About the Company
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Early-stage, venture-backed healthcare AI company building an AI nurse concierge for Medicare beneficiaries
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Pairs patients with a dedicated healthcare advocate while AI agents handle the tedious backend work, all covered by Medicare
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Reached roughly $1M in run-rate revenue in under a year; team of nine
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Industry: Healthcare, AI. Founded: 2025
The Role
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Own and improve the agentic systems that automate healthcare-navigation tasks on behalf of patients, essentially building the "cursor for nurses"
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Use reinforcement learning from real interactions to continuously improve quality
What You'll Be Doing
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Automate tasks advocates currently do manually, including outbound voice calls to insurance, doctors, pharmacies, and patients
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Build and improve agentic search and multi-agent orchestration across complex healthcare workflows
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Design evaluation infrastructure to measure and improve the quality of AI automations
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Implement reinforcement-learning loops that use real actions to train and improve models over time
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Ship fast and iterate directly with the team that listens to real conversations daily
Requirements
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Shipped voice AI to production (not demos)
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1 to 10 years of experience in AI/ML engineering, including systems with a voice component
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A clear signal of excellence: a growing startup (Series A to D), major products shipped, funding raised, olympiad, or similar
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Undergraduate CS degree from a top-25 university in the US or Canada
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Production voice AI stack: streaming STT/TTS, telephony (Twilio/SIP), latency optimization, endpointing
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Agentic systems: context engineering, multi-agent orchestration, tool use, RAG
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Rapid learner who thrives in ambiguity and builds the playbook rather than following one
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Willing to relocate to San Francisco in Q1 2027
Nice to Haves
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Ex-YC founder, from a fast-scaling later-stage company, or Big Tech with prior startup experience
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Built evaluation pipelines for voice systems: metrics, regression suites, production signal
Details
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Location: San Francisco, CA, or remote (US), with preference for SF or Boston; relocation to SF expected around Q1 2027
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Compensation: $180,000 to $220,000 base plus competitive early equity
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Visa sponsorship: open to visa transfers (for example OPT or H-1B transfers)
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Employment type: Full-time