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Founding Engineer

San Francisco Full-time On-site 09/01/2026 Job ID: 000069
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Machine learning Healthcare risk modeling Utilization forecasting Cost prediction Optimization

Summary

What you’ll impact

Our company is seeking a founding engineer in San Francisco to build its core AI-native platform for healthcare spend optimization. The role involves developing machine learning, optimization, data infrastructure, and LLM-based systems while working closely with founders and customers.

Responsibilities

What you'll do

  • Build ML systems for healthcare risk modeling, utilization forecasting, and cost prediction
  • Develop optimization and simulation tools for scenario modeling, counterfactual analysis, and vendor strategy
  • Build production LLM systems using RAG and agents across structured and unstructured data
  • Design reliable data pipelines for large, messy healthcare datasets
  • Create evaluation systems to measure and improve model performance
  • Own projects from the initial idea through production
  • Work directly with customers to understand their needs and improve the product
  • Help shape our technical standards and engineering culture

Requirements

What you’ll bring

  • Strong software engineering and systems design fundamentals
  • Experience building and maintaining production systems
  • Experience with backend infrastructure, data engineering, or applied ML
  • An ability to think in terms of models, distributions, uncertainty, and optimization
  • Interest in LLMs, AI agents, forecasting, and healthcare finance
  • Strong product judgment and comfort working through ambiguity
  • A collaborative, thoughtful approach and a high level of ownership

Ready to Move Forward?

Apply now and our recruiting team will reach out with next steps, interview guidance, and client insights tailored to this role.