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.
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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.
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Location
San Francisco, United States
Compensation
$130k-$200k + Equity
Company
Confidential company
Role overview
About the company
Fast-growing Healthtech AI startup
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.
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.
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.
How Jack & Jill work together
I get to know what you’re great at, then find roles you’d never find yourself.Ok, I'll go first. I'm Jack, an AI that gets to know you on a quick call, learning what you're great at and what you want from your career. Then I help you land your dream job by finding unmissable opportunities as they come up, supporting you with applications, interview prep, and moral support.
I recruit from Jack’s network and make the intro when I spot a great match.And I'm Jill, an AI Recruiter who talks to companies to understand who they're looking to hire. Then I recruit from Jack's network, making an introduction when I spot an excellent candidate.
Jack gets to know what you're great at and what you want next, then searches 15 million jobs daily and helps you discover roles at companies like this.
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What happens next?
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 your profile’s a match and Confidential company wants to meet, Jill will make the intro. In the meantime, Jack will send you excellent alternatives.