Founding Engineer

Endo Health, Inc.; San Francisco (CA); On-site; USD 150,000 - 230,000; Full time

Job summary

Endo Health, Inc. is building self-driving healthcare, starting with GLP-1s, and believes patients should delegate treatment coordination to an AI that learns over time.

You’ll own patient journeys end to end—from the patient interface to the agent systems and the post-completion follow-up. This early engineering role offers architecture influence, direct collaboration with the founder and clinicians, and real-workship shipping that proves impact in patient care.

Qualifications

• Shipped full-stack products and owned them in production.
• Able to turn messy, multi-party workflows into reliable software.
• Builds quickly with AI tools and verifies what you ship.

Responsibilities

• Navigate insurance: build workflows for benefits checks, prior authorizations, denials, appeals, and affordable treatment options.
• Make care happen: connect providers, pharmacies, labs, payments, delivery, and refills. Track every handoff through completion.
• Ship reliable agents: own the patient experience, integrations, retries, human handoffs, and follow-up.

Job description

"Build the agents that get patients treated."

Endo is building self-driving healthcare, starting with GLP-1s. We believe patients should be able to delegate the work of getting treated to an AI that knows them over time. That means getting care delivered, following what happens, and using each experience to make the next one better.

The Role

A prescription is only the beginning. Between a treatment decision and medication at someone’s door are insurance rules, prior authorizations, pharmacy inventory, payments, and a dozen opportunities for care to fall through. Today, patients do much of that coordination themselves. We’re building agents that take it off their hands.

You’ll own these journeys end to end: the interface a patient sees, the systems an agent can act on, and the follow-up that tells us whether the job actually got done. The hard problems are concrete. What happens when coverage is denied, a pharmacy is out of stock, or a handoff gets lost? How does the system recover without making the patient start over?

This is an early engineering role with room to shape the architecture and the product. You’ll work directly with the founder and clinicians, ship into real workflows, and see whether what you built helped someone get treated.

You will:

• Navigate insurance: build workflows for benefits checks, prior authorizations, denials, appeals, and affordable treatment options.
• Make care happen: connect providers, pharmacies, labs, payments, delivery, and refills. Track every handoff through completion.
• Ship reliable agents: own the patient experience, integrations, retries, human handoffs, and follow-up.

You've done this before if:

• You’ve shipped full-stack products and owned them in production.
• You can turn messy, multi-party workflows into reliable software.
• You build quickly with AI tools and verify what you ship.
• Own the whole journey. Make product and architecture decisions across the patient experience, agents, and integrations.
• Build where the work matters. A successful workflow means someone gets their medication, resolves a coverage problem, or avoids another week of phone calls.
• A founding team built for this problem. Founded by a medical doctor turned engineer and backed by leading Silicon Valley investors, including a16z speedrun, General Catalyst, and the founders of 23andMe, MyFitnessPal, and Spring Health.
• US relocation support. Join us in San Francisco.
• 1. A product, repo, or demo you built, plus one production failure you owned and fixed.