About our mission at Milu Health
We're revolutionizing healthcare by making it affordable for millions of Americans. We receive real-time electronic health record data from patients and use it to find ways to help them get better quality and value.
We're a startup backed by top investors, already working with thousands of patients, growing rapidly — and we're just getting started.
Our goal is to change how people access healthcare.
Your role and purpose
You'll be a key member of our team in Madrid, helping us scale our AI ecosystem. You'll design and ship systems where AI agents collaborate, connect to real-world data, and help people save on healthcare.
This is a role for someone who wants impact, ownership, and the thrill of building something new.
* Design and build backend services using modern tech stacks.
* Expand our ecosystem of AI agents: orchestration, planning, reasoning, and tool-calling.
* Build secure, scalable data pipelines for sensitive healthcare data (HIPAA, GDPR).
* Collaborate with product and design teams to ship full-stack features.
* Ensure reliability, observability, and speed in systems that run at scale.
* Contribute to our engineering culture: small team, big impact, ownership-driven.
What you'll need
* Strong experience with TypeScript, React.
* Background in cloud architectures (AWS) and relational databases (Postgres).
* Experience in fast-paced startup environments with high-performing teams.
* Great communication skills in English (our working language).
What we offer
* A highly competitive salary package.
* Health insurance plan.
* A hybrid setup: remote work with occasional office days.
* Work alongside a world-class team.
* Ownership opportunities: join early, shape foundations.