We're a small AI-native R&D team inside one of the largest health organizations in the country. We build products that affect real healthcare outcomes — how risk gets detected, how care decisions get made, and how clinical teams do their work. We're looking for hybrid builders who own what they build: people who decide what to build, not just how.
AI fluency isn't nice-to-have. It's how we work.
A few honest things about this team: we have access to clinical data at a scale that would take a startup year to build through partnerships, and the ability to deploy to millions of people from day one. We also sit inside an enterprise, which means some things take longer than they would at a seed-stage company. We've structured the team to minimize that friction — and we're direct about where it still shows up.
The Problems We're Solving
Turning overwhelming data into clarity. Large organizations generate more signals than any team can manually process. A leadership team responsible for a portfolio of millions needs to know which three trends demand attention this week — and why they're happening — before manual reports would surface them. We build systems that find what matters, understand why it matters, and tell the story to the people who need to act — in near-real-time, not weeks later. The technical challenge is multi-layered: anomaly detection, causal reasoning, natural language synthesis. The human challenge is harder: making AI-generated insight compelling and trustworthy enough that people actually change what they do.
Clinical AI that reaches real patients. The patients who most need intervention are often invisible until they're already in crisis. We build tools that help care teams identify who needs attention now — turning clinical data into prioritized, actionable signals for the people making care decisions. The data is messy, the stakes are real, and getting it wrong matters.
Rapid prototypes that drive real decisions. New AI opportunities surface constantly. Leadership needs to evaluate them fast — before the window closes. We run short, high-intensity build cycles: from "what if we could..." to a working prototype that can actually move a decision. Scoping what to build is harder than building it, and this is where product sense matters most.
Making the team itself faster. We build AI-augmented workflows that compound over time — tools that reduce overhead, accelerate research, and let the team stay in flow on the hard problems. We eat our own cooking: every internal tool gets used by the people who built it before it goes anywhere else.
The infrastructure that makes all of it possible. Enterprise data is siloed and hard to connect to AI systems. We build the connective tissue — agent infrastructure that makes real organizational data accessible to the tools we're building. This is the foundation everything else depends on.
How We Work
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Spec-driven, not sprint-driven. Write a spec, build it, ship it, demo it. No standups, no ceremonies, no two-week batches.
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Weekly demos. Every Friday. Working software over status updates.
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High autonomy. You own workstreams, not tickets. No one tells you which file to edit.
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AI-native every day. We use the tools everyone else is still debating. That's not optional — it's how this team operates.
What We Look For
Dimension
What It Looks Like
Product sense
Think about users first. Asks "why" before "how." Has opinions about what to build — and what not to.
Engineering fluency
Full-stack capable. Can move from data to API to UI as the problem demands. Writes production-quality code.
Design eye
Creates usable interfaces without a designer for every decision. Knows good UX when they see it.
AI nativity
Use AI tools as core infrastructure for daily work — coding, research, and validation. Understands where models are good and where they break.
Shipping velocity
Track record of finishing things. Ships products, not just pull requests.
Ownership mindset
Owns outcomes, not tasks. Takes initiative without being told. "That's not my job" isn't in their vocabulary.
We want builders who are deep in one or two areas and fluent across many — able to touch any part of the stack when the problem demands it.
Qualities That Matter
Quality
What It Looks Like
Craftsmanship
Sweats details that matter. Ignores ones that don't.
Pragmatism
Ships 80% solutions. Knowing when good enough is good enough.
Curiosity
Learning new tools and tech eagerly. Not precious about their stack.
Low ego
Celebrates team wins. Admits mistakes. Asks for help.
Nice
Genuinely kind. Not nice-as-performance. Non-negotiable — small teams require trust.
What We Value in Candidates
We evaluate outputs, not inputs. What you've shipped tells us more than where you've been or what credentials you hold.
Strong signals: - Shipped work — whether through your day job, open source, or personal projects; what you built, who used it, and what it changed - Evidence of working across the stack: not just the frontend, not just the data layer — the whole system - AI tool fluency in practice: you use these tools daily, you know where they're good, and you can show us how - Outcomes over activities: "reduced X by Y%" lands better than "built system using Z" - Comfort with ambiguity: can navigate and make decisions without a complete spec
Candidates from enterprise environments, startups, and non-traditional paths have all succeeded in roles like this one. The common thread is the quality and range of the work, not where it was done.
The Real Picture
This team sits inside a major health organization. That means two concrete things:
What it gives you: Clinical and claims data at a scale that would take a startup year to build through partnerships. The ability to test with real people from day one. Deep domain colleagues — clinicians, actuaries, operations and compliance experts — whose knowledge makes your products better. No fundraising cycle. No runway.
What it requires: Some decisions take longer than they would at a startup. Shipping in a clinical environment involves compliance review that doesn't exist in consumer software. We've structured the team to minimize that overhead — and we'll be direct with you about where it still shows up.
This probably isn't the right fit if you're optimizing early-stage equity upside or pure startup velocity. It is likely if you want to build AI products that reach real people and have the data and distribution to matter from day one.
Desired Skills (Indicative, Not Exhaustive)
Experience:
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10+ years of experience across software engineering, product management, and AI/digital product development.
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Prior experience as a full‑stack engineer (frontend, backend, APIs, data layers, cloud‑native systems) before transitioning into product management is preferred
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Demonstrated success building and scaling AI‑enabled or data‑driven products in real‑world production environments.
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Hands‑on experience with AI experimentation, including hypothesis‑driven development, rapid prototyping, pilots/POCs, and outcome measurement.
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Practical experience designing or working with GenAI and Agentic AI systems (LLMs, RAG, agent orchestration, evaluation, guardrails).
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Strong track record partnering deeply with AI, data, and engineering teams on complex system design and delivery decisions.
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Experience operating in global, matrixed environments with US‑based product and technology leaders.
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Experience in healthcare, insurance, pharmacy, or other regulated domains is preferred but not mandatory.
Behavioural
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Strong product sense and ability to operate under ambiguity.
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Ownership mindset with a track record of shipping complete products.
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Effective communicator across technical and non-technical stakeholders.
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Comfortable using AI tools as part of daily development workflow.
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Collaborative, pragmatic, and detail oriented.
Education Requirements
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Bachelor's degree in Computer Science, Information Technology, Engineering, or a related quantitative discipline (B.E. / B.Tech / B.Sc.) from top tier institute
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Master's degree (M.E. / M.Tech / M.S.) in Computer Science, AI/ML, or Data Science is preferred from top tier institute
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Equivalent professional experience and a strong portfolio of shipped work may be considered in lieu of formal qualifications.
Work Hours:
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2.30PM IST to 11.30PM IST
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
