Founding Engineer
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
Benefits
- Unlimited PTO
- Daily meals in the office
- Wellness stipend

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.
More open roles at Rovi Health
- Founding GTM Engineer3mo agoNew York, NY · Engineering
- Senior / Staff Founding Engineer3mo agoNew York, NY
