Software Engineer (Infrastructure)

USA flag USA


Posted 12 days ago

Job Type

Full Time


$100k - $175k




  • Mission/Vision: Fathom aims to use AI to structure the world's medical data, translating clinician notes into billing codes to reduce costs and enhance efficiency.

  • Key Responsibilities: Ensure the platform's stability, security, and performance; develop internal tools; collaborate on long-term strategies and infrastructure needs.

  • Growth Opportunities: Work on cutting-edge AI technologies, gain exposure to cloud-based platforms, and engage in strategic technical decisions.


Fathom is on a mission to use AI to understand and structure the world’s medical data, starting by making sense of the terabytes of clinician notes contained within the electronic health records of the world’s largest health systems. Our deep learning engine automates the translation of patient records into the billing codes used for healthcare provider reimbursement, a process today that costs hospitals in the US $15B+ annually and tens of billions more in errors and denied claims. We are a venture-backed company that completed a Series B round of financing for $46M in late 2022.

Fathom is hiring for an Software Engineer (Infrastructure) based in remotely in the USA to join our expanding team. This opportunity is worth exploring if you are someone who is passionate about intelligent automation and you get excited about being the 10X multiplier on your team. To that end, we are looking for experienced candidates who are comfortable operating with autonomy. We need you to utilize your combination of strong software engineering experience, infrastructure and cloud service mastery savvy to design, deploy, and monitor all operational aspects of our platform.

Your role and responsibilities will include:

  • Working to ensure the stability, security, and performance of Fathom’s platform

  • Developing dependable internal tools that aid our machine learning and software engineers more efficient, in everything from infrastructure deployment, to continuous integration and testing

  • Maintaining and configuring internal development

  • Knowledge of algorithms, data structures and systems design

  • and access control systems

  • Collaborating with our product and engineering teams to identify strategic long-term projects and preempt infrastructure needs in advance

We are looking for a teammate with:

  • 2+ years of software engineering experience in a company/production setting

  • Relevant experience developing backend, integrations, data pipelining, infrastructure, etc. projects in a production setting

  • Problem solving skills and first principles thinking

  • Strong computer science principles including: algorithms, databases (SQL and NoSQL), logic, etc.

  • Hands-on backend coding and systems design using best practices in a company setting

  • Experience with building, controlling, and monitoring secure cloud-based platforms

  • An ability to help pick and implement the right tool for a given job and to define, defend, and drive technical infrastructure decisions and initiatives

  • Effective communication and exceptional collaboration skills

Bonus points if you have:

  • Fluency in Python

  • Knowledge of Google Cloud

  • Experience with tools like Docker, Kubernetes and/or Spark

  • Familiarity with continuous integration systems like CircleCI or Jenkins and/or continuous delivery systems such as Spinnaker

  • Skills in MLOps

  • Interest in machine learning and/or healthcare


  • Salary: $100,000 USD - $175,000 USD

  • Company Equity


  • PTO and Uncapped Sick Days

  • Medical/Dental/Vision Coverage

  • 401k Matching

  • $1,500 USD Home Office Budget

  • Virtual and Local Office (San Francisco, New York City  and Toronto) Team Building Events

  • Annual Company Off-site


Paid Leave icon

Paid Leave

Healthcare benefits icon

Healthcare benefits

401(k) Match icon

401(k) Match

Stock Options icon

Stock Options