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Job listing

San Francisco, United StatesNot Disclosed

Founding Engineer at High-growth Healthtech AI Startup

Join a high-growth healthtech AI startup as a Founding Engineer and help solve the $100B+ problem of clinical trial delays. You will build sophisticated AI agents that automate patient recruitment and retention, directly accelerating the delivery of life-saving medicines to those in need. Backed by top-tier VCs and industry legends, this role offers the rare chance to lead technical architecture for a platform already seeing massive market pull and hypergrowth. If you want to work on cutting-edge LLM orchestration and make a tangible impact on global healthcare, this is the opportunity you have been waiting for.

Overview

Role overview

As a Founding Engineer, you will build and scale SOTA AI agents that automate patient recruitment and retention for clinical trials. You will tackle the primary bottleneck in drug development, replacing billions in excess spend by orchestrating autonomous communication fleets across voice, SMS, and email to accelerate the delivery of life-saving medicines.

Company

About the company

High-growth healthtech AI startup

Responsibilities

What you will do

  • Orchestrate a fleet of AI agents coordinating patient recruitment across hundreds of clinical trials in North America.
  • Train proprietary ML models that match patient profiles to trials using real-world outcomes to optimize enrollment.
  • Scale LLMs across multi-channel communications while ensuring consistent, personalized, and high-quality patient interactions.

Candidate profile

Who this is a fit for

  • Proven track record of building and scaling complex software systems or AI-driven products from scratch.
  • Experience working with LLMs, machine learning models, or large-scale communication infrastructure across various channels.
  • High agency and a desire to work in a fast-paced, high-stakes environment where engineering directly impacts human health.

What makes it remarkable

Why this role is remarkable

  • Work on a mission-critical problem in clinical trials that costs pharmaceutical companies billions of dollars annually due to delays.
  • Join a company with massive market traction, exceptional win rates, and backing from top-tier VCs and category-defining founders.
  • Opportunity to build from the ground floor as a founding member of a technical staff in a high-growth environment.

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