Top Tech Jobs & Startup Jobs in San Francisco Bay Area, CA

Design, build, integrate, and support identity and access management capabilities across web applications and APIs. Implement authentication, authorization, SSO, MFA, federation, claims, access policies, and secure token handling using platforms such as Okta, Auth0, Ping Identity, or Microsoft Entra ID. Develop production identity services in JavaScript, TypeScript, Ruby, Python, or C#, troubleshoot authentication issues, apply secure engineering practices, and collaborate with Engineering, Security, and Product teams.

Leads architecture and delivery of enterprise generative AI platforms and LLM-powered systems, including RAG, agentic workflows, model integrations, evaluation tooling, and governance. Owns platform architecture, security, privacy, observability, cost attribution, and responsible AI practices in a regulated healthcare environment. Mentors AI engineers, establishes technical standards, leads design reviews, evaluates vendors and models, and partners with engineering, product, legal, compliance, and privacy teams.

Leads technology strategy, architectural direction, solution design, and AI-enabled engineering transformation across an Agile Release Train. Owns architectural roadmaps, governance, documentation, technical standards, and modernization initiatives. Designs secure, scalable Azure and cloud-native solutions involving APIs, microservices, integrations, and distributed systems. Partners with engineering, product, security, compliance, enterprise architecture, and platform teams while promoting DevOps, architecture-as-code, AI-assisted development, and regulated-data practices.

Build and scale full-stack applications supporting specialty prescription prior authorization. Develop TypeScript, React, and/or .NET solutions, implement Azure cloud services and event-driven integrations, translate business requirements into technical designs, participate in code reviews and agile planning, and support production systems through monitoring and troubleshooting. Collaborate with engineers and architects while using AI tools in daily development.

Leads the FastAuth software engineering team, owning delivery, technical direction, team health, hiring, performance management, career development, and organizational planning. The role oversees multiple concurrent workstreams using React, TypeScript, .NET, Azure, and event-driven integrations. It requires cross-functional collaboration, scaled agile planning, data-driven delivery management, stakeholder alignment, and adoption of AI tooling. Healthcare, pharmacy, payer, prior authorization, and FHIR experience are preferred.

Design, implement, and support secure production integrations between healthcare platforms and external EHR systems, especially Epic. Lead SMART on FHIR application launches, FHIR data exchange, OAuth and OpenID Connect flows, reusable integration architectures, automation, onboarding, monitoring, and technical documentation. Serve as a senior technical authority across engineering, security, compliance, identity, product, and operations while guiding complex integrations through production delivery.

Design, build, and operate scalable APIs and event-driven backend services using TypeScript, Node.js, Python, Kafka, and PostgreSQL. Develop infrastructure as code and CI/CD pipelines, troubleshoot production systems, and participate in on-call support. Provide technical leadership through architecture reviews, API and event standards, code reviews, mentoring, and cross-team guidance. Help improve engineering quality, reliability, scalability, development tooling, and adoption of AI-assisted development practices.

Design, develop, test, and deploy scalable frontend and backend software across distributed cloud architectures. Lead complex feature and service implementation, translate requirements into technical designs, contribute to architecture, and promote quality, security, observability, and maintainability. Collaborate cross-functionally, conduct code reviews, mentor engineers, mitigate technical risks, improve development practices, and evaluate tools that enhance engineering productivity and product quality.

Lead and develop a software engineering team modernizing a legacy enterprise platform. Drive re-architecture, define target-state architecture and technical strategy, guide scalability and reliability decisions, and establish engineering standards for testing, code review, CI/CD, infrastructure automation, observability, and operational excellence. Partner with Architecture, Product, Security, and business stakeholders while recruiting talent, supporting career development, and balancing technical priorities with delivery commitments.