Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.
Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.
As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.
Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.
The Opportunity
Join us in tackling healthcare for rural America! We’re seeking a Staff Software Engineer to be a key contributor on our Homeward Navigation team, with a strong interest in building AI-native, user-facing product features. You’ll work closely with engineering, product, design, and data partners to re-architect health and care—starting with communities that have historically been underserved.
This role is ideal for a senior technical who has shipped real-world software and has experience integrating generative AI into production products (not just experimenting with it on the side).
What you’ll do
Build AI-native product features end-to-end, from UX to backend systems, using TypeScript across the stack.
Design and implement LLM-powered workflows (e.g., chat interfaces, decision support tools, automation flows) that are reliable, observable, and safe for healthcare use.
Integrate with EHRs and third parties via APIs, webhooks, and data pipelines, ensuring data consistency, correctness, and compliance.
Develop and orchestrate AI workflows using modern tooling (e.g., LangFuse, LangChain/LangGraph, n8n, Flowise or similar), with a focus on quality, flexibility, and iterative improvements.
Implement guardrails, fallbacks, and evaluation strategies to ensure AI features behave predictably and safely in production.
Solve complex debugging, testability, and deployability challenges with a pragmatic, systems-oriented mindset.
Shape the technical roadmap for AI-powered capabilities in partnership with product, data, and design teams.
Raise the bar for engineering quality through code reviews, documentation, and mentorship.
What you bring
9+ years of hands-on software engineering experience, including ownership of complex production systems.
Strong experience building applications end-to-end with TypeScript, React, and Node.js.
Demonstrated experience or strong interest in shipping user-facing AI or LLM-powered features into a product (e.g., chat experiences, RAG pipelines, intelligent workflows, decision support).
Prior experience with creating and improving LLM-assisted coding toolchains.
Familiarity with modern LLM application patterns, such as prompt orchestration, retrieval-augmented generation (RAG), model evaluation, and observability.
Experience integrating AI systems into real-world constraints: reliability, security, cost, latency, and UX.
Nice to have
A solid understanding of security and PHI, particularly in HIPAA-regulated environments..
Hands-on experience with tools such as LangFuse, LangChain, LangGraph, Flowise, n8n, Mastra, or similar (we value transferable experience over exact matches).
Experience with LLM evaluation, monitoring, and observability in production.
Familiarity with vector databases, embeddings, or multi-step AI workflows.
Prior exposure to deploying AI systems in environments with human-in-the-loop workflows
What shapes our company
Deep commitment to one another, the people and communities we serve, and to care that enables everyone to achieve their best health
Compassion and empathy
Curiosity, and an eagerness to listen
Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
Strong focus on sustainability of our business and scalability of our services, to maximize our reach and impact
Nurturing a diverse workforce, with a wide range of backgrounds, experiences, and points of view
Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!
The base salary range for this position is $170,000 - $210,000 annually. Compensation may vary outside of this range depending on a number of factors, including a candidate’s qualifications, skills, location, competencies and experience. Base pay is one part of the total compensation package that is provided to compensate and recognize employees for their work at Homeward Health. This role is eligible for an annual bonus, stock options, as well as a comprehensive benefits package.
At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.
Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.
#LI-JE1
Top Skills
Homeward Health San Francisco, California, USA Office
San Francisco, CA, United States
Similar Jobs
What you need to know about the San Francisco Tech Scene
Key Facts About San Francisco Tech
- Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Google, Apple, Salesforce, Meta
- Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
- Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
- Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine
