Founding Engineer

rovihealth; New York (NY); On-site; USD 170,000 - 250,000; Full time

Benefits offered by this job

Unlimited PTO

Daily meals in the office

Wellness stipend

Job summary

Rovi Health is hiring a hands-on product leader who will own end-to-end product surfaces, from the first user conversation to the shipped product and success metrics. You will architect the event-driven agent framework, shared memories across patient interactions, and tool orchestration that connects everything.

You will help build the virtual clinic and early intervention systems that scale to thousands of members, balancing real-time performance, data security, and user outcomes as the company

Qualifications

• 3-7+ years building software in Python, React, and TypeScript.
• Owned products end to end, from user conversation to shipped product and metrics.
• Production systems with real stakes, ideally in healthcare or fintech.
• Shipped AI/ML solutions in production, including agent systems or LLM orchestration.
• Comfort with ownership and ambiguity over task-level tickets.

Responsibilities

• Own entire product surfaces end to end, from idea to measurement.
• Architect and implement the event-driven framework and APIs that tie components together.
• Build and scale early intervention and virtual clinic systems.
• Ensure real-time performance and reliability as user base grows.

Skills

Python

React

TypeScript

Product ownership

AI/ML in production

Healthcare/fintech experience

Job description

About Rovi Health

Rovi is an AI-powered care concierge and virtual clinic for employer health plans. We monitor clinical data in real time, catch expensive care before it gets scheduled, and redirect members to higher-quality, lower-cost options. When someone has a condition we can treat directly, we do that through our own virtual clinic.

The problem we are solving: in-network prices for the same procedure vary up to 10x within a single zip code. A hospital MRI costs $3000. The independent imaging center ten minutes away charges $500. Same scan, same quality. But nobody tells the patient, the doctor does not know the price, and the employer will not see the claim for months. So the expensive option wins by default, every time.

Rovi changes that. We deliver high-quality care to member before they choose the expensive or low-quality default. Our AI-native clinic allows us to treat and navigate care, meaning we can reduce outpatient spend by over 30% while improving health outcomes.

We are live with 30,000 patients today and adding thousands more each month. We are backed by Y Combinator, Lightspeed, Gradient (Google’s AI fund), Liquid 2 (Joe Montana), and others.

The Role

You will own entire product surfaces, end to end. Talk to a customer, understand the problem, decide what to build, architect the solution, write the code, ship it, and measure whether it actually moved the needle. You have full authority over your areas and direct access to the founders.

As part of the founding team, the systems you build become the foundation that everything else runs on. You will make bets that change the company’s direction and set the engineering culture that every future hire inherits.

What You’ll Own

The platform

Rovi isn’t one product. Members interact through text. Clinicians treat patients asynchronously. AI agents orchestrate care in the background. Employers see their savings in real time. All of this has to work together. You will own the architecture that ties it together: the event-driven agent framework, shared memory across patient interactions, tool orchestration, the APIs that connect everything.

Early intervention systems

We have access to claims data, clinical records, and live patient interactions. Someone is heading toward a $50K surgery that could happen at an outpatient center for $15K. A member missed a follow-up that is going to turn into an ER visit. An out-of-network referral is about to cost the plan $8,000 more than it should. You will build the systems that catch these things and trigger the right response.

The virtual clinic

We are building a virtual clinic that delivers care at a fraction of what it costs in a traditional setting. AI handles intake and triage. Human clinicians focus on the parts that need a human. One provider can handle 10x the volume because the system does the work that used to eat their day. You will design the technical systems that make this possible and keep improving as we scale.

Scale

We serve thousands of members today. That number is going to grow by orders of magnitude. The real-time responsiveness that makes early intervention work has to survive that growth. You will make the architecture calls that let us move fast now without building something that falls over later.

Who We’re Looking For

• 3-7+ years building software. Deep in Python, React, and TypeScript.
• You have owned products end to end. Not "built features on a roadmap someone else wrote" but actually owned the thing, from the user conversation to the shipped product to measuring whether it worked.
• You have built and run production systems where the stakes were real. Healthcare or fintech experience is a plus.
• You have shipped AI/ML in production. Agent systems, LLM orchestration, data-heavy pipelines.
• You would rather have ownership and ambiguity than a well-defined lane and a PM handing you tickets.

Compensation & Benefits

• $170K-$250K base + 0.75%-1.5% equity
• Unlimited PTO
• Daily meals in the office
• Wellness stipend

You do not need healthcare experience. We care about systems thinking, execution speed, and building things that work.