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Staff Software Engineer (AI/LLM Products) – Healthcare Clinical Trials

talent stack • San Francisco Bay Area
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Lead AI/ML product development for a seed-stage healthcare startup accelerating clinical trials via AI agents and LLM-powered workflows. Own end-to-end product delivery, mentor junior engineers, and establish engineering best practices in a hands-on, high-impact role. Requires 8+ years of full-stack engineering experience with deep expertise in AI systems and product ownership.

Key Highlights
Staff-level individual contributor role with direct ownership of AI/ML product development for clinical trials
Hands-on engineering with daily code review, mentorship of 3 junior engineers, and architectural decision-making
Hybrid work model (in-office Mon/Tue/Thu) with base salary of $210K–$265K and 1–1.5% equity
Key Responsibilities
Design, build, and deploy AI-powered products (LLM agents, multi-step workflows) from concept to production
Establish evaluation frameworks, observability, and engineering practices for LLM-driven systems
Mentor three junior engineers and lead technical execution for major projects
Collaborate with founders, product teams, and customers to translate operational challenges into AI solutions
Write, review, and ship production code daily while balancing speed, quality, and maintainability
Technical Skills Required
Python LLM/AI Agent Development Full-Stack Software Engineering
Benefits & Perks
Base salary: $210,000–$265,000
Equity: 1%–1.5%
Hybrid work arrangement (Mon/Tue/Thu in-office)
Nice to Have
Experience with LangSmith, Braintrust, or Weights & Biases for LLM evaluation
Founding engineer or early-stage startup experience (seed to Series B)
Master’s degree in CS/STEM or equivalent professional experience
Familiarity with biotech/healthcare clinical research domain

Job Description

Staff Software Engineer — AI/LLM Products

Full-Time | San Francisco, CA | Hybrid: Monday, Tuesday, and Thursday In Office

Base Salary: $210,000–$265,000 | Equity: 1%–1.5%

Talent Stack is supporting a confidential, venture-backed healthcare AI company in its search for a Staff Software Engineer. This is not an internal position with Talent Stack. The selected candidate will join our client’s engineering team directly.

About the Company

Our client is building AI-powered technology that helps clinical research sites and life sciences companies activate and run clinical trials faster.

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