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Zenara Health

AI-Native Full-Stack Software Engineer / Technical Project Manager

RemoteIndia only
Published
Role
Fullstack
Experience
Senior
Employment
Full-time
Company size
Startup
Salary not disclosed
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Open to IN only. Set where you work from to check your eligibility.

No BS summary

Mid-level full-stack engineer with 5–8 years who can both code and own delivery end to end. Must have strong React/Next.js, Python/TypeScript/Node.js, APIs, databases, cloud/CI/CD, and real LLM or agentic AI systems experience. Remote India role requiring 6 PM–12 AM IST overlap with US Pacific Time and ~50 hours/week.

Core skills

LLMsAgentic AI systemsFull-stack development

Required skills

React/Next.jsPython/TypeScript/Node.jsREST/GraphQLRelational databases/NoSQL databasesAPIsRAGCloud infrastructureContainersCI/CDProduction monitoringAuthenticationAuthorizationEncryptionSecrets managementSecure API design

Optional skills

HIPAAFHIRHL7PHI handlingRole-based access controlAgent frameworksOrchestration systemsMCP

Required languages

English Clear written and verbal communication

What you'll do

  • Design, build, test, deploy, and maintain full-stack product features.
  • Develop AI-native applications and workflows using autonomous agents, LLMs, tools, APIs, retrieval systems, and structured data.
  • Build agentic systems that can plan and execute multi-step tasks with appropriate observability, evaluation, permissions, and human oversight.
  • Use autonomous development agents to accelerate implementation, testing, debugging, refactoring, documentation, and code review without compromising engineering quality.
  • Build and operate multi-agent workflows across product discovery, architecture, development, testing, security, deployment, and maintenance.
  • Define clear agent responsibilities, communication patterns, permissions, escalation paths, and quality gates.
  • Design robust backend services, APIs, data models, integrations, and modern frontend experiences.
  • Contribute to system architecture and make practical decisions involving scalability, reliability, security, cost, and maintainability.
  • Create evaluation frameworks and feedback loops for measuring agent quality, accuracy, reliability, and business impact.
  • Develop safeguards that prevent agents from introducing architectural drift, security vulnerabilities, unreliable code, or unnecessary complexity.
  • Implement protections against AI-specific risks, including hallucinations, prompt injection, excessive permissions, data leakage, and unreliable tool execution.
  • Measure the software factory's effectiveness using delivery speed, defect rates, test coverage, reliability, cost, and business outcomes.
  • Work with cloud infrastructure, CI/CD pipelines, containers, logs, monitoring, secrets, environments, and production deployments.
  • Apply foundational cybersecurity practices across application development and infrastructure.
  • Collaborate directly with founders, product stakeholders, customers, and other engineers.
  • Take ownership from initial problem definition through production deployment and ongoing improvement.
  • Continuously evaluate emerging agentic AI frameworks, models, protocols, and development practices.
  • Gradually take ownership of coordinating the agent swarm and shaping the next generation of the AI-native engineering organization.
  • Help design and operate the AI-native software factory, including agent roles and responsibilities.
  • Help design and operate multi-agent orchestration and delegation.
  • Help design and operate context and memory architecture.
  • Help design and operate tool access and permission controls.
  • Help design and operate testing and quality gates.
  • Help design and operate security and compliance checks.
  • Help design and operate evaluations, tracing, and observability.
  • Help design and operate human review and approval workflows.
  • Help design and operate feedback loops for continuous improvement.

What they require

  • Approximately 5–8 years of professional software engineering experience, or equivalent demonstrated ability.
  • Experience owning delivery end to end, not only your own tasks.
  • You have seen how a whole product goes together, you can plan and sequence the work, and you have carried something over the finish line.
  • Strong full-stack development skills across modern frontend frameworks such as React, Next.js, or equivalent.
  • Strong full-stack development skills across backend development using Python, TypeScript, Node.js, or similar technologies.
  • Strong full-stack development skills across REST, GraphQL, event-driven, or asynchronous system integrations.
  • Strong full-stack development skills across relational and/or NoSQL databases.
  • Strong understanding of software architecture, API design, data modeling, testing, and production engineering.
  • Practical experience building with LLMs or agentic AI systems — not only using AI coding assistants.
  • Understanding of agentic AI concepts such as tool use and function calling.
  • Understanding of agentic AI concepts such as planning and multi-step execution.
  • Understanding of agentic AI concepts such as agent orchestration and delegation.
  • Understanding of agentic AI concepts such as multi-agent collaboration.
  • Understanding of agentic AI concepts such as memory and context management.
  • Understanding of agentic AI concepts such as retrieval-augmented generation.
  • Understanding of agentic AI concepts such as structured outputs and validation.
  • Understanding of agentic AI concepts such as model selection and routing.
  • Understanding of agentic AI concepts such as evaluations, tracing, and observability.
  • Understanding of agentic AI concepts such as guardrails and permission boundaries.
  • Understanding of agentic AI concepts such as human-in-the-loop workflows.
  • Ability to assess AI-generated code critically and validate it through tests, reviews, security checks, and architectural reasoning.
  • Working knowledge of cloud infrastructure, containers, CI/CD, production monitoring, and deployment practices.
  • Basic understanding of cybersecurity principles, including authentication and authorization.
  • Basic understanding of cybersecurity principles, including encryption and secrets management.
  • Basic understanding of cybersecurity principles, including secure API design.
  • Basic understanding of cybersecurity principles, including dependency and supply-chain security.
  • Basic understanding of cybersecurity principles, including data privacy and access controls.
  • Basic understanding of cybersecurity principles, including common web application vulnerabilities.
  • High ownership, curiosity, and comfort working in an ambiguous startup environment.
  • A strong desire to remain at the cutting edge of agentic AI and AI-native software development.
  • Clear written and verbal communication skills.
  • Availability for the required meeting overlap with US Pacific Time, and a commitment of approximately 50 hours per week.
  • Attendance between approximately 6:00 PM and 12:00 AM IST is required.
  • Availability is expected during critical deployments and incidents.
  • Preferred: Experience in healthcare, health technology, clinical workflows, or regulated software environments.
  • Preferred: Experience building multi-agent systems or long-running autonomous workflows.
  • Preferred: Experience designing AI-based development workflows or internal engineering automation.
  • Preferred: Experience with security reviews, threat modeling, compliance, or privacy-sensitive applications.
  • Preferred: Previous experience working in an early-stage startup.
  • Preferred: Healthcare technology experience is preferred but not mandatory.

Benefits

  • Competitive compensation, based on demonstrated ability and experience.
  • Fully remote work.
  • Equipment allowance.
  • Local public holidays.
  • Flexible paid time off.
  • Direct and regular access to the founders, without intermediaries.
  • Significant ownership and direct influence over product and technical direction.
  • Hands-on exposure to cutting-edge autonomous and agentic AI development.
  • The opportunity to help build an AI-native software factory from the ground up.
  • A path toward leading a coordinated swarm of specialized software-development agents.
  • Fast learning, rapid experimentation, and short feedback cycles.
  • Challenging work alongside ambitious and curious teammates.
  • The opportunity to grow with the company and participate in the rewards of startup success.
  • A demanding but energetic, collaborative, and fun working culture.

Zenara Health is an AI-powered psychiatric practice platform built by a psychiatrist, for psychiatrists. It helps psychiatric clinicians get a comprehensive clinical picture before first appointments, automate revenue, and support patients between visits.

HealthcareStartup
Salary not disclosed