Posted Apr 28, 2026
Midstream is an AI-native financial operating system for health systems, founded by experienced entrepreneurs and backed by top-tier investors. We give finance, supply chain, and managed care teams real-time visibility into where margin is at risk, with a precise action plan for capturing it before it's gone. Purpose-built for healthcare's complexity, Midstream transforms structured, unstructured, and external data into instant, contract-aware insights that drive smarter decisions. Our AI agents unify spend and revenue operations across the full back-office, learning and adapting with every interaction and delivering always-on intelligence that no point solution or one-off engagement can match. We're compressing months to minutes and turning post-period hindsight into in-the-moment foresight. The tempo of healthcare finance is changing, and Midstream is leading it. ## Who you are
A product builder with strong ownership
You’ve led product initiatives end-to-end and are comfortable owning outcomes. You know how to weight the risks and benefits of building with new model capabilities. Customer-focused and execution-driven
You move quickly from problem → product and prioritize what drives real impact. Technically fluent
You’re comfortable building with frontier models, discussing new data models, and working alongside system constraints. You can work closely with engineering through all these workflows. Strong communicator
You bring clarity and urgency to complex problems and align stakeholders effectively. Comfortable in dynamic environments
You’re willing to travel to customers and operate close to real-world workflows. You are constantly engaging with emerging research and industry trends to deliver innovative product experiences
Don't want to apply yourself?
Our team writes your resume, applies for you, preps you for interviews, and negotiates your offer.
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