Artificial Intelligence Engineer -VAPI Experience

Company Description

Developing a brand-new healthcare model that democratize and scale concierge medicine.

WHO YOU ARE

Founding-grade engineer

You have shipped production systems as an early engineer or technical founder. You move from whiteboard to code in the same afternoon. You push back on vague specs before you build against them. You own architectural decisions.

AI pragmatist with voice in your bones

You know what frontier LLMs and native multimodal models can do, and where they fail. You

have strong opinions on LangGraph versus a custom state machine and can defend them. You

have wrestled with the messy realities of real-time voice: interruptions, VAD tuning, latency

budgets, speech-to-text hallucinations, conversational pacing. You stay current because the

landscape shifts every few weeks.

Product-first

Simple is hard. You prefer automatic, invisible flows the user never has to think about. Shipping

something members actually use beats shipping something technically superior.

Security-minded

Health data is sacred. PHI is foundational, not bolted on. You think in threat models from day

one. HIPAA and SOC2 are the floor you build above.

Intellectually curious as a daily habit

Papers, changelogs, preprints, Discord threads. You know what shipped in the ecosystem last

week because you wanted to know.

Zero drama

Intellectual rigor without ego. Directness without cruelty. You can read a room. You prefer collaboratively getting it right over being right.

STRONGLY PREFERRED

A genuine pull toward medicine

Maybe you sat through a family member's diagnosis and thought, someone should build this.

Maybe you started down a medical path and changed lanes. Maybe you worked at Epic, Cerner,Athena, Oscar, Komodo, Flatiron, or a serious digital health startup where clinical vocabulary became second nature. The stronger this signal, the less translation friction we carry.

Clinical fluency in any form

Biomedical informatics training (UCSF, Stanford HAI, MIT CSAIL, Harvard DBMI, or equivalent),

hands-on healthcare work, time inside a concierge or DPC practice, clinical research collaborations. Anything that means you can read a discharge summary without a glossary. We can teach the medicine to a great engineer. We cannot teach great engineering to anyone who has not already figured it out.

Nice-to-Haves

Experience with FHIR, HL7, or healthcare data standards

Prior founding-stage experience, pre-Series A

Published work in clinical AI, medical informatics, or voice UX

Familiarity with A2A or A2UI protocol design for multi-agent orchestration

Audio processing background beyond standard TTS and STT integration

Any path that ends with "I can read a clinical note and write a state machine in the

same hour"

THE STACK (YOURS TO DEFINE)

As a founding engineer, you own the architectural decisions. Vendor loyalty is irrelevant.

Performance, security, and scalability are what matter. Bring strong opinions and deep

experience in:

Languages

Python as the lingua franca. TypeScript, Go, or Rust where they earn their keep.

Voice and Multimodal

The full modular voice stack: voice agent platforms such as LiveKit, Vapi, or Retell; STT and

TTS; and when to trade all of it for a native end-to-end audio model like OpenAI Realtime or

Gemini. You hold real opinions about latency, quality, and emotional fidelity tradeoffs.

Orchestration and State

You know when LangGraph earns its keep and when a custom state machine is the right call.

Mobile

Fast, lightweight apps designed around the moments when someone needs their health story in

their pocket.

THE PARTNERSHIP

The first thing I will do when you start is hand you prototype login credentials, my clinical playbook, and a seat next to me. We will record real conversations with real members. You will see how I think in the exam room. I will see how you think at the whiteboard. The Bond that gets built is the one we co-author.

If every architectural decision had to pass through me to stay clinically sound, Bond would never

scale past me. The flywheel kicks in the moment there are two founders thinking in both languages at once. If you arrive with clinical fluency on day one, we move faster. If you arrive with raw engineering brilliance and genuine hunger to learn the medicine, we still move. Either path ends in the same place.

WHY JOIN

You are not building another wrapper. You are working directly with the clinical team behind the founder of Private Medical, the premier concierge practice in the country, alongside a network that includes major life insurers and benefits platforms reaching millions of Americans. We have the data. We have the relationships. We have the clinical depth. We need you to build the engine.

HOW TO APPLY

Send three things:

1. Your three best projects, with one sentence each on what you built and why it mattered.

2. Any clinical exposure, training, or healthcare systems experience. Even partial medical training counts. Say what it was.

3. A short note on which patient story, from your own life or someone close to you, made you want to help fix this system. That is the real filter.