Member of Technical Staff
Flexpa helps patients get access to their own health records. Every modern health app, AI care navigator, and patient-facing product needs access to actual records and we are the API that gets it for them.
Our customers include apps, brands, and wearable devices you've definitely heard of, and a growing share of the companies leading the federal Patient Access push. We are six people. We have over ten years of runway. We are looking for our seventh Flexpal.
Who we're looking for
An operator, not a stack.
Someone who is unreasonably good at narrowing problems until they can be solved by an agent, and then building the agent that solves them.
We are not hiring for a stack. We are not hiring for a title. We are not hiring for a specific years-of-experience number. We are hiring for a particular kind of operator: someone who can pick up a customer integration on Monday, ship a fix Tuesday, run a Claude Code loop overnight, get on a call with a payer's identity team Wednesday, and post a working prototype by Friday.
The technical surface area at Flexpa is wide — FHIR, OAuth, identity verification, QHIN integrations, consent UX, agent orchestration, customer success — and our team is small enough that nobody owns one slice of it.
We don't believe traditional hiring criteria predict success at Flexpa. Years in a particular language don't matter. Brand-name companies on a resume don't matter. What matters is whether you can read a problem, narrow it, and build the smallest possible thing that solves it, with an agent doing most of the work.
What you'll actually do
Four jobs, all at once. None of them optional.
Build and operate agents
A meaningful share of our engineering work now happens through agent SDKs running in coding harnesses. You'll write less code by hand than you used to, and you'll architect more workflows than you ever have. If the phrase “Ralph Wiggum loop” doesn't immediately mean something to you, you'll learn what it means in your first week.
Talk to customers
Everyone at Flexpa takes customer calls. Not as backup. If this part doesn't excite you, this isn't the role.
Find and fix product gaps before customers do
Our most valuable engineers are the ones who notice that users are dropping off at step 4 of the consent flow, dig into why, and ship a fix without anyone asking. Pattern recognition matters more than ticket-taking.
Work directly with our Cofounder and CTO
You'll take ownership of the things he's currently single-threaded on. You'll un-bottleneck PR review, vendor coordination, and integration debugging.
What we're looking for in you
Five things we will be honest about.
Demonstrated agentic capability
Not “I use ChatGPT.” Not “I'm AI-curious.” Specifically: you have built and operated agents that do real work. You have used a coding harness (Claude Code, Cursor agent mode, Aider, Codex, equivalent) as a serious tool. Ideally you have shipped end-to-end automation using an agent SDK. You will be asked to walk us through specific things you've built.
US-based preferred
Practical reason: you need to be a real user of US healthcare to use Flexpa. You'll need to test our consent flows on your own insurance, your own Clear account, your own Epic MyChart. Canada works if you're exceptional. Anywhere else is a much higher bar.
A chip on your shoulder
You think you’re better than your current title or scope reflects. You are tired of asking permission. You move faster than the org around you and it frustrates you. We want that.
You’ve worked a job where you had to talk to humans
Waiting tables, retail, sales, customer support, teaching, coaching, anything. The ability to read a room and adjust transfers to engineering at small companies in ways that are hard to teach.
You love IC work
Your craft is the craft. Your five-year plan is to be a better engineer, not to manage a team of them. The people who thrive at Flexpa are the ones who want to do the work for its own sake. We are not building a company where the path to seniority runs through people management.
What we're not looking for
We will save you, and us, the time.
- People whose value depends on a specific stack being chosen.
- People who need clear scope to do good work.
- People who think AI is a fad, a bubble, or a productivity gimmick.
- People who treat agents as a toy rather than as a serious operational tool.
What we offer
Equity, ownership, and the work itself.
Equity that matters
At a company with strong fundamentals and a clear shot at being the default infrastructure for federal patient access.
A team that actually ships
Six people. Ten-plus years of runway. No org chart between you and the work.
Direct work with the CTO every day
You will own the things he is currently single-threaded on. You will un-bottleneck him.
The company you wish you had joined three years ago
Compensation that's competitive for the bar we're hiring against. We'll talk specifics when we talk.
How to apply
Use our API to apply.
Of course we make you use the API. In the why parameter, include three things. Be specific. Be honest. We will respond to every applicant within a week.
curl -X POST https://api.flexpa.com/apply \
-H "Content-Type: application/json" \
-d '{
"name": "Ada Lovelace",
"email": "ada@example.com",
"location": "Brooklyn, NY",
"resume": "https://ada.dev/resume.pdf",
"github": "https://github.com/ada",
"why": `
1. The most agent-driven thing
you’ve shipped, with enough
detail that we know it’s real.
2. The bug or product issue you’re
proudest of catching that nobody
asked you to find.
3. A link to anything (code, writing,
a side project) that would make
us want to talk to you.
`
}'Prefer to apply another way? Probably not a fit.
Build the company you wish you had joined three years ago.
We will respond to every applicant within a week.
Apply via the API →