100ms is building AI agents that automate complex patient access workflows in U.S. healthcare — starting with benefits verification, prior authorization, and referral intake in specialty pharmacy.
We help care teams reduce delays and administrative burden so that patients can start treatment faster. Our automation platform combines deep healthcare knowledge with LLM-based agents and robust ops infrastructure.
You’ll be joining a specialised team at 100ms focused on healthcare automation using AI.
What You’ll Do
Design, develop, and maintain scalable full-stack applications that power rich user experiences.
Build and extend RESTful APIs with robust monitoring, fault tolerance, and performance metrics.
Work across the stack—from Python/Django/FastAPI backend services to modern frontend frameworks like React.js.
Collaborate cross-functionally with product, design, and platform teams to deliver high-impact features.
Take ownership of complex, ambiguous problems and drive them to resolution.
Write clean, efficient, and maintainable code while following best practices and conducting code reviews.
Participate actively in team discussions, contributing ideas and feedback to continuously improve our systems and culture.
Who Can Apply
Bachelor's degree in Computer Science, Information Technology, or equivalent practical experience.
4+ years of professional software development experience.
Strong knowledge of data structures, algorithms, and computer science fundamentals.
Proven experience building and scaling production-grade applications.
Proficient in Python/Django/FastAPI or Go for backend development.
Experience with React.js, AngularJS, or Vue.js on the frontend.
Skilled in designing and maintaining RESTful APIs with observability and fault tolerance.
Comfortable working on complex and ambiguous technical problems.
Good to have
Experience working with distributed systems, containers, and Docker.
Hands-on exposure to Kubernetes and cloud platforms like AWS, GCP, or Azure.
Fluency in English with strong written and verbal communication skills.
Track record of contributing to open-source projects or speaking at technical forums.
Eagerness to learn and stay up to date with modern engineering practices.
A growth mindset and openness to giving and receiving constructive feedback.
Why 100ms.ai
You will be part of a small team at a fast-growing engineering-first startup.
You will work with engineers across the globe with experience in video at places like Facebook and Hotstar.
You can grow as an individual contributor or as a team leader - freedom to set your own goals.
You will work on problems at the cutting-edge of real-time video communication technology at a massive scale.
Additional Information
At 100ms, we place a strong emphasis on in-office presence to promote collaboration and strengthen company culture. Under the current policy, employees are expected to work from the office at least three days a week—Tuesday, Wednesday, and Friday—as an essential part of their role.
website
www.100ms.ai
Ovii Interpretation
A Senior Product Engineer building full-stack software for AI-assisted healthcare administration. The work spans backend services, frontend experiences, and resilient APIs, with close collaboration across product, design, and platform teams.
PythonDjangoFastAPIor Go for backend developmentReact.jsAngularJSor Vue.js for frontend developmentRESTful API designAPI observabilityFault-tolerant systems
What you will likely work on
Build and maintain scalable full-stack applications and user experiences.
Develop backend services and extend REST APIs with monitoring, resilience, and performance measures.
Work across Python-based backend options or Go and modern frontend frameworks.
Partner with product, design, and platform colleagues to deliver product features.
Resolve complex, ambiguous engineering problems through to completion.
Write maintainable code, apply engineering practices, and review peers’ code.
Contribute ideas and feedback in team discussions to improve systems.
Good fit signals
Has at least four years of professional software development experience and a track record with production-grade applications.
Brings strong computer science fundamentals, including data structures and algorithms.
Can work across backend and frontend development using one of the stated technology options in each area.
Is comfortable tackling complex, ambiguous technical challenges and delivering them to resolution.
Experience with distributed systems, containers, Docker, Kubernetes, or cloud platforms is helpful; open-source work or technical speaking is also a plus.
Meet 100ms AI
100ms AI builds voice-first AI agents for healthcare operations, with a focus on reducing administrative work and delays in patient access. Its agents automate workflows such as patient intake, scheduling, benefits verification, prior authorization, triaging and telehealth coordination, including workflows for specialty practices and patient-support programs. The company emphasizes healthcare-grade safety, human escalation, HIPAA compliance and natural low-latency conversations. 100ms originally built real-time audio and video infrastructure and says its platform has powered more than a billion minutes of conversations; it began its healthcare AI focus in 2024.
Founded
2020
Company size
51-200 employees
Company stage
Series A
Headquarters
San Francisco, USA
Why work here
100ms offers candidates the opportunity to work on healthcare AI agents handling complex, real-world patient access workflows such as benefits verification, prior authorization and intake. The company is backed by investors including Accel, Alpha Wave, Z47, LocalGlobe and STRIVE and has raised $24.5 million. Its founding team has experience building large-scale real-time infrastructure at Meta and Disney+ Hotstar, while current engineering roles involve LLM agents, evaluation systems, Python services and modern web development. 100ms also participated in the Mayo Clinic Platform Accelerate program in 2026. Candidates should note that many current Bengaluru engineering and product roles emphasize regular in-office work.
Co-founder and CEO of 100ms. Gupta previously worked on large-scale real-time video infrastructure at Meta and served as VP of Engineering at Disney+ Hotstar. He studied at Madan Mohan Malaviya University of Technology and now applies his experience in scalable, low-latency communications to AI agents for healthcare and patient access.
Co-founder and COO of 100ms. Behera previously held product leadership roles at Hotstar and co-founded Gozoomo. He is an IIT Bombay alumnus and leads operating and product efforts as 100ms expands from real-time communications infrastructure into healthcare AI and patient-access automation.
Co-founder and CTO of 100ms. Dwivedi previously worked at Hotstar, where he helped build its in-house video processing platform, and earlier worked in software engineering roles. He studied Information Technology at Motilal Nehru National Institute of Technology and brings deep experience in scalable media and infrastructure engineering.
100ms selected for Mayo Clinic Platform Accelerate cohort
Mayo Clinic Platform
Mayo Clinic Platform included 100ms in its February 2026 Accelerate cohort, describing the company as building AI agents for patient access across intake, benefits verification, prior authorization, triaging and scheduling for specialty practices.
100ms showcases AI agents across the patient access workflow at Hub West 2026
LinkedIn
100ms presented agents spanning patient intake through fulfillment at Hub & Specialty Pharmacy Models West 2026, including sessions focused on the safety and quality of AI-powered patient and payer calls.
100ms introduces its AI Case Manager for hub operations
LinkedIn
At Asembia's AXS26 Summit, 100ms highlighted its AI Case Manager for healthcare hub operations, including automated enrollment processing, benefits verification and monitoring of calls for adverse events and product quality complaints.