Distinguished Engineer - AI Healthcare Platform (0-to-1) - Remote

We're rebuilding one of the most important systems in American healthcare — from the inside, with startup speed and enterprise scale behind us focused on benefit management.

This is a confidential, high-priority initiative backed by board and executive sponsorship. We're hiring the first engineers on the team. That means no legacy codebase to inherit, no ten-layer approval chain to build through — just a small group of people with real autonomy, moving fast on something that actually matters.

We can't share all the details yet (you'll get the full picture as you move through the process), but here's what we can tell you: the problem space is huge, the stakes are real, and getting the foundations right will shape how this business runs for the next decade.

You're probably a fit if:

• You've built things from zero before — a startup, an 0-to-1 team, an internal skunkworks project — and you liked it
• You think in systems and architecture, not just tickets
• You're the person who wants to own the hard decisions, not have them handed to you
• You've worked in messy, high-stakes, high-volume data environments and didn't flinch
• You can keep a secret. Seriously — this role requires real discretion and NDAs beyond the standard stuff

What you get:

• A blank slate on the technical side, with real resources behind you
• Direct line to senior leadership — short path from idea to decision
• The chance to build the engineering culture for this team, not just join one
• A shot at genuinely reinventing something foundational, not just optimizing around the edges

If "stealth startup speed, Fortune 10 backing" sounds like your kind of chaos, let's talk.