Clarion

About Clarion At Clarion, we're rebuilding how healthcare communicates in the age of AI. Today, clinics miss 30-40% of patient calls while staff drowns in administrative tasks. We believe AI agents should handle these workflows—scheduling, billing, prescription refills—so healthcare teams can focus on actual patient care. We're building the communication infrastructure that modern healthcare desperately needs. Our AI agents don't just answer calls; they complete entire workflows end-to-end, giving providers back their time and ensuring patients never go unheard. We've already handled hundreds of thousands of patient interactions across virtual care companies, health systems, and a $5B health insurance company. Founded by a Stanford/Harvard-trained physician who was on the founding team of Two Chairs and Ophelia, and an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce, we uniquely understand both the clinical and technical challenges of transforming healthcare communication. We've raised $5.4M from Accel, Y Combinator, Sequoia (scout), and healthcare founders from Ophelia, Medallion, and Counsel Health. We're an in-person team based in New York, moving fast to ensure no patient call goes unanswered. Why Join Us? Early-stage with strong market validation: We are rapidly growing and offering the high-impact environment of an early-stage startup. Solving a massive healthcare challenge: We're addressing a critical problem in healthcare communication that affects millions of patients. Cutting-edge tech frontier: You'll harness the latest generative AI models to craft conversational agents that transform healthcare communication, while driving innovation to push these technologies beyond their current limits. In-person collaboration advantage: We've built in-person since day one and maintain this as a strategic advantage- we move faster, build stronger bonds, and create a cohesive culture. What You'll Be Working On Prospect and qualify mid-market to enterprise opportunities by identifying and engaging high-value targets across health systems, specialty groups, and value-based care organizations Own the full sales cycle by leading strategic deals from initial outreach through close, driving high-quality opportunities and engaging directly with executive decision-makers Run sharp discovery using consultative value selling to uncover key operational challenges and identify where Clarion can deliver the most impact Lead high-impact demos that clearly map Clarion's capabilities to customer pain points and demonstrate measurable ROI Sell strategically to the C-suite by building consensus across stakeholders and leading complex, value-based negotiations Drive predictable revenue through disciplined pipeline management and accurate forecasting with clear visibility into risks and next steps Build the pipeline from outbound efforts, supplementing inbound leads sourced from Growth Associates Collaborate cross-functionally with our Growth Lead to structure strategic pilots and ensure alignment on use cases and value delivery Requirements 2-3 years of enterprise SaaS experience owning complex sales cycles from discovery to close, ideally in healthcare; experience with Conversational or Voice AI is a plus Proven prospecting ability with track record of generating pipeline through cold calls, LinkedIn outreach, and email campaigns to executive decision-makers Strong value-based selling skills with ability to sell to the C-suite, align cross-functional stakeholders, and lead multi-threaded deals Experienced in tying product impact to business outcomes, negotiating based on ROI, and closing high-retention 6-figure contracts Skilled at navigating legal and procurement processes while structuring strategic pilots that prove value Highly organized in managing parallel deals, owning next steps, and maintaining clean forecasts and pipelines Proficient in sales tools and methodologies, knows how to run a

About Clarion The hardest part of healthcare shouldn’t be getting an appointment. Today, medical staff drown in backlogs of calls, faxes, and scheduling requests. Patients struggle to get the right care at the right time, staff members burn out, and clinics lose billions in revenue. This isn’t a failure of care - it’s a failure of capacity. Clarion exists to solve this problem at scale. Our AI agents handle the patient journey from end-to-end; from scheduling and rescheduling appointments, to managing referrals and prescription refills. Our AI performs complex workflows with a human-like touch that patients love. We’ve raised $5.5M from Accel, Y Combinator, and Sequoia (Scout), along with founders from Ophelia, Medallion, and Counsel Health. We’re an in-person team based in New York City, moving quickly to ensure every patient gets the care they need. Why Join Us? Solving a real-world challenge : We’re addressing a critical problem that affects millions of patients and providers daily. Our AI agents outperform human schedulers and restore the time needed to focus on patients. Early-stage with strong market validation : We’ve seen 10x revenue growth in the last year alone. We handle millions of interactions for customers ranging from virtual care clinics to a $5B health insurance company. Founding team : Our co-founders bring a deep understanding of the healthcare landscape. Our CEO is a Stanford/Harvard-trained physician and clinical ops leader (Two Chairs, Ophelia), and our CTO is an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce. Outsized early impact : You'll be joining at an early stage where your contributions shape our company's trajectory, processes, and culture, with significant influence on how we grow. In-person collaboration advantage : We've built in-person since day one and maintain this as a strategic advantage. We move faster, build stronger bonds, and create a cohesive culture. What You'll Be Working On Serve as the primary point of contact for customers after go-live. Build deep relationships with key stakeholders to drive adoption and satisfaction. Take accountability for NRR across your book of business. Build strategic roadmaps, identify expansion opportunities, and recognize new use cases. Act as the first line of response for customer questions, bugs, and operational issues. Diagnose problems, provide immediate guidance, and escalate technical matters to Forward Deployed Engineers when needed. Lead weekly syncs and quarterly reviews, ensuring seamless communication flow between customers and internal teams. Track usage patterns with metrics dashboards, identify at-risk accounts, and proactively intervene to maximize account value. Requirements 2+ years in a customer-facing role managing post-sales relationships for technical products in healthcare, ideally in B2B SaaS. Proven track record owning revenue metrics (NRR, retention, expansion) and identifying upsell and cross-sell opportunities. Comfortable leading meetings with key stakeholders, building trust with senior decision-makers, and translating technical concepts into business value. Able to triage technical issues, understand system architecture at a high level, and communicate effectively with both engineers and non-technical customers. Strong project management instincts with attention to detail. You naturally build systems, document processes, and keep multiple workstreams organized without dropping the ball. You are a good fit if You thrive in ambiguity where you'll define processes from scratch rather than follow established playbooks. You're energized by customer relationships and see renewals and expansions as the natural result of delivering exceptional value. You don't wait for perfect systems; you create the infrastructure needed to scale customer success as the company scales. You can context-switch between strategic planning and tactical execution without losing momentum. What we

About Clarion The hardest part of healthcare shouldn’t be getting an appointment. Today, medical staff drown in backlogs of calls, faxes, and scheduling requests. Patients struggle to get the right care at the right time, staff members burn out, and clinics lose billions in revenue. This isn’t a failure of care - it’s a failure of capacity. Clarion exists to solve this problem at scale. Our AI agents handle the patient journey from end-to-end; from scheduling and rescheduling appointments, to managing referrals and prescription refills. Our AI performs complex workflows with a human-like touch that patients love. We’ve raised $5.5M from Accel, Y Combinator, and Sequoia (Scout), along with founders from Ophelia, Medallion, and Counsel Health. We’re an in-person team based in New York City, moving quickly to ensure every patient gets the care they need. Why Join Us? Solving a real-world challenge : We’re addressing a critical problem that affects millions of patients and providers daily. Our AI agents outperform human schedulers and restore the time needed to focus on patients. Early-stage with strong market validation : We’ve seen 10x revenue growth in the last year alone. We handle millions of interactions for customers ranging from virtual care clinics to a $5B health insurance company. Founding team : Our co-founders bring a deep understanding of the healthcare landscape. Our CEO is a Stanford/Harvard-trained physician and clinical ops leader (Two Chairs, Ophelia), and our CTO is an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce. Outsized early impact : You'll be joining at an early stage where your contributions shape our company's trajectory, processes, and culture, with significant influence on how we grow. In-person collaboration advantage : We've built in-person since day one and maintain this as a strategic advantage. We move faster, build stronger bonds, and create a cohesive culture. What You'll Be Working On Build and ship : Write production code—building integrations, configuring AI agents, and implementing platform logic based on customer workflows and scheduling rules. Own implementations end-to-end : Create and manage technical project plans from scoping through go-live. Coordinate internal resources, delegate workstreams, and drive timelines to completion. Engineer our moat: Our competitive advantage is our ability to stay in the weeds with customers until the technology works. You will architect the high-leverage systems and playbooks that transform these complex implementations into a repeatable, scalable infrastructure. Be the technical face to customers : Serve as primary POC for customer technical teams—leading discovery sessions, unblocking integration issues, and building trusted advisor relationships. Optimize AI agents in production : Monitor agent performance at scale, diagnose failure modes, and iteratively refine behavior to improve accuracy, reliability, and patient experience over time. Grow accounts : Drive expansion post-launch by deploying new features, identifying upsell opportunities, and proactively solving emerging pain points. Shape the product : Translate field observations and customer feedback into actionable requirements that inform the product roadmap. Requirements Technical foundation : 3+ years of engineering experience shipping production systems while working directly with customers. This is a hands-on coding role, not purely project management. Project leadership : Track record of managing complex, multi-workstream technical projects and coordinating cross-functional resources to deliver on time. Customer-facing presence : Experience as a primary technical POC—comfortable leading architecture discussions and building relationships with technical stakeholders. Product intuition : Ability to synthesize customer needs into insights that bridge field reality and engineering priorities. Interesting Technical Challenges AI agent tunin

About Clarion At Clarion, we're rebuilding how healthcare communicates in the age of AI. Today, clinics miss 30-40% of patient calls while staff drowns in administrative tasks. We believe AI agents should handle these workflows—scheduling, billing, prescription refills—so healthcare teams can focus on actual patient care. We're building the communication infrastructure that modern healthcare desperately needs. Our AI agents don't just answer calls; they complete entire workflows end-to-end, giving providers back their time and ensuring patients never go unheard. We've already handled hundreds of thousands of patient interactions across virtual care companies, health systems, and a $5B health insurance company. Founded by a Stanford/Harvard-trained physician who was on the founding team of Two Chairs and Ophelia, and an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce, we uniquely understand both the clinical and technical challenges of transforming healthcare communication. We've raised $5.5M from Accel, Y Combinator, Sequoia (scout), and healthcare founders from Ophelia, Medallion, and Counsel Health. We're an in-person team based in New York, moving fast to ensure no patient call goes unanswered. Why Join Us? Early-stage with strong market validation: We are rapidly growing and offering the high-impact environment of an early-stage startup Solving a massive healthcare challenge: We're addressing a critical problem in healthcare communication that affects millions of patients Cutting-edge tech frontier: You'll design both visual and voice experiences for breakthrough AI technology that's transforming healthcare communication In-person collaboration advantage: We've built in-person since day one and maintain this as a strategic advantage—we move faster, build stronger bonds, and create a cohesive culture What you'll be working on Own our entire design language: Define Clarion's brand identity across all touchpoints—from marketing website to product interfaces to sales materials—ensuring we stand out in healthcare Design AI voice experiences that feel human: Craft conversation flows, dialogue scripts, and interaction patterns that make our AI agents sound natural, empathetic, and trustworthy to patients Create intuitive product interfaces: Build dashboards and tools that make complex AI capabilities feel simple for overwhelmed healthcare teams Bridge the visual and auditory: Design cohesive experiences where what customers see perfectly complements what patients hear during AI conversations Build our design system from scratch: Establish visual guidelines, component libraries, and voice interaction patterns that scale as we grow Ship brand experiences at startup speed: Create everything from pitch decks to product demos to conference materials that make healthcare buyers stop and pay attention Requirements 3+ years of design experience: Portfolio showing both brand and product design work, with ability to create cohesive experiences across mediums Full-stack designer: Comfortable moving from brand strategy to UI design to copywriting within the same day Systems thinker: Can create scalable design frameworks for both visual and conversational interfaces Figma fluent: Expert-level proficiency in design tools, with ability to create everything from logos to prototypes In-person collaboration: Excited to work from our NYC office daily You are a good fit if You believe great design spans all senses—what people see, hear, and feel when interacting with a product You're fascinated by making AI conversations feel natural and human, not robotic or scripted You can write copy that sounds like a compassionate healthcare worker, not a tech company You want to own both how Clarion looks and how it sounds to millions of patients You're excited to define a brand that stands out in the sea of sterile healthcare tech You measure success by both user delight and business impact Interest

About Clarion The hardest part of healthcare shouldn’t be getting an appointment. Today, medical staff drown in backlogs of calls, faxes, and scheduling requests. Patients struggle to get the right care at the right time, staff members burn out, and clinics lose billions in revenue. This isn’t a failure of care - it’s a failure of capacity. Clarion exists to solve this problem at scale. Our AI agents handle the patient journey from end-to-end; from scheduling and rescheduling appointments, to managing referrals and prescription refills. Our AI performs complex workflows with a human-like touch that patients love. We’ve raised $5.5M from Accel, Y Combinator, and Sequoia (Scout), along with founders from Ophelia, Medallion, and Counsel Health. We’re an in-person team based in New York City, moving quickly to ensure every patient gets the care they need. Why Join Us? Solving a real-world challenge : We’re addressing a critical problem that affects millions of patients and providers daily. Our AI agents outperform human schedulers and restore the time needed to focus on patients. Early-stage with strong market validation : We’ve seen 10x revenue growth in the last year alone. We handle millions of interactions for customers ranging from virtual care clinics to a $5B health insurance company. Founding team : Our co-founders bring a deep understanding of the healthcare landscape. Our CEO is a Stanford/Harvard-trained physician and clinical ops leader (Two Chairs, Ophelia), and our CTO is an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce. Outsized early impact : You'll be joining at an early stage where your contributions shape our company's trajectory, processes, and culture, with significant influence on how we grow. In-person collaboration advantage : We've built in-person since day one and maintain this as a strategic advantage. We move faster, build stronger bonds, and create a cohesive culture. What you'll be working on Generate qualified pipeline through cold outbound and manage inbound interest Drive top-of-funnel growth through targeted multi-channel outreach (phone, LinkedIn, email) Advance opportunities through strategic discovery and qualification Continuously expand and refine outbound strategy through prospecting and list curation by researching, testing, and prioritizing accounts Partner with AEs to seamlessly advance qualified leads through the sales cycle Act as Clarion's first voice to the market by representing our mission with credibility and empathy Requirements 1+ years of experience in sales development, with a proven ability to drive cold outreach, run outbound campaigns, and consistently generate pipeline Exceptional communicator with strong verbal and written skills, able to craft compelling messaging and confidently engage executives from day one Gritty and self-motivated , with a bias toward action, persistence under pressure, and comfort navigating ambiguity in a fast-paced environment Detail-oriented and metrics-driven , constantly focused on execution Healthcare interest or experience: You're curious about healthcare workflows and challenges; experience selling into healthcare orgs is a strong plus Sales tools fluency: Proficient with CRMs, outreach platforms, Sales Navigator, and other sales enablement tools Excited to work from our NYC office 5 days a week You are a good fit if You're naturally curious and creative, always asking sharp questions and thinking critically about how AI can improve healthcare operations You're relentless, pushing through roadblocks with resilience and a solutions-first mindset You're meticulous and organized, managing your pipeline with precision and never letting details slip You're a systems thinker, constantly analyzing and improving what works to drive scalable results You bring focused energy and genuine enthusiasm, showing up motivated by the mission every single day What we offer Direct mentorship:

About Clarion At Clarion, we're rebuilding how healthcare communicates in the age of AI. Today, clinics miss 30-40% of patient calls while staff drowns in administrative tasks. We believe AI agents should handle these workflows—scheduling, billing, prescription refills—so healthcare teams can focus on actual patient care. We're building the communication infrastructure that modern healthcare desperately needs. Our AI agents don't just answer calls; they complete entire workflows end-to-end, giving providers back their time and ensuring patients never go unheard. We've already handled hundreds of thousands of patient interactions across virtual care companies, health systems, and a $5B health insurance company. Founded by a Stanford/Harvard-trained physician who was on the founding team of Two Chairs and Ophelia, and an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce, we uniquely understand both the clinical and technical challenges of transforming healthcare communication. We've raised $5.4M from Accel, Y Combinator, Sequoia (scout), and healthcare founders from Ophelia, Medallion, and Counsel Health. We're an in-person team based in New York, moving fast to ensure no patient call goes unanswered. Why Join Us? Early-stage with strong market validation: We are rapidly growing and offering the high-impact environment of an early-stage startup Solving a massive healthcare challenge: We're addressing a critical problem in healthcare communication that affects millions of patients Own the narrative in a hot market: You'll shape how the industry talks about AI in healthcare while competing against well-funded competitors In-person collaboration advantage: We've built in-person since day one and maintain this as a strategic advantage—we move faster, build stronger bonds, and create a cohesive culture What You'll Be Working On Define and own our story: Craft positioning and messaging that transforms Clarion from "another AI vendor" into the trusted partner healthcare teams need Generate pipeline at scale: Build and execute campaigns that fill our funnel with qualified healthcare executives ready to transform their operations Build trust through relationships: Create intimate customer dinners, executive roundtables, and strategic gatherings that deepen relationships with buyers and influencers Turn conferences into pipeline: Maximize ROI from 10+ annual conferences through strategic meetings, speaking opportunities, and customer events (not expensive booths) Create content that converts: Develop case studies, ROI calculators, blog posts, and sales materials that move deals forward Enable sales to win: Arm our team with competitive intelligence, battlecards, and thought leadership that helps close deals against funded competitors Requirements 3-5 years of B2B marketing experience: Track record in enterprise healthcare, preferably at growth-stage startups where you've worn multiple hats Relationship builder: Experience creating trust through events, community building, and strategic partnerships—not just digital marketing Healthcare insider: Understands how health systems buy, who the key influencers are, and what messages resonate with overwhelmed providers Strategic storyteller: Can distill complex technology into a simple, repeatable narrative that sticks Scrappy executor: Comfortable doing everything from writing LinkedIn posts to organizing executive dinners to pitching reporters In-person collaboration: Excited to work from our NYC office daily You're a Good Fit If You believe marketing is about building trust, not just generating awareness You understand that in healthcare, relationships and reputation drive deals more than SEO You measure success by pipeline influenced and competitive deals won, not vanity metrics You're comfortable being the only marketer while laying foundation for future hires You want to help a third-place competitor become the category leader through

About Clarion The hardest part of healthcare shouldn’t be getting an appointment. Today, medical staff drown in backlogs of calls, faxes, and scheduling requests. Patients struggle to get the right care at the right time, staff members burn out, and clinics lose billions in revenue. This isn’t a failure of care - it’s a failure of capacity. Clarion exists to solve this problem at scale. Our AI agents handle the patient journey from end-to-end; from scheduling and rescheduling appointments, to managing referrals and prescription refills. Our AI performs complex workflows with a human-like touch that patients love. We’ve raised $5.5M from Accel, Y Combinator, and Sequoia (Scout), along with founders from Ophelia, Medallion, and Counsel Health. We’re an in-person team based in New York City, moving quickly to ensure every patient gets the care they need. Why Join Us? Solving a real-world challenge : We’re addressing a critical problem that affects millions of patients and providers daily. Our AI agents outperform human schedulers and restore the time needed to focus on patients. Early-stage with strong market validation : We’ve seen 10x revenue growth in the last year alone. We handle millions of interactions for customers ranging from virtual care clinics to a $5B health insurance company. Founding team : Our co-founders bring a deep understanding of the healthcare landscape. Our CEO is a Stanford/Harvard-trained physician and clinical ops leader (Two Chairs, Ophelia), and our CTO is an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce. Outsized early impact : You'll be joining at an early stage where your contributions shape our company's trajectory, processes, and culture, with significant influence on how we grow. In-person collaboration advantage : We've built in-person since day one and maintain this as a strategic advantage. We move faster, build stronger bonds, and create a cohesive culture. What You'll Be Working On Serving as the CEO's right hand to drive priority initiatives, track progress against goals, and identify operational bottlenecks Managing our AI agent deployment pipeline from initial customer onboarding through ongoing optimization Building and documenting scalable processes for customer implementation, quality assurance, and ongoing support Creating dashboards to track key metrics across customer success, AI agent performance, and business operations Managing vendor relationships and evaluating new tools to support our growing operations Requirements 2-4 years of experience in consulting, investment banking, business operations, or high-growth startups Clear communicator who builds trust easily with healthcare customers and team members Experience managing projects from start to finish and coordinating across different areas Good with numbers and able to spot trends that help guide business decisions Excited to work in-person at our NYC office You are a good fit if You're highly organized and can balance multiple strategic initiatives while maintaining a clear view of company priorities You're proactive about identifying both risks and growth opportunities across the business You're comfortable working in a fast-paced environment and can adapt your approach as company needs evolve You're naturally curious about healthcare workflows and passionate about improving them with technology You take ownership of outcomes and measure your success by company and customer metrics What we offer Direct mentorship: Work closely with our founding team and experienced leaders who will invest in your professional development Meaningful equity: Early employee stock options with significant ownership potential Comprehensive benefits: 100% covered healthcare, flexible time off, commuter benefits, weekly team lunches Team culture: Quarterly retreats and monthly team events that build genuine connections in our close-knit NYC team Impact at scale: Work that buil

About Clarion The hardest part of healthcare shouldn’t be getting an appointment. Today, medical staff drown in backlogs of calls, faxes, and scheduling requests. Patients struggle to get the right care at the right time, staff members burn out, and clinics lose billions in revenue. This isn’t a failure of care - it’s a failure of capacity. Clarion exists to solve this problem at scale. Our AI agents handle the patient journey from end-to-end; from scheduling and rescheduling appointments, to managing referrals and prescription refills. Our AI performs complex workflows with a human-like touch that patients love. We’ve raised $5.5M from Accel, Y Combinator, and Sequoia (Scout), along with founders from Ophelia, Medallion, and Counsel Health. We’re an in-person team based in New York City, moving quickly to ensure every patient gets the care they need. Why Join Us? Solving a real-world challenge : We’re addressing a critical problem that affects millions of patients and providers daily. Our AI agents outperform human schedulers and restore the time needed to focus on patients. Early-stage with strong market validation : We’ve seen 10x revenue growth in the last year alone. We handle millions of interactions for customers ranging from virtual care clinics to a $5B health insurance company. Founding team : Our co-founders bring a deep understanding of the healthcare landscape. Our CEO is a Stanford/Harvard-trained physician and clinical ops leader (Two Chairs, Ophelia), and our CTO is an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce. Outsized early impact : You'll be joining at an early stage where your contributions shape our company's trajectory, processes, and culture, with significant influence on how we grow. In-person collaboration advantage : We've built in-person since day one and maintain this as a strategic advantage. We move faster, build stronger bonds, and create a cohesive culture. What You'll Be Working On Own the candidate journey from discovery to close, eliminating administrative friction and ensuring a world-class experience for every hire. Create automated workflows that scale our reach while maintaining the level of personal touch required to attract talent. Build a system to identify and engage candidates by treating the recruiting funnel with the same level of rigor as a sales or product pipeline. Establish the narrative that attracts exceptional people to Clarion and ensures we are the first choice for the most ambitious candidates. Requirements 2-4+ years in talent acquisition in high-growth SaaS or early-stage startups. You have a track record of identifying and landing high-caliber technical talent. A clear, compelling communicator who can translate Clarion’s mission into a narrative that resonates with the most ambitious candidates. Comfortable in fast-paced, unstructured environments. You are proactive about identifying process bottlenecks and solving them before they scale. Ability to manage complex hiring projects from start to finish, coordinating across multiple teams with high precision. Excited to work in-person at our NYC office. You are a good fit if You believe the best companies are won or lost on talent density and speed of hiring. You view hiring as a discipline that requires persistent optimization and modern tooling. You’re highly organized and can balance multiple roles while maintaining a clear view of company priorities. You move faster than the competition and understand that speed is a competitive advantage in talent acquisition. You thrive in a fast-paced environment and want to shape the foundational culture of a company from day one. What we offer Direct mentorship: Work closely with our founding team and experienced leaders who will invest in your professional development Meaningful equity: Early employee stock options with significant ownership potential Comprehensive benefits: 100% covered healthcare, flexible ti

About Clarion At Clarion, we're rebuilding how healthcare communicates in the age of AI. Today, clinics miss 30-40% of patient calls while staff drowns in administrative tasks. We believe AI agents should handle these workflows—scheduling, billing, prescription refills—so healthcare teams can focus on actual patient care. We're building the communication infrastructure that modern healthcare desperately needs. Our AI agents don't just answer calls; they complete entire workflows end-to-end, giving providers back their time and ensuring patients never go unheard. We've already handled hundreds of thousands of patient interactions across virtual care companies, health systems, and a $5B health insurance company. Founded by a Stanford/Harvard-trained physician who was on the founding team of Two Chairs and Ophelia, and an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce, we uniquely understand both the clinical and technical challenges of transforming healthcare communication. We've raised $5.4M from Accel, Y Combinator, Sequoia (scout), and healthcare founders from Ophelia, Medallion, and Counsel Health. We're an in-person team based in New York, moving fast to ensure no patient call goes unanswered. Why Join Us? Early-stage with strong market validation: We have dozens of paying customers with rapidly growing revenue and strong market signals, while offering the high-impact environment of an early-stage startup. Solving a massive healthcare challenge: We're addressing a critical problem in healthcare communication that affects millions of patients and providers daily, with technology that can truly transform the patient experience. Technical founding team: You'll work directly with experienced founders who deeply understand both healthcare operations and technical development, enabling faster decision-making and better product outcomes. Cutting-Edge Tech Frontier: You’ll harness the latest generative AI models—LLMs, voice synthesis, and real-time transcription—to craft conversational agents that transform healthcare communication, while driving innovation to push these technologies beyond their current limits. In-person collaboration advantage: We've built in-person since day one and maintain this as a strategic advantage—we move faster, build stronger bonds, and create a cohesive culture. What you'll be working on Lead deployment and optimization of AI agents in live, high-stakes healthcare environments, owning end-to-end performance and reliability. Architect and scale full-stack systems that integrate with complex EHRs, legacy healthcare platforms, and real-time voice infrastructure. Drive technical strategy for customer-facing solutions, collaborating with product and engineering to translate client needs into scalable architecture. Mentor engineers and enforce best practices in code quality, testing, security, and HIPAA-compliant development. Shape product roadmap by identifying systemic challenges in customer workflows and proposing high-leverage technical solutions. Own critical integrations and troubleshoot production issues across distributed systems under strict uptime and compliance requirements. Requirements Technical leadership: 5+ years of full-stack engineering experience, with a proven track record of designing, building, and scaling production systems in high-reliability environments. Full-stack mastery: Expert-level proficiency in our tech stack (Node.js, TypeScript, React, PostgreSQL), with strong system design skills and experience debugging complex, distributed systems. High agency and ownership: Thrives in ambiguity, makes high-impact decisions independently, and takes full responsibility for system outcomes and customer success. Leadership & communication: Experience mentoring engineers, leading cross-functional initiatives, and translating technical trade-offs to non-technical stakeholders. You are a good fit if You build with intensity and excellence—shipping robust, scalable code fast,