Founding Engineer

The Role\n\nYou’ll 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. You have full authority over your areas and direct access to the founders.\nAs part of the founding team, the systems you build become the foundation that everything else runs on. You’ll make bets that change the company’s direction and set the engineering culture that every future hire inherits.\n\nWhat You’ll Own\n\nThe platform\n\nRovi isn’t one product. Members interact through text. Clinicians treat patients asynchronously. AI agents orchestrate care in the background. Employers see their savings in real time. All of this has to work together. You’ll own the architecture that ties it together: the event-driven agent framework, shared memory across patient interactions, tool orchestration, the APIs that connect everything.\n\nEarly intervention systems\n\nWe have access to claims data, clinical records, and live patient interactions. Someone is heading toward a $50K surgery that could happen at an outpatient center for $15K. A member missed a follow-up that’s going to turn into an ER visit. An out-of-network referral is about to cost the plan $8,000 more than it should. You’ll build the systems that catch these things and trigger the right response.\n\nThe virtual clinic\n\nWe’re building a virtual clinic that delivers care at a fraction of what it costs in a traditional setting. AI handles intake and triage. Human clinicians focus on the parts that need a human. One provider can handle 10x the volume because the system does the work that used to eat their day. You’ll design the technical systems that make this possible and keep improving as we scale.\n\nScale\n\nWe serve thousands of members today. That number is going to grow by orders of magnitude. The real-time responsiveness that makes early intervention work has to survive that growth. You’ll make the architecture calls that let us move fast now without building something that falls over later.