Talent.com
Lead Systems Engineer
Lead Systems Engineeriksa.ai • Republic Of India, IN
No longer accepting applications
Lead Systems Engineer

Lead Systems Engineer

iksa.ai • Republic Of India, IN
22 days ago
Job description

About iksa.Ai

iksa.Ai is rethinking how healthcare systems work together. Our Clinical Context Platform connects fragmented health data like EHRs, labs, claims, and devices into a single intelligent layer that lives inside healthcare organizations’ cloud environments.

We’re a team of clinicians and AI engineers who’ve :

  • Led clinical trials with 65,000+ patients
  • Published 30+ peer-reviewed studies
  • Managed chronic-care programs for 20,000+ patients
  • Delivered measurable outcomes, including a 2× increase in follow-ups and a 0.8% HbA1c reduction in a recent trial

Our mission is to make healthcare effortless , reducing administrative overhead for clinicians and improving patient outcomes through safe, compliant AI.

The Role

We’re looking for a Founding Full Stack Engineer (6+ years of experience) to help build the core of iksa.Ai’s platform. This is one of our earliest technical hires, someone who can balance hands-on engineering with strategic architectural thinking.

You’ll work directly with our clinical and product teams to design scalable systems, craft clean APIs, and bring AI-powered clinical workflows to life. More than anything, you’ll shape the technical DNA of a product that’s already proving its impact in real-world healthcare.

What You’ll Do

As a founding engineer, you’ll be deeply involved in building iksa.Ai’s core platform, the connective tissue between healthcare data, AI, and clinical workflows. You’ll own end-to-end development of major components at its 0 to 1 and 1 to 10 product journey, so it is critical to have fair knowledge on the overall operations

Platform Architecture & Backend Systems

  • Design and implement microservices and APIs using Python (FastAPI / Flask) and Node.Js , enabling interoperability between EHRs, labs, and other data systems.
  • Build secure, high-throughput data pipelines that ingest and process sensitive healthcare data in real time.
  • Develop data models and schemas optimized for healthcare data complexity (patients, providers, outcomes, interventions).
  • Integrate AI services and decision engines safely into production environments, ensuring reliability and auditability.
  • Data & Intelligence Layer

  • Work with MongoDB and Neo4j to structure both transactional and relational clinical data.
  • Build proprietary model knowledge graphs that link patients, diagnoses, and interventions for driven engagement.
  • Contribute to the development of AI-powered automation , such as triage routing, clinical documentation, or alert systems.
  • Security, Compliance & Reliability

  • Design infrastructure that complies with HIPAA , GDPR , and ISO 27001 standards.
  • Implement end-to-end encryption , access control , and data auditing features.
  • Set up monitoring, logging, and alerting for mission-critical systems in AWS / Azure environments.
  • Technical Leadership & Culture

  • Make foundational decisions about architecture, tools, and development practices .
  • Establish code quality standards , testing pipelines, and CI / CD workflows.
  • Collaborate directly with founders and domain experts to define the technical roadmap .
  • Help build and mentor the next generation of the engineering team as we grow.
  • Who You Are

  • You think like an owner , not just a contributor
  • You’re mission-driven , with genuine motivation to improve healthcare
  • You balance speed and quality , knowing when to build for scale and when to move fast
  • You communicate clearly and can collaborate with clinicians, designers, and business teams
  • You thrive in ambiguity , adapting quickly as the product and company evolve
  • Why Join iksa.Ai

  • Shape the foundation : Join as a founding engineer with meaningful equity and a voice in every major decision
  • Make real impact : Your work directly improves patient outcomes and clinician experience
  • Solve deep technical challenges : Work at the intersection of AI, data systems, and healthcare compliance
  • Grow with the company : Build the engineering culture, lead projects, and help scale the team
  • Flexible and global : Remote-friendly, with a core team in India and collaborators in the US and SEA
  • Create a job alert for this search

    System Engineer • Republic Of India, IN

    Related jobs
    Systems Reliability Engineer

    Systems Reliability Engineer

    Media.net • Republic Of India, IN
    Net is a leading, global ad tech company that focuses on creating the most transparent and efficient path for advertiser budgets to become publisher revenue. Our proprietary contextual technology is...Show more
    Last updated: 6 days ago • Promoted
    Systems Implementation Engineer

    Systems Implementation Engineer

    Vanderlande • Pune, Republic Of India, IN
    Windows, Linux and VMware Administrator.Join our team as a Project IT Engineer and shape the future of innovative technology solutions with us!. As a Project IT Engineer, you will be working alongsi...Show more
    Last updated: 9 days ago • Promoted
    Lead Systems Engineer

    Lead Systems Engineer

    Tiger Analytics • Chennai, Republic Of India, IN
    Seeking a seasoned professional with.This role blends hands-on technical expertise with leadership responsibilities, supporting a multi-geo team and ensuring delivery excellence.Lead production sup...Show more
    Last updated: 15 days ago • Promoted
    Lead Engineer

    Lead Engineer

    Hyqoo • India, India
    Design, deploy, and manage AWS cloud infrastructure, including EC2 instances, S3 buckets, VPCs, RDS databases, and Lambda functions. Assist in the design, implementation, and maintenance of backup, ...Show more
    Last updated: 19 days ago • Promoted
    Lead Backend Systems Engineer

    Lead Backend Systems Engineer

    Truxt.ai • Republic Of India, IN
    Ai, we're not just another startup, we're solving large enterprises' biggest data paradoxes and pioneering the world's first fully autonomous software Analytics. As an early-stage company driven by ...Show more
    Last updated: 24 days ago • Promoted
    SAP Systems Engineer

    SAP Systems Engineer

    Tata Consultancy Services • Chennai, Republic Of India, IN
    SAP Administration Knowledge in SAP ABAP-JAVA Systems.Knowledge in SAP Solution Manager CHARM configuration and troubleshooting Issues. Managed System and Alert Configurations in Solution Manager.Th...Show more
    Last updated: 7 days ago • Promoted
    Lead ML Systems Engineer

    Lead ML Systems Engineer

    Ocrolus • Republic Of India, IN
    Come build at the intersection of AI and fintech.At Ocrolus, we’re on a mission to help lenders automate workflows with confidence—streamlining how financial institutions evaluate borrowers and ena...Show more
    Last updated: 24 days ago • Promoted
    Lead Autonomous Systems Engineer

    Lead Autonomous Systems Engineer

    Truxt.ai • Republic Of India, IN
    Ai, we're not just another startup—we're solving large enterprises' biggest data paradoxes and pioneering the world's first fully autonomous software operations. As an early-stage company driven by ...Show more
    Last updated: 30+ days ago • Promoted
    ML Systems Engineer

    ML Systems Engineer

    AdZeta • Republic Of India, IN
    AdZeta turns insights from your data lake to profit signals that seamlessly integrate with your ad stack.We unify your first-party data, predict lifetime value, activate high-value signals, and pro...Show more
    Last updated: 2 days ago • Promoted
    Lead Systems Engineer

    Lead Systems Engineer

    DBS Bank • Republic Of India, IN
    Group Technology and Operations (T&O) enables and empowers the bank with an efficient, nimble and resilient infrastructure through a strategic focus on productivity, quality & control, technology, ...Show more
    Last updated: 3 days ago • Promoted
    Lead Gaming Systems Engineer

    Lead Gaming Systems Engineer

    Ruby Seven Studios, Inc. • Cochin, Republic Of India, IN
    We are looking for a Senior Engineer to join our Real Money Gaming (RMG) platform team,.RGS (Remote Game Server) game development. You will build high-performance,.Your work will directly support re...Show more
    Last updated: 30+ days ago • Promoted
    Cloud Systems Engineer

    Cloud Systems Engineer

    Navi • Republic Of India, IN
    The Cloudops team at Navi deploys, operates, and scales a hybrid cloud architecture spanning AWS, Oracle Cloud Infrastructure (OCI), and specialized self-hosted environments.As Navi partners closel...Show more
    Last updated: 15 days ago • Promoted
    Lead Systems Engineer

    Lead Systems Engineer

    ZOOFYTECHX • Republic Of India, IN
    IT solutions partner helping businesses bridge the gap between their goals and the right technology.We support organizations in identifying, integrating, and managing solutions across hardware, sof...Show more
    Last updated: 18 hours ago • Promoted • New!
    Engine Systems Design Lead

    Engine Systems Design Lead

    Kirloskar Oil Engines Limited • Pune, Republic Of India, IN
    Design and development of base engines and components, LEAD MCRS Fuel integration.Strong engineering fundamentals for Design, Thermal science. Base engine design and development for new Product deve...Show more
    Last updated: 9 days ago • Promoted
    Enterprise Systems Lead

    Enterprise Systems Lead

    Hardcastle Restaurants Pvt. Ltd. • Republic Of India, IN
    Lead initiatives with regards to Enterprise solutions to ensure seamless operations of ERP (Microsoft D365 F&O ) and other systems used in head office. Consulting partner to business working towards...Show more
    Last updated: 30+ days ago • Promoted
    Lead Systems Engineer

    Lead Systems Engineer

    Confidential • India
    This role provides escalation support for server and cloud systems to RFA and its clients while supervising a Systems Administrators team. Support areas include all client and RFA computer infrastru...Show more
    Last updated: 9 days ago • Promoted
    Systems Reliability Engineer

    Systems Reliability Engineer

    PhonePe • Pune, Republic Of India, IN
    Troubleshoot issues across the entire stack - hardware, software, application, and network.Work to improve the reliability and performance of the next generation of distributed systems.Work to impr...Show more
    Last updated: 24 days ago • Promoted
    IAM Systems Engineer

    IAM Systems Engineer

    NMS Consultant • Pune, Republic Of India, IN
    Job Location - Pune or Trivandrum.Administration of One Identity tool and management of integrated Identities and Services. Engineering support of One Identity Manager Environment.Management of clou...Show more
    Last updated: 1 day ago • Promoted