As a founding engineer you will design and build the core platform: event-driven agent framework, shared memory, tool orchestration, APIs, early-intervention systems, and the virtual clinic. Own products end-to-end from customer discovery to production, ship AI/ML solutions, ensure real-time scale and measure impact.
About Rovi Health
The Role
What You’ll Own
Who We’re Looking For
Compensation & Benefits
Rovi is an AI-powered care concierge and virtual clinic for employer health plans. We monitor clinical data in real time, catch expensive care before it gets scheduled, and redirect members to higher-quality, lower-cost options. When someone has a condition we can treat directly, we do that through our own virtual clinic.
The problem we’re solving: in-network prices for the same procedure vary up to 10x within a single zip code. A hospital MRI costs $3,000. The independent imaging center ten minutes away charges $500. Same scan, same quality. But nobody tells the patient, the doctor doesn’t know the price, and the employer won’t see the claim for months. So the expensive option wins by default, every time.
Rovi changes that. We deliver high-quality care to member before they choose the expensive or low-quality default. Our AI-native clinic allows us to treat and navigate care, meaning we can reduce outpatient spend by over 30% while improving health outcomes.
We’re live with 30,000 patients today and adding thousands more each month. We’re backed by Y Combinator, Lightspeed, Gradient (Google’s AI fund), Liquid 2 (Joe Montana), and others.
You’ll own entire product surfaces, end to end. Talk to a customer, understand the problem, decide what to build, architect the solution, write the code, ship it, and measure whether it actually moved the needle. You have full authority over your areas and direct access to the founders.
As part of the founding team, the systems you build become the foundation that everything else runs on. You’ll make bets that change the company’s direction and set the engineering culture that every future hire inherits.
The platform
Rovi isn’t one product. Members interact through text. Clinicians treat patients asynchronously. AI agents orchestrate care in the background. Employers see their savings in real time. All of this has to work together. You’ll own the architecture that ties it together: the event-driven agent framework, shared memory across patient interactions, tool orchestration, the APIs that connect everything.
Early intervention systems
We have access to claims data, clinical records, and live patient interactions. Someone is heading toward a $50K surgery that could happen at an outpatient center for $15K. A member missed a follow-up that’s going to turn into an ER visit. An out-of-network referral is about to cost the plan $8,000 more than it should. You’ll build the systems that catch these things and trigger the right response.
The virtual clinic
We’re building a virtual clinic that delivers care at a fraction of what it costs in a traditional setting. AI handles intake and triage. Human clinicians focus on the parts that need a human. One provider can handle 10x the volume because the system does the work that used to eat their day. You’ll design the technical systems that make this possible and keep improving as we scale.
Scale
We serve thousands of members today. That number is going to grow by orders of magnitude. The real-time responsiveness that makes early intervention work has to survive that growth. You’ll make the architecture calls that let us move fast now without building something that falls over later.
- 3–7+ years building software. Deep in Python, React, and TypeScript.
- You’ve owned products end to end. Not “built features on a roadmap someone else wrote” but actually owned the thing, from the user conversation to the shipped product to measuring whether it worked.
- You’ve built and run production systems where the stakes were real. Healthcare or fintech experience is a plus.
- You’ve shipped AI/ML in production. Agent systems, LLM orchestration, data-heavy pipelines.
- You’d rather have ownership and ambiguity than a well-defined lane and a PM handing you tickets.
- $170K–$250K base + 0.75%–1.5% equity
- Unlimited PTO
- Daily meals in the office
- Wellness stipend
You don't need healthcare experience. We care about systems thinking, execution speed, and building things that work.
Similar Jobs
AdTech • Artificial Intelligence
Conduct applied AI and machine learning research spanning multimodal intelligence, recommendation, ranking, prediction, foundation models, agents, and decision-making. Define research problems, evaluate and develop models using proprietary data, run rigorous experiments, create training signals and evaluations, and transition successful approaches into production systems. Collaborate with engineering and product teams while shaping the company’s research agenda and technical standards.
Top Skills:
Artificial IntelligenceCausal InferenceFine-TuningFoundation ModelsLarge Language ModelsMachine LearningMultimodal ModelsOptimizationRanking ModelsRecommendation SystemsReinforcement LearningRepresentation LearningRetrieval
Healthtech • Social Impact • Software
Build Grow Therapy’s native Android app from the ground up as the founding Android engineer. Own architecture, developer tooling, testing, CI/CD, production releases, observability, security, and consumer-facing features. Set Android standards and technical direction while partnering with product, design, iOS, and backend teams. The role requires hands-on delivery, strategic decision-making with incomplete information, and preparation for a growing Android organization.
Top Skills:
AndroidCi/CdClaude CodeCursorDependency InjectionGithub CopilotGoogle PlayGradleJetpack ComposeKotlinKotlin CoroutinesKotlin FlowKotlin MultiplatformModularization
Artificial Intelligence • Software • Consulting
Lead technical execution as DreamLever’s first in-house engineer. Build and ship full-stack product improvements, translate founder direction and prototypes into production software, improve the quality of an AI Chief of Staff agent, and maintain the engineering foundation. Responsibilities include understanding the existing architecture, coordinating external engineering support, reviewing delegated work, improving testing and observability, and making pragmatic product and technical decisions.
Top Skills:
Ai Coding AgentsAPIsAsynchronous WorkflowsLlmsNext.JsPostgresReactSupabaseTypescript
What you need to know about the NYC Tech Scene
As the undisputed financial capital of the world, New York City is an epicenter of startup funding activity. The city has a thriving fintech scene and is a major player in verticals ranging from AI to biotech, cybersecurity and digital media. It also has universities like NYU, Columbia and Cornell Tech attracting students and researchers from across the globe, providing the ecosystem with a constant influx of world-class talent. And its East Coast location and three international airports make it a perfect spot for European companies establishing a foothold in the United States.
Key Facts About NYC Tech
- Number of Tech Workers: 549,200; 6% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Capgemini, Bloomberg, IBM, Spotify
- Key Industries: Artificial intelligence, Fintech
- Funding Landscape: $25.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Greycroft, Thrive Capital, Union Square Ventures, FirstMark Capital, Tiger Global Management, Tribeca Venture Partners, Insight Partners, Two Sigma Ventures
- Research Centers and Universities: Columbia University, New York University, Fordham University, CUNY, AI Now Institute, Flatiron Institute, C.N. Yang Institute for Theoretical Physics, NASA Space Radiation Laboratory
