Founding AI Engineer

The role
You'll be the first engineering hire and own the AI layer of the platform end to end. External partners are building our EHR and device integrations. You'll design the intelligence that coordinates care across the whole clinical team:

An AI pre-visit intake agent that replaces static forms with adaptive interviews and writes structured SOAP notes directly to the EMR
A patient interaction bot grounded in full patient context, including device data, medications, and care plans across every provider on the care team, with hard safety escalation rules
The retrieval and orchestration layer: RAG over a clinical knowledge base, LLM routing, PHI de-identification, and human-in-the-loop approval for anything clinical
Evaluation frameworks that prove clinical accuracy. This is healthcare; "seems right" doesn't ship
You'll also set technical direction across the platform, review our development partners' work, and shape the architecture your future team inherits.

You

Must be United States Citizen
BS in Computer Science, Engineering, Mathematics, or a related technical field, or equivalent practical experience with a strong shipped-product track record
Have shipped LLM-powered products to production: agents, RAG pipelines, or conversational systems, not just prototypes
Are strong across the stack: Python, cloud infrastructure (AWS preferred), and comfortable owning systems from model to API
Care about evaluation, guardrails, and failure modes. Bonus if you've worked under HIPAA or in another regulated domain
Want the founding-engineer trade: broad ownership, direct input on product and hiring, equity that matters
Bonus: FHIR/healthcare data experience, voice/speech interfaces, or clinical NLP