---
title: 'Founding Engineer at Rovi Health'
canonical: 'https://feeny.ai/job/founding-engineer-rovi-health-new-york-x9sjca32z4rd'
type: 'job'
last_seen: '2026-09-09'
---

# Founding Engineer at Rovi Health

- **Company:** Rovi Health
- **Location:** New York, NY
- **Employment:** full-time
- **Work type:** onsite
- **Posted:** 2026-01-18
- **Last confirmed live:** 2026-09-09
- **Apply:** https://jobs.gem.com/rovihealth/am9icG9zdDqRXCV_aa63wVthz0Chb2Pd

## Job description

## About Rovi Health

Rovi is an AI-powered care concierge and virtual clinic for employer health plans. We monitor clinical data in real time, catch expensive care before it gets scheduled, and redirect members to higher-quality, lower-cost options. When someone has a condition we can treat directly, we do that through our own virtual clinic.

The problem we’re solving: in-network prices for the same procedure vary up to 10x within a single zip code. A hospital MRI costs $3,000. The independent imaging center ten minutes away charges $500. Same scan, same quality. But nobody tells the patient, the doctor doesn’t know the price, and the employer won’t see the claim for months. So the expensive option wins by default, every time.

Rovi changes that. We deliver high-quality care to member before they choose the expensive or low-quality default. Our AI-native clinic allows us to treat and navigate care, meaning we can reduce outpatient spend by over 30% while improving health outcomes.

We’re live with 30,000 patients today and adding thousands more each month. We’re backed by Y Combinator, Lightspeed, Gradient (Google’s AI fund), Liquid 2 (Joe Montana), and others.

## The Role

You’ll own entire product surfaces, end to end. Talk to a customer, understand the problem, decide what to build, architect the solution, write the code, ship it, and measure whether it actually moved the needle. You have full authority over your areas and direct access to the founders.

As part of the founding team, the systems you build become the foundation that everything else runs on. You’ll make bets that change the company’s direction and set the engineering culture that every future hire inherits.

## What You’ll Own

The platform Rovi isn’t one product. Members interact through text. Clinicians treat patients asynchronously. AI agents orchestrate care in the background. Employers see their savings in real time. All of this has to work together. You’ll own the architecture that ties it together: the event-driven agent framework, shared memory across patient interactions, tool orchestration, the APIs that connect everything.

Early intervention systems We have access to claims data, clinical records, and live patient interactions. Someone is heading toward a $50K surgery that could happen at an outpatient center for $15K. A member missed a follow-up that’s going to turn into an ER visit. An out-of-network referral is about to cost the plan $8,000 more than it should. You’ll build the systems that catch these things and trigger the right response.

The virtual clinic We’re building a virtual clinic that delivers care at a fraction of what it costs in a traditional setting. AI handles intake and triage. Human clinicians focus on the parts that need a human. One provider can handle 10x the volume because the system does the work that used to eat their day. You’ll design the technical systems that make this possible and keep improving as we scale.

Scale We serve thousands of members today. That number is going to grow by orders of magnitude. The real-time responsiveness that makes early intervention work has to survive that growth. You’ll make the architecture calls that let us move fast now without building something that falls over later.

Who We’re Looking For

- 3–7+ years building software. Deep in Python, React, and TypeScript.
- You’ve owned products end to end. Not “built features on a roadmap someone else wrote” but actually owned the thing, from the user conversation to the shipped product to measuring whether it worked.
- You’ve built and run production systems where the stakes were real. Healthcare or fintech experience is a plus.
- You’ve shipped AI/ML in production. Agent systems, LLM orchestration, data-heavy pipelines.
- You’d rather have ownership and ambiguity than a well-defined lane and a PM handing you tickets.

## Compensation & Benefits

- $170K–$250K base + 0.75%–1.5% equity
- Unlimited PTO
- Daily meals in the office
- Wellness stipend

You don't need healthcare experience. We care about systems thinking, execution speed, and building things that work.

## About Rovi Health

## Company Overview
- **One-liner**: Rovi Health is an AI-powered healthcare concierge that helps employees in self-funded health plans access high-quality, cost-effective care via text, while cutting employer healthcare spend by 10–20%.
- **Entity Type**: Private (venture-backed startup, Y Combinator F25 batch)
- **Headquarters**: New York City, NY, USA (some sources list Philadelphia, PA; the company’s jobs page states it is based in New York with in-person work 5 days/week)
- **Founded**: 2025
- **Founders**: Santosh Vallabhaneni (CEO), Tarun Vallabhaneni (CTO)

## Core Business
- **Primary industry**: Healthcare technology, AI-enabled clinical navigation, virtual care, employer health benefits
- **Target customers**: B2B – self-funded employers, benefits brokers, health plans, and TPAs. End users are employees covered by those plans (B2B2C).
- **Mission / purpose**: Make it radically easier and cheaper for employees to get high-quality care, while steering healthcare demand toward value and building an efficient, outcome-driven healthcare market.

## Products & Services
- **AI Care Concierge**: Text-based AI agents that analyze clinical data, proactively identify care needs (e.g., better specialists, cheaper imaging, missed preventive care), and surface the best in-network options based on price, quality, and convenience.
- **AI-Enabled Virtual Care**: Treats common conditions directly over text or video through an integrated virtual clinic.
- **Provider Navigation & Appointment Booking**: Searches millions of price and quality data points, then handles end-to-end scheduling for complex care.
- **Value-Based Incentives**: Employees receive copay reimbursements and waived deductibles when they choose high-value in-network care, making quality care the affordable default.

## Market Standing
- **Valuation/Market Cap**: Not disclosed
- **Key Metric**: Total funding of $125K (Y Combinator standard pre-seed), with additional backing from Lightspeed, Gradient (Google’s AI-focused fund), AngelList, and others. Amounts for later rounds are not publicly documented.
- **Notable Investors/Partners**: Y Combinator, Lightspeed, Gradient, AngelList. Also integrating GAM’s clinician quality data to power provider recommendations.
- **Growth Signals**: Contracts signed to roll out to thousands of employees across multiple employers for the 2025–2026 plan year; team grew from 3 at YC launch to ~10 employees by mid-2026; active job postings for founding engineers and GTM roles indicate early scaling.

## Competitive Advantages
- **AI-driven cost/quality analysis**: Uses terabytes of pricing data and provider quality metrics to make personalized, data-backed recommendations.
- **Proactive, text-first engagement**: Meets employees at the moment of need, driving higher adoption and better outcomes.
- **Financial incentives**: Copay reimbursements and waived deductibles align employee behaviour with high-value care, creating a clear ROI for employers.
- **Strong founder pedigree**: CEO previously scaled Cedar’s affordability products to millions of ARR and led GTM at AngelList; CTO holds an MS in CS/AI from UChicago and previously built foundational AI models.
- **Backing and network**: YC, Lightspeed, and Gradient provide credibility and access to enterprise go-to-market channels.

## Strategic Focus
- Expand employer and broker partnerships for the 2025–2026 plan year (two final Q1 spots for self-funded employers).
- Continue scaling the AI virtual clinic and care navigation platform.
- Deepen data integrations (e.g., GAM clinician quality data) to improve provider matching.
- Grow the founding team across engineering, product, and go-to-market.
- Long-term vision: become the “rails” for an efficient healthcare market, reducing costs by 30%+ while improving outcomes.

## Why Work Here
- **Culture**: High agency, default to candor, a high bar for talent, and ruthless prioritization — as described in the company’s own job posting.
- **Location**: New York, NY; in-person 5 days per week (hybrid options are not currently advertised).
- **Benefits**: Competitive medical, dental, and vision coverage for employees and dependents; flexible time off; meals at the office; monthly wellness stipend; 401(k).
- **Opportunity**: Join as a founding team member at a YC-backed AI healthcare startup with early market traction. Work alongside experienced founders on a small team (~10 people) where engineers and GTM hires directly shape the product and market strategy.

## Sources
1. [ycombinator.com](https://www.ycombinator.com/companies/rovi-health)
2. [linkedin.com](https://www.linkedin.com/company/rovi-health)
3. [builtin.com](https://builtin.com/company/rovi-health-inc/)
4. [dover.com](https://app.dover.com/jobs/rovihealth)
5. [ycombinator.com](https://www.ycombinator.com/launches/Ohn-rovi-health-text-based-healthcare-that-slashes-employer-health-spend)

## Other roles at Rovi Health

- [Implementations and Customer Operations Manager](https://feeny.ai/job/implementations-and-customer-operations-manager-rovi-health-new-york-32h0hj9fyvnc) — New York, NY
- [Founding GTM](https://feeny.ai/job/founding-gtm-rovi-health-new-york-z79jbz1q7khx) — New York, NY
- [Senior / Staff Founding Engineer](https://feeny.ai/job/senior-staff-founding-engineer-rovi-health-new-york-yesnjy0kfr38) — New York, NY
- [Nurse Navigator](https://feeny.ai/job/nurse-navigator-rovi-health-remote-w7yz07ekgfee)
- [Founding Engineer](https://feeny.ai/job/founding-engineer-almedia-berlin-y3yjr148grcs) — Berlin, Germany
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