Founding Member of Technical Staff / Product Engineer

Founding Member of Technical Staff / Product Engineer at Ruma Care — San Francisco, CA, US

  • Company: Ruma Care
  • Location: San Francisco, CA, US
  • Employment type: FULL_TIME
  • Salary: USD 160000–220000 / year
  • Posted: 2026-07-17

About this role

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

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