You will own the AI core of an innovative medical practice, building LLM-powered systems for immediate diagnosis and treatment. This role moves beyond chatbots, focusing on high-stakes medical decisions, clinical accuracy, and safety. Working directly with physicians, you will ship production-ready AI that directly impacts patient health outcomes and lives.
Founding AI Engineer at Fast-growing Healthtech AI startup
Are you ready to build the 'AI brain' of a modern medical practice? This well-funded San Francisco startup is hiring a Founding AI Engineer to move beyond chatbots and build LLM systems that handle real clinical diagnosis and treatment. You'll work directly with physicians to ship production-ready AI that manages patient care, prescriptions, and lab orders. With a team that has previously scaled companies to $100M+ in revenue and backing from top-tier VCs, this is a rare chance to solve high-stakes engineering problems while making a tangible impact on human health outcomes. If you're an AI-native engineer with production RAG experience, this founding role offers significant equity and technical ownership.
Overview
Why this role stands out
Company
About the company
Fast-growing Healthtech AI startup
Responsibilities
What you will do
- Optimize LLM integration and prompt engineering for clinical accuracy, medical insights, and safety-critical diagnosis.
- Architect AI infrastructure including RAG systems, semantic search, and complex memory systems for multi-turn patient conversations.
- Implement medical safety guardrails and evaluation frameworks to eliminate hallucinations and ensure groundedness in high-risk scenarios.
Candidate profile
Who this is a fit for
- 3+ years of software engineering experience with at least 12 months shipping LLM applications to production environments.
- Expert-level Python skills and deep familiarity with token economics, vector databases, and RAG architectures.
- An AI-native builder who uses modern tools like Cursor/Claude daily and prioritizes safety in high-stakes domains.
What makes it remarkable
Why this role is remarkable
- Ship code that powers real-world medical decisions including prescriptions and lab orders rather than just building demos.
- Join a high-performance founding team led by experienced entrepreneurs who previously scaled a telemedicine company to over $100M in revenue.
- Benefit from significant ownership and career growth, with the potential to lead engineering domains or management as the team scales.
Jack & Jill
How Jack & Jill work together
About Jack & Jill
Meet Jack
Jack gets to know what you are great at, what you want next, and makes sure Jill considers you for the right opportunities.
How does this work?
Jack's an AI agent for job searching and career coaching. He works for you.
Jill is the AI recruiter working for the company. She recruits from Jack's network.
If it's a match and the company wants to meet you, they'll make the intro. In the meantime, if you'd like, Jack will send you excellent alternatives.