Startups · AI

Founding Engineer

Astraea · San Francisco, CA, US · On-site

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About Astraea

AI Operating System for Clinical Development. Backed by Y Combinator.

About the role

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. 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.

What they're looking for

  • 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
More about this role

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.

  • 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
  • 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.

Read the full posting on Astraea's site ↗

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