Founding AI Agent Engineer

True Talent Solutions Partners

San Francisco Bay Area, California, United StatesFull-time$150,000–$220,000Posted Nov 5, 2026

About the role

About the Role

Join an early-stage healthtech team building conversational AI agents for clinical trial recruitment. You will own the patient-facing agent as it scales across trials and communication channels, with a focus on making it both effective and safe in a regulated environment.

What You'll Do

Build and orchestrate AI agents that coordinate patient recruitment across clinical trials.

Review production conversations, identify failure scenarios, turn them into evaluations, and use the results to improve the agent harness.

Integrate health profile data sources to support timely outreach and patient qualification.

Scale language model experiences across voice, SMS, and email while keeping conversations consistent and personalized.

Evaluate emerging agent research and tools, and incorporate relevant capabilities into the product.

What We're Looking For

0 to 4 years of experience as a software engineer, agent engineer, or applied AI engineer.

Professional experience focused on agents or large-scale AI applications, including conversational agents and agent harnesses deployed beyond prototypes.

Experience building evaluation and tracing infrastructure for AI agents and working with production traces.

Familiarity with conversational AI, LLMs, agent orchestration, and tools such as LangGraph, Vercel AI SDK, voice AI, and SMS APIs.

Strong CS, mathematics, or related technical fundamentals, typically supported by an undergraduate degree in a relevant field.

Resourcefulness, strong execution, and the ability to work through ambiguous technical problems independently.

Healthtech experience or a strong interest in healthcare is valued; consumer-facing conversational AI experience is relevant.

Authorized to work in the United States without visa sponsorship and available to work on-site in the San Francisco Bay Area.

Compensation & Benefits

Base salary: $150,000 to $220,000 annually. Visa sponsorship is not available.

Location

On-site in the San Francisco Bay Area, California, United States.

Responsibilities

  • Build and orchestrate AI agents for clinical trial patient recruitment.
  • Review production conversations, identify failures, and improve agent evaluations and infrastructure.
  • Integrate health profile data sources for patient outreach and qualification.
  • Scale consistent, personalized language model experiences across voice, SMS, and email.
  • Evaluate emerging AI agent research and tools for product use.

Qualifications

  • 0 to 4 years of experience as a software engineer, agent engineer, or applied AI engineer.
  • Professional experience building conversational agents or large-scale AI applications deployed beyond prototypes.
  • Experience with AI agent evaluation, tracing infrastructure, and production traces.
  • Familiarity with conversational AI, LLMs, agent orchestration, and tools such as LangGraph, Vercel AI SDK, voice AI, or SMS APIs.
  • Strong computer science, mathematics, or related technical fundamentals, typically supported by an undergraduate degree.
  • Resourcefulness, strong execution, and ability to work independently through ambiguous technical problems.
  • Authorized to work in the United States without visa sponsorship and able to work on-site in the San Francisco Bay Area.

Skills mentioned

AI AgentsLarge Language ModelsGenerative AILangGraphModel EvaluationModel MonitoringOpenTelemetryAPI IntegrationPrompt EngineeringTool Calling