Founding Engineer - AI-Driven Patient Recruitment

About the Company

We're partnering with a fast-growing AI healthcare startup tackling one of the largest bottlenecks in modern medicine: clinical trial recruitment. Every year, promising therapies are delayed because research sites struggle to identify and enroll qualified patients. The company is solving this problem by building AI-powered voice and communication agents that automate patient engagement, qualification, and scheduling at scale. Their platform combines AI agents, LLMs, workflow automation, and proprietary machine learning to help research sites recruit patients faster while dramatically improving operational efficiency. By modernizing how clinical trials are staffed and managed, they're accelerating access to life-changing treatments for millions of patients.

Company Snapshot

• Raised $4.3M and backed by Andreessen Horowitz (a16z) alongside healthcare leaders including Jack Altman, Zach Weinberg (Co-Founder, Flatiron Health), and Trey Holterman (CEO & Co-Founder, Tennr).
• Trusted by 7 of the top 15 clinical research site networks across the United States.
• AI platform has processed 500,000+ patient interactions, supporting 190+ research sites and 300+ clinical trials.
• Customers include Alcanza Clinical Research, CenExel, Centricity Research, M3 Wake Research, Eximia Research, and Profound Research.
• Lean founding team of 8 employees, providing exceptional ownership and direct collaboration with the founders.

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• Building AI agents across Voice, SMS, Email, ML, and Healthcare Automation to modernize clinical research infrastructure.

What's Exciting

• Join one of the earliest engineering hires building AI systems that directly accelerate drug development and patient access to new therapies.
• Work on technically challenging problems spanning LLMs, Voice AI, machine learning, healthcare integrations, workflow automation, and distributed systems.
• Own critical product initiatives from architecture through production deployment with direct founder collaboration.
• Build software used by leading clinical research organizations across North America.
• Receive meaningful 0.5–1.5% founding equity while helping define the engineering culture and technical direction of the company.

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About the Role

You'll join as a Founding Engineer responsible for building the core platform powering AI-driven patient recruitment across clinical trials. Working closely with the founders, you'll architect scalable AI systems, develop full-stack product features, integrate with complex healthcare platforms, and help shape the next generation of intelligent clinical research infrastructure.

Qualifications

• 4–8 years of experience building production-grade full-stack applications.
• Strong experience with React, TypeScript, Python, and AWS or comparable modern technologies.
• Proven ability to own and ship complex products from architecture through production.

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• Experience building AI applications, LLM workflows, AI agents, machine learning systems, or automation platforms.
• Strong engineering fundamentals with a bias toward execution in fast-moving startup environments.
• Experience integrating with third-party APIs, legacy systems, or complex enterprise software is highly preferred.
• Comfortable working onsite in San Francisco as part of a high-intensity founding team.

Compensation & Logistics

• Compensation: $170K–$220K Base + 0.5–1.5% Equity
• Location: San Francisco, CA
• Work Model: 5 Days/Week Onsite
• Visa Sponsorship: Available