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Hybrid (San Francisco, CA)$100k - $170kFull-timePosted 11mo ago

About the role

Founding Engineer at Health Harbor, a YC-backed startup automating insurance calls for healthcare clinics using generative AI. Role focuses on backend engineering, scaling voice AI LLM orchestration, and building core systems in SF.

Responsibilities

  • Building a tiered LLM based solution to handling calls and logic.
  • Debugging and analyzing prompts/fine-tuning to make sure we’re retrieving all the information correctly.
  • Setting up a test/evaluation system for LLM-based processes to track and measure progress.

Qualifications

  • 3+ years of experience (implied seniority, not junior)

Skills

Required:Google CloudPython

Benefits

  • ICHRA benefit — choose whichever insurance you’d like! (Health/Vision/Dental Insurance)
  • Flexible PTO
Last updated Aug 26, 2026. Interested? Apply on the company site.
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About Health Harbor

Using generative AI to call insurance for healthcare clinics

We use generative AI to call insurance on behalf of healthcare clinics. We save clinics up to 40 hours of calls every week over existing outsourced human solutions. Compared to the existing solutions for benefits verifications: - We're faster -- by default, we have a turnaround of 24 hours compared to typically a 3 day turnaround for competitors - We can reach more payors -- as long as they have a phone line, we can support calling them for benefits. There's quite a few payors in both medical and dental (e.g. Seledent) that have yet to offer a digital retrieval of benefits - We're reliable and consistent -- there is no person-to-person variation or question skipping when it comes to working with software

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