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Senior Implementation Engineer

Metriport San Francisco, California, US

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Posted 20 Mar 2026
Last seen 07 Jul 2026
Location San Francisco, California, US
Lifecycle stale
Grade F

This listing scored 36/100, which is an F. It lost the most ground on freshness.

-15 Ghost-job penalty — Deducted for signals that this posting may not be a real, currently-open role — staleness, repeated relisting, or talent-pool language.

Every figure above is arithmetic over the posting itself — its salary field, its text, its age, its tags and how many sources carry it. How the grades work →

yc-startup vc-backed

Metriport is an open-source data intelligence platform that helps healthcare organizations access and exchange patient data in real-time. We integrate with all major US healthcare IT systems and tap into comprehensive medical data for 300+ million individuals.

We've found product-market fit with multi-million ARR, 100+ customers (including Amazon One Medical, Strive Health, Circle Medical, and Brightside Health), backing from top VCs, and years of runway. We're ready to scale. We're a tight-knit, high-performing team of mostly former founders (including two YC alumni). We're engineering-heavy, operate with minimal bureaucracy and high autonomy, and hire based on competence, not prestige. We push hard—founders work six days a week from our SF office—but give everyone freedom to craft their schedule. We measure output and we're committed to sustainable intensity.

About you

In a nutshell, we're looking for a Senior Implementation Engineer with the following specific qualities:

What you'll be doing

After quickly ramping up using our comprehensive onboarding materials to get familiar with our domain, and codebase, the goal would be to get you connected with customers as quickly as possible. Specifically, day to day, this looks like:

Requirements

Benefits

Our tech

On the frontend, we use React - on the backend, we rely on Node.js and TypeScript for writing core business logic. We deploy a wide range of AWS cloud services (ie ECS, Fargate, Lambda, etc), and manage our infrastructure as code with AWS CDK. Data lives in PostgreSQL, DynamoDB, S3, Snowflake, HAPI FHIR servers, and more.


Metriport provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression. We are committed to a diverse and inclusive workforce and welcome people from all backgrounds, experiences, perspectives, and abilities.

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Where this listing came from

  1. 01 Jul 2026 Y Combinator first sighting

Seen on 1 board over 5 days.