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Salary
$150k – $200k per year
Location
In office (San Francisco)
Seniority
Junior · 2+ years exp
Employment
Full-Time
Overview
Company
Impact
Profile match
Clera is a San Francisco company that runs an AI recruiting platform positioned as a talent agent rather than a job board, matching engineers and other technical candidates to roles at venture-backed startups. Its system reads a candidate's background and preferences, then represents them to hiring teams at companies funded by firms such as Andreessen Horowitz, Y Combinator, Index Ventures and General Catalyst, compressing the introduction step that traditional headhunting handles manually. The model is aimed at the segment where recruiter fees are highest and candidate supply is thinnest, and the platform handles screening, scheduling and pipeline tracking for both sides of the match.

About the Role

This is a hands-on AI engineering role at a healthtech company in the medical tourism space, where you will own the patient-facing AI conversation loop end-to-end. You will sit at the intersection of infrastructure and empathy, building robust agent systems that directly shape real patient outcomes. The work matters: when the AI stumbles, you fix it, and when patients need a human touch, you provide it.

What You'll Do

  • Diagnose why AI conversations with patients fail and ship code fixes to prevent recurrence.

  • Build and maintain agent infrastructure, including tool integrations, evaluation frameworks, and retrieval systems.

  • Automate recurring manual workflows on the clinic side, eliminating toil through code.

  • Handle patient-facing situations with empathy when the AI falls short, turning those moments into product insights.

  • Own systems end-to-end with minimal oversight, making architectural and implementation decisions independently.

What We're Looking For

  • 2+ years of demonstrated experience building and shipping LLM or agent systems end-to-end (professional, personal projects, research, or open-source all count equally).

  • Hands-on experience with agent infrastructure: evals, RAG/retrieval systems, and tool integrations.

  • Proficiency in Python or an equivalent language for building agent infrastructure.

  • Strong computer science and mathematics fundamentals; elite academic signals such as top-tier university backgrounds, published research, or mathematics competition experience are a strong plus.

  • Automation instinct: you spot recurring manual workflows and proactively eliminate them through code.

  • Ability to diagnose and fix failures in production LLM/agent systems.

  • Familiarity with vector databases, embedding systems, or semantic search is a plus.

  • Experience with prompt engineering, fine-tuning, or conversational AI evaluation is a plus.

  • Patient-facing warmth and empathy; comfort handling difficult conversations with care.

  • Startup autonomy: comfortable owning systems independently in fast-moving environments.

  • Existing US work authorization required; no visa sponsorship available.

Compensation & Benefits

Base salary: $150,000 to $200,000 USD annually. Visa sponsorship is not available; existing US work authorization is required.

Location

This role is fully on-site, five days per week, in San Francisco, California, United States. No remote exceptions.

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