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Founding AI Agent Engineer

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Summary

Founding engineer at an early-stage healthtech startup building patient-facing conversational AI agents for clinical trial recruitment and patient support. Day to day: orchestrating multi-agent LLM systems, building evals/tracing, integrating health data, and scaling conversations across voice, SMS, and email.

About the Role

Join an early-stage healthtech company developing AI agents for clinical trial recruitment and patient support. You will build and own patient-facing conversational agents, helping research teams connect with eligible participants while maintaining safe, consistent experiences in a regulated setting.

What You'll Do

  • Build and orchestrate AI agents that coordinate patient recruitment across multiple clinical trials.

  • Review production conversations, identify failure scenarios, develop evaluations, and use results to improve agent infrastructure.

  • Integrate health profile data sources to support timely outreach and patient qualification.

  • Scale language-model conversations across voice, SMS, and email while maintaining consistent, personalized interactions.

  • Evaluate and incorporate advances in agent tooling and research into the software platform.

What We're Looking For

  • Zero to four years of software engineering, agent engineering, or applied AI experience.

  • Hands-on experience building conversational agents and agent harnesses for real users at scale, beyond prototypes or internal tools.

  • Experience developing evaluation and tracing infrastructure for AI agents.

  • Strong software engineering fundamentals, with a full-stack background and applied LLM experience.

  • Familiarity with conversational AI, multi-agent orchestration, voice or SMS systems, and tools such as LangGraph or Vercel AI SDK.

  • An undergraduate degree in computer science, mathematics, or a related field, or equivalent strong technical foundations.

  • Interest or experience in healthtech, healthcare, or life sciences is valuable.

  • A proactive, resourceful approach to solving difficult engineering problems.

Compensation & Benefits

Base salary is $150,000 to $220,000 USD annually. Visa sponsorship is not available.

Location

On-site in California, United States, in the San Francisco Bay Area.

Skills

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