Redesign Health
Redesign Health
Redesign Health is a healthcare venture builder that develops and supports companies addressing challenges across the healthcare ecosystem. Since 2018, the company has worked with healthcare organizations, founders, and investors to turn promising ideas into sustainable businesses, combining venture creation with operational support. Its portfolio spans healthcare and healthcare insurance, with the resulting companies serving millions of people and generating substantial commercial impact.

Principal Engineer, AI and Product Engineering (Bengaluru Hybrid)

Lead backend and agentic platform engineering at Redesign Health, connecting core infrastructure with applied AI products. Own APIs, data systems, developer experience, and AI-native engineering practices.

Description

  • Lead the backend and internal platform layer connecting Redesign’s infrastructure with its applied AI products
  • Develop APIs, databases, services, resource models, migrations, and access patterns for Redesign’s core AI operating system
  • Make platform primitives easy to discover, safe to extend, and resistant to misuse
  • Establish agentic coding patterns, harness architecture, memory management, verification loops, and self-improving multi-agent code review
  • Build a reliable route from intent to production for generated code that is safe, standards-compliant, and verified
  • Lead developer experience for infrastructure engineers, applied AI engineers, and domain specialists without formal software backgrounds
  • Create cross-functional tools and interfaces that document essential work and workflows
  • Report directly to a VP of Technology
  • Own a complete technical domain spanning infrastructure and applied AI within a global technology practice
  • Develop the shared backend foundation of data, access, tools, and conventions for applications, agents, and builders

Requirements

  • Bring 10–12 or more years of engineering experience, including substantial work at staff, principal, or equivalent level within a serious software company
  • Have anchored the technical direction of a small, fast-moving team while owning backend, data, developer-platform, or internal-platform systems
  • Demonstrate production backend development experience with Python and/or TypeScript
  • Understand database schemas, migrations, API contracts, authentication, and permissions in depth
  • Bring deep expertise with Postgres or a comparable relational database
  • Have built authorization or identity layers with scoped access for users, services, and agents
  • Have delivered APIs and data services consumed by multiple teams
  • Have built or operated agent-facing infrastructure, including MCP servers and tools, Claude Code or Cursor conventions, skills or plugin systems, sandboxed execution, code-review automation, evaluations, usage and cost controls, and safe defaults
  • Bring product judgment and developer-experience expertise across tools, applications, or internal platforms for experienced engineers and builders without traditional software backgrounds
  • Be proficient with modern agent frameworks such as the Anthropic Agent SDK, Lang* / Deep Agents, or similar technologies
  • Have production experience delivering systems with modern agent frameworks
  • Have built systems around coding agents such as Claude Code, including skills, MCPs, and custom harnesses
  • Show technology as a passion alongside deep commitment to another creative, athletic, family-business, or service pursuit
  • Write clearly in English for API documentation, migration notes, examples, agent instructions, and tool descriptions
  • Be able to design tools, context, permissions, evaluations, memory, and failure recovery with agents treated as first-class users
  • Founder, founding engineer, or 0-to-1 product engineering ownership in a small, fast-moving team is a strong plus
  • A quantitative degree, open-source contributions, published work, or a side project used by others is a bonus

Benefits

  • Compensation combines cash with fund equity
  • Hybrid work is available from the Bengaluru office
  • The role requires substantial overlap with US Eastern and Pacific working hours
  • The team has access to more than one million dollars in AI and cloud credits to support founders

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