Founding Engineer

Aionia Group

San Francisco (CA)

Hybrid

USD 170,000 - 250,000

Full time

14 days+

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Benefits offered by this job

Medical / Dental / Vision
401k + Match
Unlimited PTO
Relocation Bonus
Bi‑Annual Retreats

Job summary

Aionia Group, an early-stage AI startup in San Francisco, seeks a full-stack or product engineer to lead end-to-end product development. This role requires a blend of technical expertise and healthcare operational experience.

The ideal candidate has 1-8 years in engineering, proficiency in Python or TypeScript, and experience with cloud platforms. The position offers $170K–$250K salary, equity options, and a range of benefits, including unlimited PTO and medical.

Qualifications

  • 1-8 years of experience as a full-stack or product engineer.
  • Currently in an active individual contributor engineering role.
  • Visible career velocity with fast promotions or increasing scope.

Responsibilities

  • Own entire products from design through deployment.
  • Work directly with health system operators to deploy solutions.
  • Design evaluation frameworks to improve agent quality.
  • Build agent infrastructure across the healthcare revenue cycle.

Skills

Proficient in Python
Proficient in TypeScript
Experience with cloud platforms
Strong engineering talent

Education

Degree from a strong engineering program

Job description

Healthcare AI · Founding Team · San Francisco

$170K – $250K + 0.5–1.5% Equity SF · Remote-Flexible $5M Raised · Tier-1 VCs 2–4 Founding Engineers No Visa Sponsorship

AI Agents Replacing Manual Healthcare Operations

A well-funded, early-stage AI startup founded in 2024 by engineers with deep experience at high-profile defense tech, infrastructure, and AI companies — combined with real operational experience inside major US health systems and insurance companies.

Top 3

Signed one of the largest for-profit hospital systems in the US

10+

Customer waitlist with thousands of patients processed monthly

$5M

Raised from Tier-1 VCs and notable AI founders

~2 mo

Target timeline from hire to launch

“The team combines deep tech pedigree with real healthcare operational experience inside major health systems and insurers.”

The Work
What You’ll Build

You’ll own entire products end-to-end — from design through deployment — working directly with health system operators and shaping the core agent platform.

  • Work directly with health system operators to deploy solutions and drive measurable financial impact
  • Design rigorous evaluation frameworks to systematically measure and improve agent quality across every customer
  • Identify cross-customer patterns that guide the agent platform strategy and integrate the latest AI advancements
  • Build the agent infrastructure layer — context engineering, tool orchestration, memory, and evals — across the entire healthcare revenue cycle
Stack & Tools
Requirements
What They’re Looking For

Must-Have — Non-Negotiable

  • At least one company on your resume known for strong engineering talent (internships acceptable for earlier career tenures)
  • Ability to spend significant time in San Francisco (remote-flexible, but SF presence is required)
Required
  • 1–8 years of experience as a full‑stack or product engineer, currently in an active IC engineering role
  • Proficient in Python or TypeScript
  • Experience with cloud platforms — AWS, GCP, or Azure
  • Visible career velocity — fast promotions or clearly increasing scope across roles
Nice to Have
  • Experience shipping product features end‑to‑end with real user impact
  • Customer‑facing or operator‑facing engineering experience
  • Degree from a strong engineering program (Georgia Tech, Berkeley, UIUC, Waterloo, or equivalent)
  • Experience with LLMs, voice AI, or agent systems

$170,000 – $250,000 base salary with 0.5% – 1.5% equity. This is genuine founding‑team equity — not options priced after growth.

Medical / Dental / Vision 401k + Match Unlimited PTO Relocation Bonus Bi‑Annual Retreats

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