> Markdown version of [/jobs/ext/2548567-ai-systems-engineer](https://www.wearedevelopers.com/jobs/ext/2548567-ai-systems-engineer). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # AI Systems Engineer - **Company:** MEADOW MEDICAL, P.C. - **Location:** United States (Remote available) - **Experience:** Experienced - **Salary:** $62,400.0 - $104,000.0 - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), Artificial Intelligence, Cursor (Graphical User Interface Elements), PostgreSQL, OAuth, Next.js, TypeScript, Web Applications, Webhooks - **Published:** August 10, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=040248fa0b2f0d6f ## About the Role 3+ years building production web applications, with at least one internal platform or CRM you owned end to end - Fluent with AI-assisted development (Cursor, Claude Code, or similar) as a primary workflow, not an occasional assist - Next.js and TypeScript, plus a Postgres-backed stack (Supabase preferred) - Real API integration work: OAuth flows, webhooks, third-party systems that break in unexpected ways - Experience translating fuzzy operational requirements into specs, then shipping against them without hand-holding - Track record of working directly with non-technical operators to define what a tool should do Nice to have - Worked in a regulated or clinical environment where data accuracy has consequences - Background in product, ops or revenue tooling (pipelines, attribution, dialers) - Built or replaced a CRM rather than just configuring one - Comfortable with light data and reporting work ## Description We're looking for a highly detail-oriented builder to own our internal systems: CRM, automations, and the tooling our sales and operations teams run on daily. You'll scope, build, and maintain these systems using AI-assisted development, moving fast without breaking what works. Ideal candidates have led the buildout of a CRM or core internal platform at a small company and are comfortable owning both the technical work and the process design behind it. Requires at least 5 hours of daily overlap with 9-5 PST. What we're building Meadow is a licensed psilocybin service center in Portland operating under Oregon's Measure 109 framework. Almost everything that runs the business is built in-house. Client-facing: a multi-step application funnel, a medication screener with a taper readiness score, prescription intake with drug autocomplete, and an eligibility assessment tool that gates who we can serve. Internal: a facilitator portal with role-based access, a custom booking system tied to calendars, a capacity dashboard for scheduling across facilitators, a sales pipeline for our setter and closer team, and an accounting tool that produces our P&Ls. Most of this is Next.js, Supabase, Vercel, and API glue between systems, built quickly with AI-assisted tooling. We recently moved off our third-party CRM, so a meaningful part of this role is owning what replaces it. The work is a mix of net-new builds and hardening what exists. Since these tools touch clinical intake and regulated compliance requirements, correctness matters more than speed. That's why the detail orientation is non-negotiable. ## Related Videos - [Keeping applications secure by evolving OAuth 2.0 and OpenID Connect](https://www.wearedevelopers.com/videos/100152-keeping-applications-secure-by-evolving-oauth-2-0-and-openid-connect) - [GraphQL + Apollo + Next.js: A Lovely Trio](https://www.wearedevelopers.com/videos/311-graphql-apollo-next-js-a-lovely-trio) - [Beyond Webhooks: The Future of Scalable API Event Delivery](https://www.wearedevelopers.com/videos/100312-beyond-webhooks-the-future-of-scalable-api-event-delivery) - [Postgres in the Age of AI (and Devin)](https://www.wearedevelopers.com/videos/1042-postgres-in-the-age-of-ai-and-devin) - [From Zero to Hero: NextJS 13 and Tailwind CSS for Beginners](https://www.wearedevelopers.com/videos/766-from-zero-to-hero-nextjs-13-and-tailwind-css-for-beginners) - [Delay the AI Overlords: How OAuth and OpenFGA Can Keep Your AI Agents from Going Rogue](https://www.wearedevelopers.com/videos/1637-delay-the-ai-overlords-how-oauth-and-openfga-can-keep-your-ai-agents-from-going-rogue) ## Related Articles - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [Dev Digest 120 - Apple and peers](https://www.wearedevelopers.com/magazine/455-dev-digest-120-apple-and-peers) - [Dev Digest 137 - AI'm not sure about this](https://www.wearedevelopers.com/magazine/485-dev-digest-137-ai-m-not-sure-about-this) - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [How to Become an AI Engineer](https://www.wearedevelopers.com/magazine/331-how-to-become-an-ai-engineer) - [Coffee with Developers - Maria Apazoglou - Making AI understandable for all in production](https://www.wearedevelopers.com/magazine/475-coffee-with-developers-maria-apazoglou-making-ai-understandable-for-all-in-production)