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Founding Engineer

David Joseph & Company

San Francisco, CA • On-site

$170K - $250K/yr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

San Francisco, CA · On-site · Full-time
Compensation: $170,000–$250,000 + 0.5%–1.5% equity

About the Company

A seed-stage company building AI agents that automate patient recruitment for clinical trials, coordinating across SMS, voice, and email to help research sites cut the costly delays that hold trials back — a $600B+ market where delays cost $600K–$8M per day. The platform is already deployed at scale, battle-tested across 500K+ patient interactions, 190+ sites, and 300+ trials, and is backed by a top-tier venture firm. On track for a Series A in the next 4–5 months on current revenue trajectory.

Founded 2019 · 1–10 people · Industry: AI Tools

The Role

Founding Engineer reporting directly to the CTO, owning full-stack product development as the company scales its core platform and AI agent capabilities. High-ownership work in a fast-paced, high-intensity (9-to-9) environment with no playbook. The engineering team is four today; you'll help define the architecture and shipping cadence as it grows.

What you'll be doing

  • Orchestrate fleets of AI agents that coordinate patient recruitment across hundreds of clinical trials
  • Build and optimize integrations into customer systems, including custom adapters for specific software versions
  • Scale LLMs across voice, SMS, and email while maintaining conversation consistency and personalization
  • Design AI agent workflows for domain-specific questions and calculations (e.g., BMI from height and weight)
  • Develop scheduling and call-center management solutions for recruiters and clinical research coordinators
  • Reverse-engineer legacy healthcare systems without public APIs to integrate with trial sites' existing stacks

Tech stack: TypeScript, Python, AWS, Next.js

Requirements
  • 0-6 years YOE, ideally new grad to ~5 years out
  • Quant background (Jane Street, IMC) OR founding engineer OR Olympiad/ICPC
  • Full-stack TypeScript + Python + AWS + Next.js
  • SF in-person 5 days, high intensity (9-to-9)
  • AI agent orchestration in healthcare recruitment
Green Flags
  • Quant or competitive programming background
  • Founding engineer at a top-tier startup
  • Recently committed, green GitHub
  • Top school pedigree (target: MIT, Stanford, Berkeley, CMU, Princeton, Harvard)
  • Can articulate technical depth in conversation
Red Flags
  • Master's-only background with no undergrad CS or equivalent track record
  • No shipped production work or empty GitHub
  • Cannot articulate what they have built or why they want this role
  • Consulting or pure strategy background without hands-on engineering
  • Career tenure below one year across recent roles
Why Join
  • Founding-engineer scope reporting to the CTO, with real ownership of architecture from day one
  • Strong backing and proven traction at a seed-stage company already deployed at scale
  • 0.5%–1.5% equity at the founding stage
DetailsLocation San Francisco, CA Work policy On-site, 5 days/week, 9-to-9 intensity Compensation $170,000–$250,000 + equity Visa sponsorship None available Employment type Full-time