About the role
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. Opportunity Midstream is building the financial AI platform that helps health systems identify, validate, and realize millions of dollars in financial opportunities across supply chain, pharmacy, and managed care. We're looking for a Product Designer who is excited to solve some of healthcare's most complex operational problems. You'll partner closely with Product, Engineering, Customer Success, and our health system partners to transform fragmented, manual workflows into intuitive, AI-powered experiences that help organizations make faster, better financial decisions. This is a role for someone who loves owning product experiences from end to end. You'll help shape product strategy by understanding how customers work, uncovering opportunities through research, and translating complex enterprise workflows into intuitive, scalable experiences. You'll own the design process from discovery through launch and iteration, helping define how AI-native enterprise software should feel. As our second designer, your primary focus will be building exceptional product experiences. At the same time, we're still an early-stage company where everyone contributes beyond the boundaries of their role when it creates the greatest impact. Whether supporting a product launch, improving customer-facing experiences, or helping communicate complex ideas more clearly, you'll bring a thoughtful design perspective wherever it helps move the company forward. As one of the early designers at Midstream, you'll have the opportunity to shape not only the product, but how design contributes to the company as we scale. What you'll be doing Own end-to-end product design Lead the complete design lifecycle—from customer research and problem definition to wireframes, prototypes, visual design, launch, and continuous iteration. Partner closely with Product and Engineering to deliver experiences that solve meaningful customer problems and create measurable business value. Deeply understand our customers Build a deep understanding of Midstream's business, our health system partners, and the operational challenges they face. Conduct user research, validate assumptions directly with customers, and continuously incorporate feedback into product decisions. Design intuitive enterprise workflows Transform complex data, financial processes, and AI-powered insights into elegant user experiences. Design workflows that serve a diverse set of enterprise users while balancing usability, flexibility, and scalability. Shape our design system Contribute to the strategy, architecture, and governance of Midstream's design system and component library. Create scalable patterns that enable consistency across products while supporting rapid product development as the company grows. Design for AI-native products Help define how AI integrates naturally into enterprise workflows. Design experiences that build user trust, communicate AI-generated insights effectively, and thoughtfully balance automation with human decision-making. Contribute where design creates the greatest impact As an early member of the design team, you'll occasionally apply your design expertise beyond the product when it helps the company move faster. Whether supporting a product launch, improving customer-facing experiences, or contributing to another high-impact initiative, you'll help ensure Midstream delivers thoughtful, cohesive experiences wherever customers interact with us.