Who is Recruiting from Scratch
Recruiting from Scratch is a premier talent firm that focuses on placing the best product managers, software, and hardware talent at innovative companies. Our team is 100% remote and we work with teams across the United States to help them hire.
Location: Remote (US) / Hybrid (Boston or San Francisco)
Company Stage of Funding: Seed ($2.5M raised)
Office Type: Remote / Onsite
Salary: $180,000 – $250,000 + Competitive Equity
Visa: H1B transfers / TN only (No new sponsorship)
Our client is building personalized AI healthcare infrastructure for Medicare beneficiaries, combining voice AI, reinforcement learning systems, and agentic automation to create a scalable AI nurse concierge.
Their platform automates care coordination workflows across insurance, providers, vendors, and patient support systems—bringing always-on personalized healthcare navigation to millions of patients.
This is an opportunity to join an early-stage, venture-backed healthcare AI company building production-grade voice and agentic systems in one of the most impactful AI application spaces today.
Build and deploy production-grade voice AI systems
Design agentic workflows for healthcare automation
Build multi-agent orchestration systems
Develop reinforcement learning feedback loops
Design evaluation infrastructure for agent performance
Improve AI quality through reward-driven optimization
Build real-time STT / TTS pipelines
Create autonomous care coordination agents
Design workflow orchestration systems
Improve production reliability for patient-facing AI systems
Build data capture pipelines for model improvement
Work directly with founders on technical roadmap
Own AI system performance end-to-end
Design scalable healthcare AI infrastructure
Ship rapidly in a high-ownership startup environment
Drive product iteration from real-world usage data
Lay architectural foundations for scale
Improve system accuracy using continuous feedback loops
1–10 years of engineering experience
Strong backend or full-stack engineering fundamentals
Strong Python proficiency
Experience shipping production AI systems
Strong systems design fundamentals
Comfort with ambiguity
High ownership mindset
Ability to work autonomously
Strong technical judgment
Fast learner
Strong product intuition
Comfort operating in highly unstructured environments
Ability to move quickly
Strong debugging and optimization skills
Ability to work directly with founders
Built production voice AI systems
Built production agentic systems
Multi-agent orchestration experience
RLHF / reward modeling experience
Built eval-driven LLM systems
Production reinforcement learning systems
Real-time STT / TTS pipeline experience
Healthcare AI experience
Startup engineering experience
Former founder / early engineer
Strong AI infrastructure background
Top technical education
Demonstrated exceptional technical achievement
Experience building feedback-loop systems
Strong experimentation mindset
Fast shipping velocity
High ambiguity tolerance
Experience with production-scale LLM optimization
Base salary: $180,000 – $250,000
Competitive equity
Remote-first flexibility
Hybrid option in Boston / SF
Direct founder collaboration
High technical ownership
Meaningful architectural influence
Early-stage upside
Mission-driven healthcare impact
Production-scale AI challenges
This is a rare opportunity to build AI systems that directly improve patient outcomes.
You’ll work on production-grade voice and agentic systems that automate complex healthcare coordination workflows, helping scale personalized care for Medicare beneficiaries.
If you want deep ownership over cutting-edge AI infrastructure, real-world impact, and the opportunity to build systems that continuously learn and improve from patient interactions, this role offers exceptional leverage.
Recruiting from Scratch provides recruiting services for companies that need to hire the best talent in software engineering, hardware engineering, product design, product management, marketing, GTM, and accounting & finance.
