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New York City, NY$170k - $250kFull-timePosted 6mo ago

About the role

Founding Engineer role at Rovi Health, an AI-powered care concierge and virtual clinic for employer health plans. You will own end-to-end product surfaces and architecture as part of the founding team, delivering scalable systems for an AI-enabled virtual clinic and early intervention workflows.

Responsibilities

  • Own entire product surfaces end to end: understand customer problems, decide what to build, architect the solution, write code, ship it, and measure impact.
  • Own the architecture that ties together platforms for text interactions, asynchronous clinical care, AI orchestration, and employer savings visualization.
  • Build early intervention systems using claims data, clinical records, and live patient interactions to catch costly procedures or missed follow-ups and trigger appropriate responses.
  • Design and scale the virtual clinic, with AI handling intake and triage and clinicians focusing on parts requiring human expertise.
  • Make architecture decisions to support growth from thousands to orders of magnitude in members, ensuring real-time responsiveness.

Qualifications

  • 3–7+ years building software. Deep in Python, React, and TypeScript.
  • Experience owning products end to end, from user conversations to shipped product and impact measurement.
  • Experience building and running production systems with real stakes; healthcare or fintech experience a plus.
  • Experience shipping AI/ML in production, including agent systems, LLM orchestration, and data-heavy pipelines.
  • Preference for ownership and handling ambiguity over strictly defined ticket lanes.

Skills

Required:PythonReactTypeScript

Benefits

  • Unlimited PTO
  • Daily meals in the office
  • Wellness stipend
Last updated Aug 26, 2026. Interested? Apply on the company site.
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About Rovi Health

Text-based healthcare that slashes employer health spend

We deliver high-quality, affordable healthcare to employees through text. Employers cut 10–20% of healthcare spend. Employees get concierge care they love. Our AI-enabled virtual care treats common conditions over text or video. For in-person care, our AI agents search across all in-network providers using millions of price and quality data points, recommend the best options, then coordinate scheduling. Employees get rewarded for choosing high-value care through copay reimbursements. We've already contracted to roll out to thousands of employees across multiple employers for the 2025-2026 plan year. We're on a mission to build member-aligned, AI-native health insurance, starting with cost containment.

consumer-health-serviceshealth-techdigital-healthhealth-insuranceai-assistant

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