CTO / Technical Cofounder — AIspire360
- $140k – $180k • 1.0% – 3.0%
- |Remote (Everywhere) •
- |Full Time
Onsite or remote
Not Available

About the job
Clinical AI tools in healthcare are broken. Practices use an AI scribe that doesn't talk to their AI receptionist. A mental health companion that doesn't know what happened in the last visit. A care coach that can't see the chart. Every tool captures data and traps it. Clinicians end up with five tabs, five logins, and zero clinical continuity.
We're building the opposite: four specialized agents on one shared brain.
- Aria Call Agent, Aria Medical Scribe, Aria Mind, Aria Care
What Voice learns, Scribe knows. What Mind tracks, Care responds to. That connective tissue — the shared knowledge graph underneath — is what we're really building. It's the moat.
Traction
- $1.8M projected ARR with first few customers signed and piloting
- $3.5M seed round looking for a lead investor and strategic angel investors
- Focused vertical: behavioral health and weight loss (high-volume, underserved, longitudinal care workflows)
The technical problem
This is a hard multi-agent orchestration challenge:
Agent coordination layer — four specialized LLMs that share context without stepping on each other
Clinical knowledge graph — vector embeddings + structured EHR data + longitudinal patient memory
FHIR/EHR integration — bidirectional sync with Epic, Athena, Cerner, plus the long tail of practice management systems
Real-time clinical decision support — flagging crisis signals, drug interactions, care gaps during live conversations
SOC 2 Type II + HIPAA compliance — from day one, not bolted on later
We're not building CRUD. We're building the AI infrastructure layer for outpatient care.
The role
You'll own:
- Platform architecture — the multi-agent orchestration system, knowledge graph, and integration layer
- Founding engineering team — hire the first 3-5 engineers, set engineering culture
- Product technical roadmap — what we build, in what order, and why
- Compliance and security infrastructure — SOC 2, HIPAA, BAAs, the stuff that makes healthcare AI real
You'll work directly with the CEO (20+ years building sales orgs, deep healthcare networks) and early clinical advisors (practicing psychiatrists and addiction medicine specialists).
- You've built and shipped multi-agent systems, RAG pipelines, or clinical AI products before
- You've been technical leader or founding engineer at a startup (not just at FAANG)
- You're comfortable writing code in year one — at seed stage, you are the engineering team
- You know healthcare is different: compliance isn't optional, clinical accuracy is life-or-death, and EHR integrations are hell
- Tech stack
Backend: Python, FastAPI, PostgreSQL, Redis
AI/ML: OpenAI / Anthropic APIs, LangChain / LlamaIndex, vector DBs (Pinecot / Weaviate / pgvector)
Integrations: FHIR APIs, HL7, Epic/Athena/Cerner connectors
Infrastructure: AWS or GCP, Kubernetes, Terraform
Compliance: SOC 2 Type II, HIPAA, encrypted at rest + in transit
Not dogmatic on the stack — if you have strong opinions on better tools, we're open.
Apply
*Email [email protected] *
We're moving fast. First round of conversations happening next week.
About the company
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