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Alleviate Health is building AI agents that autonomously recruit and retain patients in clinical trials, addressing one of the largest bottlenecks in drug development. The company has bootstrapped to $4.3M in seed funding led by Andreessen Horowitz, with backing from healthcare and pharma veterans including Jack Altman, Zach Weinberg (Flatiron Health co-founder), and Ali Rowghani (former Twitter CFO/COO).
The Problem: Clinical trials are the most complex and capital-intensive challenge in healthcare. Approximately 80% of trials are delayed due to recruitment and retention issues, with each day of delay costing $600K–$8M. Pharma companies spend tens of billions annually on patient screening, qualification, and multi-year retention across thousands of research sites.
Alleviate's Solution: The company has built state-of-the-art AI agents that conduct over 100,000 patient conversations monthly. These agents intelligently screen and route patients to appropriate trials, collect necessary trial data multiple times per week, answer patient questions 24/7, and continuously learn to optimize performance. The company has achieved >92% win rates on commercial deals, landed multiple six-figure contracts (largest live contract: >$350K annually), and is working with top-20 pharma companies on pilots expected to grow to $XM+/year.
Role Overview: As a Founding AI Agent Engineer, you will work on orchestrating a fleet of AI agents coordinating patient recruitment across hundreds of clinical trials across North America. You'll scale language models across voice, SMS, and email channels while maintaining consistent, personalized conversations. This is a core engineering role at a high-growth, well-funded healthtech company solving one of the largest problems in drug development.
Requirements: The posting does not explicitly state years of experience, specific technical skills, or educational requirements. However, the role is positioned as a "founding engineer" role for an exceptional engineer who finds the mission compelling.
