Senior / Staff Founding Engineer

Rovi Health•New York, NY

1d•$250,000 - $320,000

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.

Requirements

8+ years building software.
Deep in Python, React, and TypeScript.
Owned products end to end, from user conversation to shipped product to measuring results.
Built and run production systems where the stakes were real.
Shipped AI/ML in production (Agent systems, LLM orchestration, data-heavy pipelines).
Preference for ownership and ambiguity over a well-defined lane and a PM handing tickets.

Nice To Haves

Healthcare or fintech experience is a plus.

Responsibilities

Own entire product surfaces, end to end. Talk to a customer, understand the problem, decide what to build, architect the solution, write the code, ship it, and measure whether it actually moved the needle.
Make bets that change the company’s direction and set the engineering culture that every future hire inherits.
Own the architecture that ties together the platform: the event-driven agent framework, shared memory across patient interactions, tool orchestration, the APIs that connect everything.
Build the systems that catch early intervention opportunities and trigger the right response.
Design the technical systems for the virtual clinic that make it possible to deliver care at a fraction of traditional costs and keep improving as we scale.
Make architecture calls that let us move fast now without building something that falls over later.