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 chance to shape core systems at an inflection point.
Mission-critical problem: Healthcare communication failures affect millions daily—your work directly improves patient access and outcomes.
Elite technical context: Work closely with founders who deeply understand both healthcare operations and advanced AI systems, enabling fast decisions and real ownership.
Lead the deployment, performance, and reliability of AI agents operating in live, high-stakes healthcare environments.
Architect and scale full-stack systems integrating with EHRs, legacy healthcare platforms, and real-time voice infrastructure.
Drive technical strategy for customer-facing solutions, collaborating with product and engineering to translate client needs into scalable architecture.
Mentor engineers and set standards for code quality, testing, security, and HIPAA-compliant development.
Shape product roadmap by identifying systemic challenges in customer workflows and proposing high-leverage technical solutions.
Generative AI at Scale: Design and operate production systems using LLMs with rigorous safety, alignment, and real-time monitoring at enterprise scale.
Real-time voice infrastructure: Build ultra-low-latency systems supporting thousands of concurrent calls with 99.99% uptime.
Fragmented healthcare systems: Design resilient abstraction layers across modern APIs and legacy platforms while maintaining security and compliance.
Highly Personalized Experiences: Develop adaptive AI that retains patient context across sessions, personalizes tone and flow, and delivers conversations indistinguishable from human care.
5+ years of experience designing, building, and scaling production systems in high-reliability environments.
Strong full-stack expertise with Node.js, TypeScript, React, and PostgreSQL, plus solid system design instincts.
High ownership and agency—you thrive in ambiguity and take responsibility for outcomes.
Proven ability to mentor engineers, lead cross-functional efforts, and communicate technical trade-offs clearly.
You’ll be a great fit if you enjoy owning complex systems end-to-end, solving hard problems under real-world constraints, and working closely with customers and teammates to deliver mission-critical software.
Interview ProcessWe move quickly and communicate clearly at every stage:
Intro Chat (30 min, Virtual): Background, role context, and leadership philosophy.
Technical Deep Dive (1 hr, Virtual): System design 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 production systems in high-reliability environments
- Strong full-stack expertise with Node.js, TypeScript, React, and PostgreSQL
- Proven ability to mentor engineers, lead cross-functional efforts, and communicate technical trade-offs
- High ownership and agency; thrive in ambiguity and take responsibility for outcomes
- Experience deploying and operating LLMs / generative AI in production
- Experience with real-time voice infrastructure and low-latency systems
- Experience integrating with EHRs, legacy healthcare platforms, and HIPAA-compliant development
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.
