Founding Prompt/Context Engineer
Hybrid (San Francisco)$150k - $250k + equityFull-timePosted 11mo ago
About the role
LLM engineer role focused on architecting prompting systems and scalable AI infrastructure for healthcare-focused computer agents at Novoflow.
Responsibilities
- Design custom prompt frameworks for core infrastructure agents.
- Build smart context engineering with backend systems integration.
- Address safety, reliability, and latency at scale for LLM-based solutions.
- Drive technical decisions and architecture design.
- Collaborate with founders and team to translate business goals into actionable plans.
- Take full product ownership from ideation to launch, including system integrations.
Qualifications
- 2-10 years of hands-on general engineering and context engineering experience.
- Startup experience preferred; former founders valued.
- Backend skills in JavaScript/TypeScript and Python (voice agents).
- Frontend skills with Next.js.
- Cloud platforms familiarity with AWS and PostgreSQL.
- Experience with Docker is a plus.
- Regulatory experience with HIPAA is useful.
- Educational background ideally from a top-50 US college.
Skills
Required:EngineeringContext engineeringJavaScript/TypeScriptPythonAWSPostgreSQL
Nice to have:Next.jsDockerHIPAA
Benefits
- Competitive Base salary plus equity
- Gym membership
- Wellness allowance
- Full health, dental, and vision coverage
- Live in a dedicated 3,500 sq. ft. hackerhouse
- Large snack supply
Last updated Sep 2, 2026. Interested? Apply on the company site.

About Novoflow
AI employees that automate medical operations for clinics.
Novoflow is building AI employees that automate medical operations for clinics. Novoflow built the universal bridge into EHR systems—so every workflow, from scheduling to billing, can finally run on AI. The first product is an AI employee that talks to patients and uses computer agents to book, reschedule, and recover cancelled appointments. Built for healthcare providers and hospitals.
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