About Pair Team

Pair Team is building a new kind of healthcare system across Medicaid, Medicare, and public assistance programs: one that recognizes that access to housing, nutritious food, and reliable transportation are just as critical to health as having the right medications or seeing a doctor. As a public benefit corporation and AI-enabled medical group, we partner with shelters, food pantries, and community organizations to deliver “whole-person” care to the 115 million Americans who rely on the safety net. We are currently the largest complex care provider in California with over 500 employees and are expanding nationally. Our model replaces fragmented healthcare and social services systems with one trusted relationship for all medical, behavioral, and social needs. We improve access, build trust, and dramatically lower costs (52% fewer ER visits, 26% fewer hospitalizations). Our model is a rare combination of saving tax payer dollars ($150B annually at scale) while putting people on an upward life trajectory. At national scale, this approach would save taxpayers. These outcomes are driven by the AI-first, whole-person infrastructure we are building 6 a platform that connects healthcare and social-service organizations into a unified network. Leveraging our vast data and years of operational experience, we are building the agentic infrastructure for the safety net to coordinate care, automate operations, and learn from every patient interaction to continuously improve outcomes. Check out the AI-First Medicaid System we are buildinghere.

• Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
• TechCrunch: Building for Medicaid9s regulatory moment with Neil Batlivala from Pair Team
• Journal of General Internal Medicine: A Novel Intervention for Medicaid Beneficiaries with Complex Needs

About the Role

As a Staff AI Engineer, you will help design and build the architecture that enables this evolution, translating complex care processes into reliable, production-grade AI systems in close partnership with product and domain experts.

What You9ll Do

• Lead the design and evolution of agentic systems that participate directly in care delivery, helping coordinate care, engage patients,and execute meaningful portions of care workflows.
• Define and build architectural patterns for agent reasoning , tool use , memory ,and human-in-the-loop collaboration .
• Develop both reusable platform capabilitiesand product-facing implementations , balancing long-term architecturewith rapid iteration .
• Own complex problem spaces end-to-end 6 from system designand implementation through observability , evaluation ,and continuous improvement in production .
• Partner closely with product managers , operators ,and domain experts to translate complex real-world processes into reliable agent behavior .
• Establish standardsand best practices for agent evaluation , safety ,and operational reliability as these systems evolve toward greater autonomy
• Mentor engineersand influence technical direction across teams building agent-driven capabilities.

Who You Are

• Systems-Oriented Technical Leader: You think in systems , not features . You make strong architectural decisions , navigate trade-offs effectively ,and help shape technical direction across teams .
• Applied Agentic AI Builder: You9ve built production agentic AI systems that perform meaningful work . You understand agent behavior , tool orchestration , stateful workflows ,and the realities of operating AI systems in production .
• Product-Minded Engineer: You work closely with product managersand domain experts to define problemsand translate ambiguity into clear technical solutions . You care about outcomes , not just implementation .
• Strong Judgment in Ambiguity: You9re comfortable operating in evolving problem spaces , balancing experimentationwith reliabilityand knowing when to prioritize speed versus long-term investment .
• Data & Evaluation Driven: You use metrics , evaluation frameworks ,and operational feedback to guide decisionsand continuously improve system performance .
• Highly Autonomous Executor: You take ownershipof complex problem spaces end-to-end , balancing speedwith engineering rigorand iterating effectively based on real-world feedback.

What You9ll Need

• 6+ years of experience buildingand shipping production software systems , including experience operating at a Staff or Principal IC leveland driving technical direction across complex systems
• Proven experience buildingandscaling multi-agent or agent-driven systemsin productionand real-world operational ownership (beyond simple chat or LLM workflows).
• Hands-on experiencewith modern agent ecosystems , including frameworks (e.g., LangGraph , Mastra , Claude Agents SDK ), observability/evals tooling (e.g., Langfuse , LangSmith , Braintrust ), MCP implementations,and leading AI SDKs (e.g., OpenAI , Anthropic ).
• Strong systemsand backend architecture fundamentals , with experience designing scalable,reliable systemsand handling infrastructure , performance,failure modes,cost,and deployment concerns.
• Clear agentic evaluation mindset,includ ing automated evals,simulation-based testing regression frameworks metrics design,and continuous improvement loops.Firsthand experience addressing performanceandreliabilityof scaled agentic systems.
• AI-native builderwith high velocityand ownership,demonstating intellectual curiosity rapid adoptionof new tools,bias to action,and abilityto drive ambiguous problemsfrom conceptto production.
• Strong cross-functional collaboratorand communicator ableto partnerwith Product Operations,and domain experts todeliver end-to-end systemswith measurable real-world impact.
• Force-multiplier technical leader raisingthe barfor clarityof thinking system design standards,and team execution.

*Nice to Have (Not Required)*

• Experience building conversational or voice-driven systems (e.g., speech pipelines telephony integrations or real-time conversational workflows).
• Experience working in healthcare or other regulated or high-stakes domains.

Our Values

• Lead with integrity: We keep our commitmentsand take responsibilityfor our actions.We are dependableand choose authenticity over perfection.
• Embrace challenges: We leave our egos at the doorand step forward into discomfort instead of back into safety.We help each otherto learnand provide feedback using candorand kindness.
• Break through walls: We go the extra milefor our patients partnersand one another,and we run toward hard things.We are resilientin our push for consistent improvementand challengethe status quo.
• Act beyond yourself: We build each other upand respect boundaries.We seek first tounderstandand assume positive intent.
• Care comes first: We hold ourselves tothe highest standardsfor our patients.We are relentlessin the pursuitof our mission,and ensurethat we are taking careof ourselves inorder tocare for others.