Astraea · San Francisco, CA, US · In-office · Posted 4d ago
$150k - $300k
AI Operating System for Clinical Development
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.