AI/LLM Systems Software Engineer

Location: San Francisco, CA
Work Type: In-person
Employment: Full-time
Experience Required: 2+ years
Salary Range: $175,000 - $225,000 per year
Visa Sponsorship: Not available

The Role

As a founding engineer, you'll design and build core systems from the ground up, working across the stack to ship fast, reliable features. You'll lead technical architecture decisions, implement AI-driven workflows including prompt engineering and memory handling, and collaborate directly with the founders to shape product direction and engineering culture. You'll have full ownership of major components and play a central role in setting the technical bar for the company.

What We're Looking For

• Minimum 2 years of full-time experience as a software engineer
• working knowledge of AI/LLM systems and architecture
• Experience with architecture solutions, diagrams, and integrations
• Prior engineering experience at early-stage startups or exceptional tech companies
• Comfortable working across the stack and moving fast in ambiguous environments
• Able to take feedback, quickly adapt, and integrate into existing systems/architecture

What We Offer

• Equity
• Base salary between $175,000 and $225,000 depending on experience
• High ownership and autonomy in technical decision-making
• Direct impact on reducing clinician burnout and improving healthcare outcomes
• Small, high-trust team backed by top-tier investors