About 100ms
100ms is building AI agents that automate complex patient access workflows in U.S. healthcare — starting with benefits verification, prior authorisation, and referral intake in speciality pharmacy.
Our platform combines LLM-based agents, deep healthcare domain expertise, and operational infrastructure to help care teams move faster and get patients on treatment sooner.
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Role Summary
We are looking for a Software Engineer Architect to own the technical architecture of our AI agents platform as it scales. In healthcare, accuracy and trust are everything — our systems make phone calls to payers, handle Protected Health Information, and operate inside real clinical workflows, so the architecture underneath them has to be reliable, observable, secure, and quick to evolve.

This is a hands-on, deeply technical role, not a pure design-review position.
You will define how our services, data,



and agent pipelines fit together; make the build-vs-buy and technology choices that shape the next three years of the platform; write code on the hardest problems; and raise the engineering bar across the team.

You will work directly with the founders, product, platform/infrastructure, and security teams, and your decisions will be informed by real customer and clinical workflows.

Key Responsibilities
Own the end-to-end architecture of the AI agents platform — services, APIs, data models, async task pipelines, LLM/voice agent orchestration, and integrations with payer systems, EMRs, and telephony.
Design for reliability, latency, and safety: define patterns for fault tolerance, idempotency, retries, observability, and graceful degradation across agent workflows that run at scale in production.
Set the architecture for multi-tenancy, data isolation, and PHI handling in partnership with our Security and Compliance Lead, keeping HIPAA and SOC 2 requirements designed in rather than bolted on.
Make and document high-leverage technical decisions — build vs. buy, service bounda

📌 Software Engineer Architect – AI Agents (Bengaluru)
🏢 100ms
📍 Bengaluru