AI/LLM Engineer – Founding Role | Healthcare Startup

San Francisco 5 months agoFull-time20 views External
1.3m - 1.4m / yr
We’re building AI that books more appointments than human receptionists. Not a voicebot — a fully LLM-powered text agent that’s already delivering results in real healthcare settings. With over $1 million in pilot revenue closed, 70 percent month-over-month growth, and proprietary distribution to thousands of clinics, we’re looking for a Founding LLM Engineer to help build this platform from the ground up. What you’ll do • Build production-grade LLM integrations using Claude 3.7, o4-mini, and OpenAI • Design and scale backend infrastructure using Node and NestJS • Work directly with the founder and early customers • Solve challenging real-world conversational workflows • Own core systems, set technical standards, and shape engineering culture What we’re looking for • Two to twelve years of experience as a backend engineer, ideally in high-caliber teams (Meta, Stripe, Ramp, Rippling, or similar) • Proven ability to build and scale systems from scratch • Experience deploying LLM or AI systems in production with real business impact • Someone who thrives in a high-accountability, hands-on environment • Ready to step into a CTO-track position as the company scales Why join • More than $1 million in pilots closed within six weeks • Seventy percent month-on-month growth • Founding engineer position with real technical ownership • Generous equity at two times market rate • A product with clear traction and demand from real users • Backed by top investors and a high-performing early team This is not a side project. We’re building a real company around a working product with real users and strong growth. If you want to be part of a small team that moves fast, builds ambitiously, and takes pride in what it ships, get in touch.