About the Role
This is a founding engineering role at a fast-moving healthtech startup building AI-powered patient recruitment infrastructure for clinical trials across North America. You'll work directly at the core of the platform — shaping architecture, shipping product, and driving the technical direction of a small, high-caliber team where your impact will be immediate and tangible.
What You'll Do
Orchestrate a fleet of AI agents coordinating patient recruitment workflows across hundreds of clinical trials.
Scale LLMs across voice, SMS, and email channels while maintaining consistent, personalized conversations throughout.
Build integrations into customer systems, including custom integrations for specific software versions and configurations.
Tune AI agent conversations and develop workflows for indication-specific screening logic and calculations.
Develop call center management tooling and optimal scheduling algorithms for recruiters and clinical research coordinators.
Reverse-engineer legacy healthcare systems that lack public APIs to integrate with existing clinical site tooling.
What We're Looking For
5+ years of full-stack or AI/ML engineering experience, with at least 3 years shipping user-facing products in production.
Full-stack development capabilities across frontend and backend — proficiency in Python, TypeScript, and JavaScript required.
Experience with the broader stack: Next.js, PostgreSQL, AWS, Terraform, and Docker a plus.
Strong CS fundamentals and demonstrated ability to make sound architectural decisions independently.
Background at a top-tier tech company, high-growth VC-backed startup, or quantitative trading firm preferred.
Strong academic foundations in CS, EECS, or Mathematics, with evidence of high performance (TA experience, notable side projects, or internships at well-regarded organizations).
Experience building applied LLM or agentic AI products.
Comfort operating in early-stage, ambiguous environments with self-directed work.
Healthcare or life sciences domain knowledge is a meaningful plus.
Compensation & Benefits
Base salary range: $170,000 – $250,000 USD annually. Visa sponsorship is available.
Location
On-site in Durham, NC, United States.