Founding Member of Technical Staff / Product Engineer

About Ruma Care

Ruma Care is building the operating stack for biologic infusion clinics. Biologics account for 51% of U.S. medication spending. These medications are life-changing and used for cancer and autoimmune diseases. However, access to biologics is incredibly complicated and difficult because of administratively heavy workloads. If any part is not done correctly, clinics run the risk of losing money. Ruma Care is helping clinics get patients on their life-changing medications faster.

What You’ll Do

• Build and scale core workflows across prior authorizations, benefits verification, payer communication, and clinic operations
• Work directly with customers to understand workflows and rapidly iterate on product
• Develop AI agents and tooling for document parsing, data extraction, workflow automation, and operational decision-making
• Develop robust systems that can handle messy and inconsistent healthcare data
• Collaborate directly with customers to understand workflows and rapidly iterate on solutions
• Help establish engineering processes and tooling as we scale

Who you are

• Strong product intuition and ability to move quickly in ambiguous environments
• Proactive about using AI tools to improve development speed, workflows, and problem-solving
• Comfortable owning problems end-to-end with high ownership
• Excited by fast iteration and direct customer feedback
• Strong communication skills and willingness to work cross-functionally
• High ownership and highly resourceful

Bonus points if you have experience with:

• AI/LLM systems
• Workflow automation
• Healthcare or insurance workflows
• OCR/document processing systems
• Startup or high-growth environments

Role requirements

• 3+ years of experience building and shipping full stack web applications
• Experience operating in fast-moving startup or high-growth environments
• Strong product intuition and ability to translate ambiguous problems into scalable systems
• Experience owning projects end-to-end, from architecture to production deployment
• Ability to move quickly, prioritize well, and operate with high ownership
• Strong communication skills and willingness to work closely with customers and cross-functional teams
• Based in SF or willing to relocate, and excited to work in-person with the team

What we offer

• Salary: $160,000 – $220,000 + equity
• Benefits: 100% premium coverage for health + dental
• Vibes

Location: In-person in San Francisco