Alleviate Health — Founding Engineer

Type: Full-time | On-site | San Francisco, CA Compensation: $170,000–$250,000 + 0.5%–1.5% equity Hiring count: 1 Visa sponsorship: None as a rule; case-by-case for exceptional candidates. Reports to: CTO (name not given on role page)

Alleviate Health automates patient recruitment for clinical trials using AI agents that coordinate across SMS, voice, and email. Clinical trial delays cost $600K–$8M per day in a $600B+ market, and Alleviate's platform helps research sites close that gap. It is already working with 7 of the top 15 research site networks in the country (including Alcanza Clinical Research, CenExel, Centricity Research, M3 Wake Research, Eximia Research, and Profound Research), battle-tested across 500K+ patient interactions, 190+ sites, and 300+ trials. Backed by Andreessen Horowitz, with strategic investors including the co-founder of Flatiron Health and the CEO of Tennr. On track for a Series A in the next 4–5 months on current revenue trajectory.

Founded: 2019 | Team size: 1–10 (Seed) — engineering team of four today | Total funding: not disclosed Industry: AI Tools Website: alleviatehealth.care Office: San Francisco, CA

• Founding-engineer scope: Reports directly to the CTO, owns full-stack product development, and helps define architecture and shipping cadence as the team grows beyond its current four engineers.
• Backing and traction: a16z-backed, already deployed across 500K+ patient interactions with 7 of the top 15 research site networks.
• Equity upside: 0.5%–1.5% at the founding stage, with real ownership from day one.
• Momentum: On track for a Series A in the next 4–5 months on current revenue trajectory.

No intake call summary section was present on the role page.

Founding Engineer reporting directly to the CTO, owning full-stack product development as the company scales its core platform and AI agent capabilities. High-ownership work in a fast-paced, high-intensity (9-to-9) environment with no playbook.

• →Orchestrate fleets of AI agents that coordinate patient recruitment across hundreds of clinical trials
• →Build and optimize integrations into customer systems, including custom adapters for specific software versions
• →Scale LLMs across voice, SMS, and email while maintaining conversation consistency and personalization
• →Design AI agent workflows for domain-specific questions and calculations (e.g., BMI from height and weight)
• →Develop scheduling and call-center management solutions for recruiters and clinical research coordinators
• →Reverse-engineer legacy healthcare systems without public APIs to integrate with trial sites' existing stacks

Tech stack: TypeScript, Python, AWS, Next.js

• 0-6 years YOE, ideally new grad to ~5 years out
• Quant background (Jane Street, IMC) OR founding engineer OR Olympiad/ICPC
• Full-stack TypeScript + Python + AWS + Next.js
• SF in-person 5 days, high intensity (9-to-9)
• AI agent orchestration in healthcare recruitment

• Quant or competitive programming background
• Founding engineer at a top-tier startup
• Recently committed, green GitHub
• Top school pedigree (target: MIT, Stanford, Berkeley, CMU, Princeton, Harvard)
• Can articulate technical depth in conversation

• Master's-only background with no undergrad CS or equivalent track record
• No shipped production work or empty GitHub
• Cannot articulate what they have built or why they want this role
• Consulting or pure strategy background without hands-on engineering
• Career tenure below one year across recent roles

Salary$170,000–$250,000Equity0.5%–1.5%On-site policySF in-person, 5 days/week, 9-to-9 intensityVisa sponsorshipNone as a rule; case-by-case for exceptional candidatesEmployment typeFull-timeLocationSan Francisco, CA

No screening-questions section was present on the role page.

Stage 1 — Pending Approval Stage 2 — Initial Call w/ Singhei or John Stage 3 — Technical: Analytics Exercise Stage 4 — Technical: Double Texting Stage 5 — Technical: FDE Stage 6 — Onsite Stage 7 — Offer Stage 8 — Hired — Candidate accepts and starts.

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