Senior Design Manager

About CombineHealth

CombineHealth builds AI employees for healthcare revenue cycle management — agents that automate medical coding, billing, eligibility checks, denial management, and appeals for hospitals and physician groups across the US. Our platform runs in production at 97%+ coding accuracy across live customers, integrated with Epic, Cerner, athenahealth, and other major EHRs.

Before You Apply — Read This First

4 days/week in our HSR Layout, Bangalore office. Remote or fully-hybrid-light setups won't work for this team.

Regular overlap with US business hours. Our customers, most of our leadership, and key stakeholders are US-based. You'll need flexibility for calls and collaboration that land in US morning/afternoon (India evening/night) on a recurring basis, not occasionally.

If either of these is a dealbreaker, save yourself and us the time — this isn't the role.

What You'll Actually Do

This is an agent-engineering role. Our systems are LLM-based agents, and the hard part isn't training models — it's making autonomous, multi-step systems reliable and auditable on regulated, high-stakes data. You'll build the agents and own getting them into production reliably. Roughly:

• Build AI agents that read unstructured clinical and claims documentation and produce structured, auditable outputs — codes, claim decisions, denial root causes, appeal drafts
• Design the agent architecture: multi-step orchestration, tool/function calling, retrieval, and context engineering — plus the prompt and evaluation loop that makes it reliable, not just good in a demo
• Build eval harnesses and regression suites with hard accuracy bars. "The eval moved" is the unit of progress here — if you can't measure whether a change helped, it didn't happen
• Own reliability and observability in production: tracing, logging, latency, cost, failure handling — and yes, the pager when your agent breaks at 11pm US time
• Design confidence-threshold and human-in-the-loop review systems — this is regulated, high-stakes data; "mostly right" isn't good enough, and every decision needs a traceable rationale
• Work directly with product and RCM domain experts to translate messy real-world payer behavior into agent requirements
• Own your systems end-to-end: if it breaks in production, you're the one who gets paged, not someone else

What We Need

• 5+ years shipping production software, with real depth building LLM-based systems — agents, RAG, structured extraction. Production systems with real users and real data, not POCs or research. Tenure in classical ML or CV is not what we're screening for.
• Strong engineering fundamentals. You write production-grade Python, not notebooks. You design systems, handle failure paths, and care about latency and cost.
• Fluency in the LLM application stack: prompt and context engineering, tool/function calling, retrieval, and — most important — eval-driven development. You know how to measure whether a change actually improved the system.
• Comfortable owning your system in production end-to-end: deployment, observability, tracing, debugging live issues, cloud (AWS/GCP/Azure). We're not expecting a dedicated infra specialist, but you own your agent in production — you don't throw it over a wall.
• Experience with unstructured/messy real-world text where the output has to be accurate and explainable. Healthcare is a bonus, not a requirement — legal, financial services, insurance, or other high-stakes-accuracy domains count.
• Demonstrated ability to work independently and make judgment calls. We will not micromanage you, and we need people who don't need it.
• Comfortable in a fast-moving startup environment: ambiguity, shifting priorities, and building things that don't have a textbook answer yet.
• Degree from a Tier-1 engineering institute (IIT/IISc or equivalent) is a plus, but we care far more about what you've shipped than where you studied

Nice to Have (Not Required)

• Exposure to healthcare claims, medical coding (CPT/ICD-10/HCPCS), or RCM workflows
• Experience in a regulated data environment (HIPAA, SOC 2, or similar)
• Fine-tuning, distillation, or building smaller task-specific models where a general LLM is too slow or expensive

What Success Looks Like in 6 Months

• You own at least one production model/agent end-to-end — from data to deployment to monitoring
• You've meaningfully improved an accuracy, latency, or automation-rate metric on a live customer workflow
• You can independently debug a production issue in your system without pulling in a senior engineer to hold your hand

How to Apply

Please click on the link and fill in the details: https://forms.gle/XwVzwSu83B9wcaf3A

Business Development Executive B2B Sales

Andheri East, Mumbai | 6-Day Work Week

About Us

We are a lean, fast-growing organization delivering immersive VR/AR-based welding simulators to industries such as education, manufacturing, automotive, and aerospace across India and global markets.

Our mission is to transform skill development and workforce training through cutting-edge, eco-friendly, and cost-effective simulation technology.

Role Overview

The role involves driving business growth for our advanced AR/VR/MR training simulators by identifying opportunities, building strong networks, and converting high-value deals across industries and institutions.

This role is ideal for someone who has a strong hunter mindset and has proven success in B2B sales. Someone who thrives on achieving targets, loves being on the field, opening doors, building relationships, and consistently delivering numbers.

Key Responsibilities

• Identify, develop, and convert new business opportunities across target industries and institutions
• Build a strong sales pipeline and drive consistent order closures
• Develop and maintain relationships with key decision-makers and stakeholders
• Deliver impactful product demonstrations and position solutions based on training outcomes and ROI
• Drive end-to-end sales activities including lead generation, negotiations, order closure, delivery coordination, and payment realization
• Track market opportunities, competition, and customer requirements proactively
• Take complete ownership of territory performance and revenue targets

What We Are Looking For

• 0-3 years of proven experience in B2B / institutional sales with demonstrated sales results
• Strong networking capability and ability to open and build accounts independently
• Experience in selling technology products that are training solutions or industrial products, or capital equipment
• (AR/VR/MR experience preferred but not mandatory)
• Strong hunter mindset with passion for achieving numbers and exceeding targets
• Self-driven, energetic, persistent, and execution-focused personality
• Comfortable working in a startup like environment with high ownership and accountability
• Sound communication, stakeholder management, negotiation, and influencing skills
• Ability to handle relatively long sales cycles with patience and persistence
• Willingness to travel extensively across India
• Bachelor's degree required; MBA preferred

What We Offer

• Opportunity to work with cutting-edge immersive technology products
• High visibility and growth in a rapidly expanding organization
• Entrepreneurial work environment with strong ownership culture
• Attractive performance-linked incentives and rewards for achievers

• Programming, developing, website coding, and producing data-driven web applications, and websites using WordPress and WooCommerce
• Collaborate with designers, developers, and project managers on client projects
• Consult with clients as needed
• Contribute to the development of the misc. company special projects
• Manage your own time & development between multiple projects & clients to meet deliverables
• Follow and contribute to our internal standards
• Keep up on the latest trends and best practices in web development
• Other duties as assigned

• Excellent knowledge of HTML5/XHTML, XML, AJAX, JavaScript/jQuery, CSS3
• Excellent knowledge of WooCommerce and WordPress
• Strong understanding and experience with SASS
• Experience with responsive design without dependence on frameworks
• The ability to translate PSDs and other assets created by design team into cohesive websites
• Strong sense of visual design
• An understanding of front-end optimization techniques
• Knowledge of usability / user experience design is a plus
• Experience maintaining version control using Git

• Strong experience with custom WordPress theme development, including accommodating full user editability, complex layouts, and plugins that require theme customization – we don’t work with prebuilt themes so it is important to have the ability to create complex setups from scratch
• Experience creating custom themes for use with WooCommerce
• Familiarity with various commonplace and proven plugins such as: Advanced Custom Fields, Gravity Forms, The Events Calendar, s2Member, BuddyPress
• Experience with creating custom WordPress plugins is a plus
• Thorough understanding of custom post types and taxonomies
• Working knowledge of basic PHP and MySQL
• An understanding of programming security best practices
• Familiarity with issues in web design & development and accessibility is a plus
• Familiarity with using command line tools on Linux servers is a plus
• Familiarity with using git for source control is a plus
• Involvement in the open source community is a plus

• Keeping up-to-date with alterations to immigration laws.
• Meeting with prospective and extant clients to gauge which services they require.
• Providing clients with all pertinent documentation.
• Assisting clients with the completion of paperwork, and ensuring that this is submitted on time.
• Verifying the authenticity of paperwork and supporting documents.
• Ensuring that pets undergo medical checkups, and then making appropriate accommodations to ensure that they are transported in a safe and legal manner.
• Helping clients to find appropriate shipping solutions.

Responsibilities:

• Setup and integrate various APIs
• Dealing with scripts written in different languages (PHP, Node.js, Python, PhantomJS, Ruby)
• Must be an R & D specialist
• Keep up-to-date with advanced concepts
• Adaptable to learn new technologies
• Knowledge on Linux and its commands
• Fast in debugging the code
• Should be a quick learner
• Good at communication

Requirements

• Minimum 3 Years of experience in PHP7
• 1 Year experience in Node.js/Python
• Good work experience in PHP7 
• Strong knowledge in OOPS.
• Proven knowledge on REST and SOAP API integrations 
• Experience in composer installations
• Strong in Javascript and Node.js concepts.
• Good knowledge of MongoDB and MySql
• Knowledge of versioning tools (SVN/GIT)
• Having knowledge on Amazon AWS and Google Cloud Platform is an added advantage
• Having knowledge of elastic search is an added advantage
• Good to have knowledge on p threads