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Founding AI Agent Engineer

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Summary

Founding engineer at an early-stage healthtech startup building patient-facing AI agents for clinical trial recruitment in North America. Day to day you orchestrate LLM-powered agents across voice, SMS, and email, build eval/tracing infrastructure, and integrate health profile data — on-site in the SF Bay Area.

About the Role

Join an early-stage healthtech team building patient-facing AI agents for clinical trial recruitment. You will own the agent experience and help make it safe, reliable, and scalable across a regulated healthcare environment.

What You'll Do

  • Orchestrate AI agents to coordinate patient recruitment across clinical trials in North America.

  • Review production conversations, identify failure scenarios, turn them into evaluations, and improve the agent harness.

  • Integrate health profile data sources to support timely outreach and patient matching for new trials.

  • Scale language model-powered conversations across voice, SMS, and email while maintaining consistency and personalization.

  • Evaluate emerging agent tools and research, incorporating useful advances into the software platform.

What We're Looking For

  • 0 to 4 years of software engineering, agent engineering, or applied AI experience.

  • Deep practical experience building conversational agents and agent harnesses at scale, beyond prototypes or internal tools.

  • Experience developing evaluation and tracing infrastructure for AI agents, including production feedback loops.

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

  • Experience with conversational AI, agent orchestration, language models, voice, SMS, and agent development frameworks.

  • 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.

  • Self-directed, resourceful, and comfortable working in an early-stage environment.

Compensation & Benefits

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

Location

On-site in California, United States. Candidates should be able to work in the San Francisco Bay Area.

Skills

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