Founding Engineer
About the role
Founding engineer role at Prescience, a seed-stage healthcare AI company building a vertically integrated system for risk pricing, care delivery, and disease anticipation. High-autonomy full-stack position focused on enabling AI models to operate, insure, and deliver healthcare; ownership of end-to-end projects from problem selection to production.
Responsibilities
- Full-stack development across the stack using TypeScript (React, backend frameworks, relational DB)
- Ship work with strong UX and product sense
- Build data, harnesses, tools, and infra to support AI models at scale
- Develop and deploy integration-heavy systems that connect numerous external APIs
- Automate workflows and tooling (scripting) to reduce repetitive work
- Collaborate with ML research to grow ML capabilities in production
Qualifications
- Experience level: Any (new grads ok)
- Strong full-stack engineering skills with TypeScript across the stack (React, backend frameworks, relational DB)
- Product sense with shipped work demonstrating UI/UX quality
- Experience with web automation tools (Playwright, Puppeteer, Selenium, or equivalent)
- Hands-on experience with LLMs in production (structured extraction, classification, retrieval, prompting, fine-tuning)
- Experience with integration of many external APIs and designing clean internal APIs
- Scripting and automation mindset
Skills
Benefits
- Small, highly selective team where research and product move together; code reaches deployment same day
- Generous cash base
- Founding-team equity
- Compute is not a constraint: GPUs and unconstrained token spend
- The best health insurance you've ever had
- Uber vouchers, DoorDash, Fitbits

About Prescience, Inc.
Healthcare for the age of abundant intelligence.
Prescience is the preeminent health benefits platform for the world's most ambitious companies. We save employers 20-50% on healthcare while offering best-in-industry health benefits: www.getprescience.com About us: Prescience is building a new healthcare system for America. We train AI systems to: create, operate, insure, and deliver healthcare for employer health plans. Prescience Time Machine – an AlphaGo-like system – steers patients towards “Move 37 health trajectories” that deliver dramatic cost savings for employers. Rishab Jain and Aditya Jain, M.D. are serial entrepreneurs and brothers from Harvard & Harvard Medical School with backgrounds in machine learning and medicine. We believe abundant intelligence will bring an opportunity to fundamentally rebuild the $4.5T healthcare industry around proactive (prescient) health and wellness.
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