San Francisco, CA · On-site · Full-time
Compensation: $170,000–$250,000 + 0.5%–1.5% equity
A seed-stage company building AI agents that automate patient recruitment for clinical trials, coordinating across SMS, voice, and email to help research sites cut the costly delays that hold trials back — a $600B+ market where delays cost $600K–$8M per day. The platform is already deployed at scale, battle-tested across 500K+ patient interactions, 190+ sites, and 300+ trials, and is backed by a top-tier venture firm. On track for a Series A in the next 4–5 months on current revenue trajectory.
Founded 2019 · 1–10 people · Industry: AI Tools
Founding Engineer reporting directly to the CTO, owning full-stack product development as the company scales its core platform and AI agent capabilities. High-ownership work in a fast-paced, high-intensity (9-to-9) environment with no playbook. The engineering team is four today; you'll help define the architecture and shipping cadence as it grows.
What you'll be doing
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Orchestrate fleets of AI agents that coordinate patient recruitment across hundreds of clinical trials
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Build and optimize integrations into customer systems, including custom adapters for specific software versions
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Scale LLMs across voice, SMS, and email while maintaining conversation consistency and personalization
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Design AI agent workflows for domain-specific questions and calculations (e.g., BMI from height and weight)
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Develop scheduling and call-center management solutions for recruiters and clinical research coordinators
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Reverse-engineer legacy healthcare systems without public APIs to integrate with trial sites' existing stacks
Tech stack: TypeScript, Python, AWS, Next.js
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0-6 years YOE, ideally new grad to ~5 years out
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Quant background (Jane Street, IMC) OR founding engineer OR Olympiad/ICPC
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Full-stack TypeScript + Python + AWS + Next.js
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SF in-person 5 days, high intensity (9-to-9)
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AI agent orchestration in healthcare recruitment
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Quant or competitive programming background
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Founding engineer at a top-tier startup
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Recently committed, green GitHub
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Top school pedigree (target: MIT, Stanford, Berkeley, CMU, Princeton, Harvard)
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Can articulate technical depth in conversation
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Master's-only background with no undergrad CS or equivalent track record
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No shipped production work or empty GitHub
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Cannot articulate what they have built or why they want this role
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Consulting or pure strategy background without hands-on engineering
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Career tenure below one year across recent roles
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Founding-engineer scope reporting to the CTO, with real ownership of architecture from day one
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Strong backing and proven traction at a seed-stage company already deployed at scale
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0.5%–1.5% equity at the founding stage
LocationSan Francisco, CA
Work policyOn-site, 5 days/week, 9-to-9 intensity
Compensation$170,000–$250,000 + equity
Visa sponsorshipNone available
Employment typeFull-time
University of OregonEugene, OR$52K - $69K (Glassdoor est.)Bachelor’s degree in a technical science or engineering plus two years of experience with machining, OR Associate’s Degree in a technology field plus at least……30d+