At Clarion, we’re rebuilding how healthcare communicates in the age of AI.
Today, clinics miss 30–40% of patient calls, while staff are overwhelmed by administrative work. We believe AI agents should handle these workflows—scheduling, billing, prescription refills, and follow-ups—so healthcare teams can focus on actual patient care.
We’re building the communication infrastructure modern healthcare needs. Our AI agents don’t just answer calls—they complete workflows end-to-end, ensuring patients never go unheard. To date, we’ve handled hundreds of thousands of patient interactions across virtual care companies, health systems, and a $5B health insurance company.
Clarion was founded by a Stanford/Harvard-trained physician (founding team at Two Chairs and Ophelia) and an ex-Amazon Alexa engineer who led AI/ML teams at Salesforce. We’ve raised $10M from Accel, Y Combinator, Sequoia (Scout), and leading healthcare founders. We’re an in-person team in New York, moving fast to solve one of healthcare’s most critical problems.
Why This Role Is SpecialReal traction, early-stage impact: Dozens of paying customers, rapidly growing revenue, and the opportunity to own foundational backend systems at a critical inflection point.
Mission-critical problem: Healthcare communication failures affect millions daily—your work directly powers systems patients and providers rely on.
Elite technical context: Work closely with founders who deeply understand both healthcare operations and large-scale AI systems, enabling fast decisions and real ownership.
Core backend systems: Design, build, and own the services, data models, and business logic powering Clarion’s AI agents and healthcare workflows.
Workflow orchestration: Build infrastructure for multi-step, asynchronous workflows—including agentic AI workflows with conditional logic, retries, and graceful failure handling.
Healthcare integrations: Own high-stakes integrations with EHRs and legacy healthcare platforms via APIs and RPA.
Platform foundations: Create internal abstractions and tooling that allow the team to deploy and customize AI assistants for new customers quickly and reliably.
Security and compliance: Implement and maintain backend authentication, authorization, and HIPAA-compliant architecture required for enterprise healthcare.
Generative AI at Scale: Design and operate production systems using LLMs with real-time monitoring, safety controls, and enterprise reliability.
Agentic workflows: Architect backend systems that coordinate AI agents across complex healthcare workflows with strong guarantees.
Enterprise reliability: Build systems supporting thousands of concurrent patient interactions with high uptime and fast incident detection.
Fragmented healthcare systems: Design resilient abstractions across modern APIs and legacy EHRs while maintaining security and compliance.
5+ years of experience designing, building, and scaling backend systems in high-reliability production environments.
Strong backend expertise across APIs, relational databases, async workflows, and distributed systems.
High ownership and agency—you thrive in ambiguity and take responsibility for system outcomes.
Ability to communicate clearly, collaborate cross-functionally, and surface risks early.
Bonus: experience with security, auth, or regulated environments (HIPAA familiarity is a plus).
You’ll be a great fit if you enjoy owning critical backend systems end-to-end, solving complex problems under real-world constraints, and building infrastructure that directly impacts patient care.
Interview ProcessWe move quickly and communicate clearly at every stage:
Intro Chat (30 min, Virtual): Background, role context, and mutual fit.
Technical Deep Dive (1 hr, Virtual): Backend systems and architecture with the CTO and a senior engineer.
Onsite Team Day (Half Day, NYC): Collaborate on real problems, present a past project, meet the team, and assess mutual fit.
Decisions are typically made within 24 hours of each stage.
Skills Required
- 5+ years designing, building, and scaling backend systems in high-reliability production environments
- Strong expertise with APIs, relational databases, async workflows, and distributed systems
- High ownership and ability to operate in ambiguous, fast-moving startup environments
- Ability to communicate clearly and collaborate cross-functionally
- Experience with security, authentication/authorization, or regulated environments (HIPAA familiarity)
Clarion Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Clarion Health and has not been reviewed or approved by Clarion Health.
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Healthcare Strength — Health coverage is presented as comprehensive, including medical, dental, and vision insurance for team members. Some entities within the broader Clarion context highlight employer-covered or broad coverage elements that reduce reliance on employees for basic care costs.
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Equity Value & Accessibility — Compensation packages include meaningful early-stage equity as a core component of total rewards. Equity is positioned to let employees share in potential long-term company growth.
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Wellbeing & Lifestyle Benefits — Workplace perks such as a modern NYC office, stocked kitchen, weekly team lunches, social events, and annual offsites are emphasized. These amenities are intended to enhance day-to-day experience and team cohesion.
Clarion Health Insights
What We Do
At Clarion, we’re building the AI communication layer for healthcare, enabling every clinic to streamline operations and making it effortless for patients to access and receive care. We do this by building voice AI agents that answer every patient call 24/7, handling scheduling, refills, and billing questions with natural conversations. Practices that work with us see a 71% reduction in admin staff costs, 59% decrease in avg hold time for incoming calls, and 50% reduction in no-shows and cancellations. We've raised $5.5M from top tier investors, handled millions of patient interactions, and have customers across virtual care companies, health systems, and a $5B health insurer.
