The future of medical treatment has arrived but its not evenly distributed. Innovative medical technologies are entering the market every year but it takes up to a decade for US health insurers to actually cover those treatments for patients (and even longer outside the US) blocking patients from the best possible medical care.

We are a fast-growing Stanford-founded early-stage AI SaaS startup (with venture capital funding and a long runway). We use LLMs and AI agents to fight for medical coverage for individual patients.

• We have five B2B customers including one of the largest companies in our customer-space and a large promising pipeline of prospective customers.

• Check out our website (demo video at the bottom of the webpage) including About Us and Case Studies.

Job Responsibilities

We give major strategic ownership to everyone at the company.

• Feature Development: Design build and iterate on end-to-end product features (frontend backend or both) using modern frameworks and cloud services.

• Execution & Accountability: Turn product goals into scoped milestones and keep the team unblocked and on-time.

• Product collaboration: Work with founders design and other engineers to translate user needs into simple scalable solutions.

• Improve our generative AI capabilities. Foundational model training and fine-tuning wont be necessary but we do a lot of vertical-specific LLM orchestration.

• Team & culture: Raise the bar via code reviews documentation and mentoring; help interview future teammates and shape engineering norms.

Qualifications

Required:

• 4 years of software engineering experience (full-stack preferred)

• Strong Python and JavaScript/TypeScript skills

• Comfort in ambiguous fast-paced environments; self-starter mindset

• Detail-oriented with a high bar for quality and trust in healthcare tools

Ideal but not required:

• Startup experience especially early stage

• Experience with LLMs in real-world applications

• Familiarity with React Node SQL Docker/Kubernetes

Tech stack

We use TypeScript in our frontend and Python for pretty much everything else. We run in a Kubernetes cluster on AWS and use various AWS services (S3 Bedrock etc) where it makes sense.

Compensation

We offer salary that is competitive with other startups and a very generous equity package (which youll get at a lower valuation before we raise our next funding round!). Benefits: health & dental (including vision).

Location

We offer hybrid (at least 3 days per week in the office) work-arrangements in Toronto or NYC.

More on the company

Vibes: You can expect a fast-paced intense dynamic and exciting working environment where everyone has strategic ownership. We also play Geoguessr (an online game) together at the end of standup each day.

• Haley our CEO holds an MBA from Stanford and spent over six years at Medtronic in engineering product management and business development roles. She and Alex met as classmates during their MBA program at Stanford.

• Alex our COO has experience as a product manager at Meta and Microsoft and as a serial side-project/startup founder. He also holds an MBA from Stanford.

• Malcolm our third cofounder joined during his last year at Stanford (where we convinced him to start Paxos with us rather than going to medical school) and he had previously founded and led a healthcare nonprofit.

• Ben our founding engineer holds an M. Eng. from Cornell previously built his own ML startup and has many years of experience with building innovative software products. Hes also a lawyer.