safety or reliability. A day in flow (the feel, not a script) Two-minute check-intests executed, defects found, one risk escalated. During sprints: convert feature specs ? test plans + actionable results before the day ends. After: bugs logged and tracked, regression tests updated, CI/CD pipelines verified, polite reminders sent. Quiet confidence, zero drama. What you'll own Manual & automated testing: develop and execute test plans for web and mobile applications. Bug tracking & resolution: log, track, and verify defects using Jira, Azure DevOps, or similar. Test design & documentation: maintain scripts, test cases, and reports. Cross-team influence: collaborate with developers, product managers, and security teams to reproduce, troubleshoot, and resolve issues. Performance & regression testing: ensure reliability under normal and peak conditions. Compliance & standards: HIPAA, security best practices, and healthcare regulations. Process improvement: advocate for quality across teams and drive continuous improvements. Authority (ramped on purpose) You'll set quality standards from day one. Scope ramps as you deliver: approve or decline release readiness, enforce testing guidelines, and escalate risks earlywith our full backing. Schedule Works daytime hours with 4-8 hours of overlap to US Pacific (e.g., 11:00am-7:00pm CT / 9:00am-5:00pm PT), with flexibility for critical releases or audits. What success looks like Defects caught before production. Regression coverage high, with automated tests reducing manual workload. QA processes adopted across the team without slowing feature delivery. Compliance and audit readiness ensured. Requirements What you've done 2-4+ years in software QA (manual and/or automated). Strong understanding of SDLC, testing methodologies, and defect tracking. Hands-on experience with test automation frameworks (Selenium, Cypress, Playwright). Familiarity with REST APIs and API testing tools (Postman, etc.). Excellent attention to detail and problem-solving skills. Preferred: healthcare IT experience, cloud familiarity (Azure), CI/CD pipeline knowledge, performance/load testing (JMeter, k6), ISTQB or other QA certifications. Benefits Benefits Remote-first Equipment stipend Local holidays (India) Learning budget (QA, security, cloud)
Role summary Own a healthcare web application endtoend across backend (Python/Flask/Celery/Postgres) and frontend (Node.js/Express/HTML/CSS/JS), leading feature delivery, integrations, security, and operations. Key responsibilities End to end ownership Plan, design, implement, test, deploy, and monitor features across frontend and backend. Maintain high code quality, documentation, and developer experience. Backend (Python/Flask) Design REST APIs, proxy endpoints, and vendor integrations (e.g., EHR systems, form platforms). Implement asynchronous processing pipelines with Celery + Redis (audio/transcripts). Optimize Postgres schemas/queries; manage connection pools (psycopg/psycopg_pool). Enforce consistent authentication/authorization (API key headers), manage secrets via environment variables. Operate with Gunicorn and Docker Compose; maintain conda/venv environments. Frontend (Node.js/Express) Build secure serverside routes and robust proxy layers to backend APIs. Implement sessions, CSRF protection, rate limiting, and security headers (helmet + CSP). Integrate thirdparty form systems; implement file uploads (multer) and streaming (PDF/audio). Develop pages and flows: login/register, dashboard, patients, action items, billing, invoice generation. Media ingestion Implement browser recording UX, file validation, and resilient upload/processing flows. Coordinate FFmpeg/ffprobe and pydub usage for media processing. Data & documents Manage patient sections (agenda, summary, transcripts, blueprints), versioning/history, and exports (ZIP, PDF). DevOps & operations Own Docker Compose and CI/CD pipelines; environment parity for dev/stage/prod. Instrument logging, metrics, tracing; set alerts; optimize performance and cost. Security & compliance Apply best practices: input validation, CSRF, CSP, secure cookies/sessions, SSRF prevention, rate limiting. Handle secret management and least privilege for cloud/database access. Contribute to security gap analysis and remediation; ensure auditable changes. Quality & process Write unit/integration tests for critical flows (auth, uploads, proxies, billing). Own release notes, migration scripts, rollback plans; drive postmortems and continuous improvement. Success metrics (first 90 days) Standardize API key attachment across all proxy calls; eliminate missing api key errors. Stabilize audio/transcript pipeline with retries, idempotency, and user feedback; reduce failures >80%. Ship two endtoend features with tests and documentation. Introduce base CI (lint/test/build) and minimal deploy workflow; improve release cadence. Close top security findings; add monitoring for key endpoints. Interview focus Architecture: consistent API key enforcement across Express proxies and Flask APIs. Systems design: async pipelines for audio/transcripts; retry/backoff; idempotency; observability. Security: CSP/CSRF/session hardening, SSRF/file upload safety, secrets management. Live coding: secure PDF streaming proxy with check vs stream logic and error forwarding. DB: schema/index proposals for patient sections/history and efficient exports. Short job board version Title: Senior FullStack Engineer Summary: Own a healthcare web app endtoend (Python/Flask/Celery/Postgres + Node/Express). Build secure APIs and proxies, audio/transcript pipelines, dashboards, billing, and PDF/invoice flows. Lead DevOps, security, and performance. Musthaves: 5+ yrs; Flask, Celery, Postgres, Node/Express; Docker/Compose; security (CSP/CSRF/headers); file uploads/streaming; CI/CD. Nicetohaves: EHR integrations, Form.io, Azure/AWS/GCP, HIPAA workflows. Location: [Remote/Hybrid/Onsite] Compensation: [Range/Bands] Apply: [Email/ATS link] Requirements Qualifications 5+ years of fullstack development with production ownership. Python ecosystem: Flask, Gunicorn, Celery, Redis, Postgres, psycopg, conda/venv, FFmpeg/pydub. Node.js ecosystem: Node 18+, Express 5, axios, multer, helmet, expressratelimit, csrf, marked, nodefetch/undici. Web app delivery: HTML/CSS/JS, UX for dashboards/wizards/modals/drawers, performance optimization. Architecture & operations: Docker/Compose, environment config, secrets via env vars, git workflows. Security: API key enforcement, session security, CSRF, CSP, rate limiting, secure headers, file upload safety. Nice to have EHR integrations (Charm or similar), HIPAAaligned workflows. Form platforms (Form.io), PDF generation/signing, invoice pipelines. Cloud experience (Azure/AWS/GCP) and managed Postgres. CI/CD (GitHub Actions), IaC/Terraform, container orchestration. Data privacy/compliance experience (audit trails, access controls).
Title: Product Design Engineer (UI Systems) Remote India (IST) Location: India (remote), overlap with PT/PST 3-4 hours/day ol margin-bottom:0in;margin-top:0in;ul margin-bottom:0in;margin-top:0in;li margin-top:.0in;margin-bottom:8pt; Role overview You'll be chained to the founder's hip to translate vibe-coded prototypes into robust components and tokens. You'll own the command?palette UX, screen flows, accessibility and ergonomicsshipping preview links multiple times per week Responsibilities Build and own design tokens + component library (ShadCN/Tailwind/React/TS) Convert founder prototypes into reusable components; enforce consistency Create full-screen clickable prototypes with dummy data for new flows Partner with TPM to ensure acceptance criteria are testable and observable Instrument and reduce clinician clicks; improve keyboard-first ergonomics Qualifications 5+ years building complex React/TS apps; proven design systems ownership ShadCN/Tailwind, Command?K patterns, accessibility, performance hygiene Storybook or similar; Playwright/Cypress familiarity for UI regressions Portfolio showing keyboard-first, preview-heavy workflow products Nice to have Healthcare UX, EMR/EHR familiarity, MCP/SDK tool calling awareness Compensation Competitive base + outcomes bonus tied to preview velocity, UX quality metrics
Pay: ?1,800,000.00 - ?3,000,000.00 per year Job description: Title Executive Operations Lead (Junior CEO) Remote (India, PST shift) Company Intuitive Mental Health, Inc. Location Bengaluru, Karnataka Remote across India (works US Pacific hours ) Type Full-time Compensation ?16-30 LPA base + 10-20% outcome bonus The role that changes everything (and lets the founder breathe) This is partnership, not administration. Be the founders right hand. Own our operating system cadence, priorities, and follow-throughso every week ends with shipped outcomes. You'll turn messy inputs into crisp plans, set the tempo, and hold the line. Values & Vibe (who You Are) We want a velvet hammer : warm, fun, and human who also ships . You protect focus with kind firmness , keep promises without drama, and make the team feel lighter even as you raise the bar. You're an amplifier for a fast, creative founder. A day in flow (the feel, not a script) 7:57 pm IST: two-minute briefwhat moved, two decisions, one risk During calls: convert talk ? owner / date / next step before the meeting ends By 9:20 pm IST: Jira updated, Confluence decision note live, polite nudge sent, a 10-line founders daily posted. Quiet momentum, zero drama What You'll Own Cadence & discipline: weekly exec review, 30-day planning, a single source of truth for actions, decisions, risks Noise ? clarity: calls/transcripts ? concise one-page briefs, owners, dates, tight follow-ups Cross-team throughput: product, customer readiness, GTM, vendors, hiringescalate early and kindly Founder leverage: agenda hygiene, pre-reads, kind, decisive prioritization; fewer fire drills Tools & AI: Atlassian (Jira/Confluence/Atlas) + Microsoft 365/Teams; use AI (Atlassian Intelligence + Microsoft Copilot) to summarize, route, and automate Authority (ramped on purpose) You'll run the cadence from day one. Scope ramps as you deliver: decline meetings without pre-reads, protect the plan of record, re-sequence work, and escalate early with our backing . What Success Looks Like Decision latency down. Fire drills down. Weekly throughput predictable. ?90% of committed actions close on time without founder chasing. What You've Done 5-10 years in Founders Office / Chief of Staff (execution) / BizOps / Program-Delivery at a fast-moving org Clear written communication + AI-assisted ops: you prompt LLMs well, edit outputs fast, and ship clean briefs and updates Operator's toolkit: RAID, dependencies, workbacks, change mgmt; influence without authority Education: Bachelor's required. MBA welcome but not requiredoutcomes beat credentials Stack: Jira/Confluence/Atlas, Microsoft 365/Teams, Atlassian Intelligence, Microsoft Copilot Schedule Works US Pacific hours from India (e.g., 8:30 pm-4:30 am IST ), with flexibility for key reviews. Benefits Remote-first Night-shift stipend Equipment stipend Local holidays Learning budget (ops, product, AI)