Legion Health
Founding Engineer
San Francisco · Exec · Full-time
Sponsorship not specified$21k-$489kDetected 227 days ago
TypeScriptNode.jsPostgreSQLAWSLLMsLogisticsHIPAA
About the role
- Systems/portfolio deep dive (45 min) - walk through 1-2 systems you've shipped; architecture, tradeoffs, failure modes.
- Practical work trial (1.5 hours) - short, realistic backend/LLM-systems exercise.
Responsibilities
- I'm hiring a Founding Engineer to own core product + agent systems end-to-end.
- You'll build the layer that coordinates patients, clinicians, and AI agents as one coherent machine-tight feedback loops, high standards, and real ownership.
- Ownership over your projects with the freedom to set priorities, shape processes, and drive outcomes end-to-end.
- Our technical moat is hard to copy-we combine rich data, production AI, doctors in the loop, and end-to-end care operations to deliver measurably better care to a clinically complex patient population.
- I'm obsessed with building AI systems that make real workflows cleaner, safer, and more autonomous.
Requirements
- Our AI-native care-delivery platform currently automates 95% of the administrative work required for us to deliver direct patient care.
Nice to have
- Turn messy real-world processes into clean state machines and event streams.
- Work on orchestration, context management, and multi-step workflows.
- Make it trivial to see "what happened, why, and what should happen next" in any patient journey.
- Define world-state & simulation - Model the canonical state of a patient's journey across time.
- Power alerting, routing, and decision-making from that live simulation.
- Ensure PHI access, agent actions, and human overrides are all auditable.
- You've owned real systems 0→1 or 1→N, not just tickets.
- You think in events, state, and invariants, not just CRUD endpoints.
Compensation
- 📍 ROLE LOGISTICS, COMPENSATION, AND BENEFITS
Benefits
- Time Off: Flexible, unlimited vacation policy
- Work Hours: Flexible but demanding because we're literally saving lives
- Autonomy and Learning: Ownership over your projects with the freedom to set priorities, shape processes, and drive outcomes end-to-end.
- Legion Health is proud to be an
- 🧠 ABOUT LEGION HEALTH
- At Legion Health https://legionhealth.com/, we believe everyone deserves fast, affordable, and world-class health care, and we're developing the AI infrastructure to deliver it ourselves at world scale.
- Legion is building autonomous medical care (the AI doctor), starting with psychiatry.
- While the last generation of healthcare startups made the existing system incrementally more efficient, Legion is rebuilding full-stack care delivery from first principles.
- Before that, I did deep learning + RL research.
- Medical, dental, and vision benefits
Equal opportunity
- Equal Opportunity Employer.
Visa & Work Authorization
- US Visa Sponsorship: Yes
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This listing is sourced directly from Legion Health's careers page and normalized into a canonical job model.