Founding Engineer

We are looking for a founding engineer who wants to build deeply technical AI systems in one of the most important and regulated industries in the world.

You will work directly with the founders to:

- Build agentic workflows for clinical trial automation

- Design reliable systems for document ingestion, data transformation, validation, and auditability

- Own core product surfaces across frontend, backend, data infrastructure, and AI orchestration

- Work closely with clinical teams to turn messy real-world workflows into production software

- Ship quickly while maintaining the rigor required for regulated healthcare environments

You might be a fit if you:

- Are an exceptional full-stack or backend engineer

- Care about building reliable, production-grade AI systems and can/have integrated into legacy systems in the past

- Move fast, take ownership, and like ambiguous technical problems

- Are excited by using AI to automate healthcare, clinical trials, or regulated data workflows

- Want to join at the earliest stage and help define the engineering culture

We care less about credentials and more about raw ability, taste, speed, and ownership. This is a high-agency founding role for someone who wants to build category-defining software.

Compensation: $120K - $220K salary and 0.50% - 2.00% equity.

Location: San Francisco, CA, US. Onsite.

Employment type: Full-time.

Visa sponsorship: Available.

About the interview:

1. Send us any relevant information: resume, background, GitHub.

2. 30-minute technical interview with Sanmay (CTO) and engineering.

3. Live coding session with the engineering team.

4. 30-minute culture interview.

5. Paid work trial on a realistic Astraea engineering problem, designed to evaluate how you think, build, communicate, and handle ambiguity. Can accommodate online if needed.

6. Offer.

Skills: React, TypeScript, Prompt Engineering, AI Agents, LangChain.

The base pay range for this role is $120,000 – $220,000 per year.