Founding GTM Engineer

Rovi Health•New York, NY

22h•$150,000 - $400,000•Onsite

About The Position

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’re solving: in-network prices for the same procedure vary up to 10x within a single zip code. A hospital MRI costs $3,000. The independent imaging center ten minutes away charges $500. Same scan, same quality. But nobody tells the patient, the doctor doesn’t know the price, and the employer won’t 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’re live with 30,000 patients today and adding thousands more each month. We’re backed by Y Combinator, Lightspeed, Gradient (Google’s AI fund), Liquid 2 (Joe Montana), and others. THE ROLE You are not a traditional, manual enterprise sales rep. You are our Founding GTM Engineer. Today, Rovi Health relies heavily on warm referrals and founder-led sales to close enterprise-level deals. As we scale, the team needs a highly technical, automation-first counterpart to build an outbound sales machine from the ground up and eventually take over the entire sales function. You will design, build, and operate the systems that generate pipeline, while getting in the trenches to close high-six-figure deals with C-suite decision-makers.

Requirements

Highly Technical: Extremely comfortable using AI tools to accelerate workflows and managing sales collateral housed as HTML files in a GitHub repository.
Automation-First Mindset: Inherently look for ways to automate repetitive tasks and leverage technology rather than throwing human hours at a problem.
Executive Presence: Know how to navigate complex enterprise sales motions and speak the language of CFOs, CHROs, and aggregators.
Builder DNA: Prefer ownership and ambiguity over a well-defined lane and a predefined playbook; ready to build the foundation that everything else runs on.

Nice To Haves

You don't need healthcare experience.

Responsibilities

Build and automate our entire top-of-funnel architecture from scratch, including automated prospecting workflows, LinkedIn management, and email/calling campaigns.
Navigate high-value deals ($100K–$1million ACV) averaging 3 to 6-month sales cycles, selling directly to the executive suite (CFOs, CHROs, CEOs) and working through aggregators and brokerage firms.
Focus on system building, top-of-funnel qualification, and operational support, automating processes, prospecting outbound leads, and doing mid-funnel management.
Grow into a leader and scale out the department, setting the GTM culture that every future hire inherits.