Citizen Health was founded on the belief - shaped by firsthand lived experiences navigating healthcare - that having the right advocate is the single most important factor in achieving better care and outcomes. By uniquely combining data, AI, and community, Citizen is building a personalized AI advocate powered by patients' complete medical histories and data from thousands of other patients to generate personalized insights for clinical decisions and day-to-day challenges. Starting in rare and complex conditions, patients share their data in exchange for value, enabling biopharma and researchers with seamless access to patients and regulatory-grade data, shaving years off drug development for much-needed treatments.
Citizen is founded by experienced entrepreneurs with multiple successes under their belts and is funded by top-tier investors including 8VC, Transformation Capital, and Headline Ventures, among others. We are a mission-driven team excited to be building the future of consumer healthcare.
We’re not looking for average. We’re building a team of sharp, collaborative, fast-moving, detail-obsessed professionals who take pride in efficiency and execution. As a Record Collection Specialist at Citizen Health, you will play a critical role in our mission to serve patients by obtaining and organizing medical records from healthcare providers across the country. That means you need to be lightning-fast on a computer across multiple systems, relentless in follow-up, and meticulous in documentation. If you get flustered easily, move slowly, or struggle with basic tech — this is not the role for you. In return, you’ll be part of a high-performing, collaborative team that thrives on shared purpose—and you’ll have the opportunity to make a real impact on a mission that matters.
This is a remote contractor role with flexible hours, but hours need to be structured during normal business hours. We expect people to treat this like the real-deal job it is. You’ll be trusted to manage cases, invoice payments, and external communication to providers with urgency and clarity, without hand-holding.
Submit clear, accurate patient record requests to healthcare providers’ Release of Information departments using our internal request system
Follow up persistently via phone, email, and fax to ensure timely record delivery — you are expected to follow up more than once and problem-solve when things stall
Upload, label, and organize received medical records to the correct patient profiles in Salesforce with extreme attention to detail
Maintain accurate documentation of all provider interactions and collection activity in Salesforce — if it’s not logged, it didn’t happen
Meet or exceed performance metrics for collection volume and turnaround times — we move quickly, and we expect our team to do the same
Build professional, effective relationships with provider offices to facilitate smoother record access — charm and clarity go a long way
Proactively identify and resolve issues (wrong fax numbers, unresponsive offices, missing authorizations) — don’t wait to be told what to fix
Use your judgment and stay aligned with HIPAA and internal data privacy protocols at all times
Use a reliable, fast computer and stable high-speed internet — if your system slows you down, so does our team
Work independently with integrity — this is a remote role, but we can see your activity. We don’t micromanage, but we do track output. Clocking in without producing results is not an option.
Must be 18+ years of age
Strong organizational skills with the ability to manage multiple requests and shifting priorities
Clear, professional communication skills — both written and verbal — for interacting with providers and internal teams
Demonstrated phone etiquette and persistence when following up with healthcare facilities
High attention to detail and consistent documentation habits
Self-motivated and able to work independently without direct supervision
Experience in medical records, healthcare admin, or customer service is a plus
Familiarity with HIPAA, record retrieval processes, or EMR systems is preferred but not required
Proficiency with Salesforce or similar CRM systems is highly valued
Reliable, up-to-date personal computer and high-speed internet required
Preference given to candidates who can work 30+ hours/week
Ideal candidates are fast learners, tech-comfortable, and able to keep pace in a dynamic environment
Don't meet every qualification? No worries! We believe that passion, curiosity, and the right mindset are just as important as a checklist of skills. If you’re excited about what we’re building, we encourage you to apply.
Our Commitment to Diversity & Inclusion: Citizen Health is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of all backgrounds, identities, and experiences. Everyone deserves an equal chance to contribute and grow here — regardless of race, gender identity, sexual orientation, religion, national origin, age, disability, or veteran status.
","descriptionPlain":"WHO WE ARE\n\nCitizen Health was founded on the belief - shaped by firsthand lived experiences navigating healthcare - that having the right advocate is the single most important factor in achieving better care and outcomes. By uniquely combining data, AI, and community, Citizen is building a personalized AI advocate powered by patients' complete medical histories and data from thousands of other patients to generate personalized insights for clinical decisions and day-to-day challenges. Starting in rare and complex conditions, patients share their data in exchange for value, enabling biopharma and researchers with seamless access to patients and regulatory-grade data, shaving years off drug development for much-needed treatments.\n\nCitizen is founded by experienced entrepreneurs with multiple successes under their belts and is funded by top-tier investors including 8VC, Transformation Capital, and Headline Ventures, among others. We are a mission-driven team excited to be building the future of consumer healthcare.\n\n\n\n\nTHE ROLE\n\nWe’re not looking for average. We’re building a team of sharp, collaborative, fast-moving, detail-obsessed professionals who take pride in efficiency and execution. As a Record Collection Specialist at Citizen Health, you will play a critical role in our mission to serve patients by obtaining and organizing medical records from healthcare providers across the country. That means you need to be lightning-fast on a computer across multiple systems, relentless in follow-up, and meticulous in documentation. If you get flustered easily, move slowly, or struggle with basic tech — this is not the role for you. In return, you’ll be part of a high-performing, collaborative team that thrives on shared purpose—and you’ll have the opportunity to make a real impact on a mission that matters.\n\n\n\nThis is a remote contractor role with flexible hours, but hours need to be structured during normal business hours. We expect people to treat this like the real-deal job it is. You’ll be trusted to manage cases, invoice payments, and external communication to providers with urgency and clarity, without hand-holding.\n\n\n\n\nRESPONSIBILITIES\n\n - Submit clear, accurate patient record requests to healthcare providers’ Release of Information departments using our internal request system\n\n - Follow up persistently via phone, email, and fax to ensure timely record delivery — you are expected to follow up more than once and problem-solve when things stall\n\n - Upload, label, and organize received medical records to the correct patient profiles in Salesforce with extreme attention to detail\n\n - Maintain accurate documentation of all provider interactions and collection activity in Salesforce — if it’s not logged, it didn’t happen\n\n - Meet or exceed performance metrics for collection volume and turnaround times — we move quickly, and we expect our team to do the same\n\n - Build professional, effective relationships with provider offices to facilitate smoother record access — charm and clarity go a long way\n\n - Proactively identify and resolve issues (wrong fax numbers, unresponsive offices, missing authorizations) — don’t wait to be told what to fix\n\n - Use your judgment and stay aligned with HIPAA and internal data privacy protocols at all times\n\n - Use a reliable, fast computer and stable high-speed internet — if your system slows you down, so does our team\n\n - Work independently with integrity — this is a remote role, but we can see your activity. We don’t micromanage, but we do track output. Clocking in without producing results is not an option.\n\n\n\n\nWHO YOU ARE\n\n - Must be 18+ years of age\n\n - Strong organizational skills with the ability to manage multiple requests and shifting priorities\n\n - Clear, professional communication skills — both written and verbal — for interacting with providers and internal teams\n\n - Demonstrated phone etiquette and persistence when following up with healthcare facilities\n\n - High attention to detail and consistent documentation habits\n\n - Self-motivated and able to work independently without direct supervision\n\n - Experience in medical records, healthcare admin, or customer service is a plus\n\n - Familiarity with HIPAA, record retrieval processes, or EMR systems is preferred but not required\n\n - Proficiency with Salesforce or similar CRM systems is highly valued\n\n - Reliable, up-to-date personal computer and high-speed internet required\n\n - Preference given to candidates who can work 30+ hours/week\n\n - Ideal candidates are fast learners, tech-comfortable, and able to keep pace in a dynamic environment\n\n\n\nDon't meet every qualification? No worries! We believe that passion, curiosity, and the right mindset are just as important as a checklist of skills. If you’re excited about what we’re building, we encourage you to apply.\n\n\n\nOur Commitment to Diversity & Inclusion: Citizen Health is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of all backgrounds, identities, and experiences. Everyone deserves an equal chance to contribute and grow here — regardless of race, gender identity, sexual orientation, religion, national origin, age, disability, or veteran status.","compensation":{"compensationTierSummary":"$17 – $21 per hour","scrapeableCompensationSalarySummary":null,"compensationTiers":[{"id":"5cd03677-fd73-4592-9d46-3b1b4eda07e8","tierSummary":"$17 – $21 per hour","title":null,"additionalInformation":null,"components":[{"id":"f4647671-36f6-4758-a3cc-a737c6acc510","summary":"$17 – $21 per hour","compensationType":"Salary","interval":"1 HOUR","currencyCode":"USD","minValue":17,"maxValue":21}]}],"summaryComponents":[{"compensationType":"Salary","interval":"1 HOUR","currencyCode":"USD","minValue":17,"maxValue":21}]}},{"id":"eaa76517-4c60-4dd0-a8cf-ffe15d43c51c","title":"Senior AI Engineer","department":"Engineering","team":"Engineering","employmentType":"FullTime","location":"San Francisco","shouldDisplayCompensationOnJobPostings":true,"secondaryLocations":[],"publishedAt":"2026-05-20T17:37:54.033+00:00","isListed":true,"isRemote":true,"workplaceType":"Hybrid","address":{"postalAddress":{"addressRegion":"California","addressCountry":"United States","addressLocality":"San Francisco"}},"jobUrl":"https://jobs.ashbyhq.com/Citizen%20Health/eaa76517-4c60-4dd0-a8cf-ffe15d43c51c","applyUrl":"https://jobs.ashbyhq.com/Citizen%20Health/eaa76517-4c60-4dd0-a8cf-ffe15d43c51c/application","descriptionHtml":"We're building an agentic AI caregiver advocate that lives in your text messages and acts on behalf of rare disease patients and their families. It doesn't just answer questions. It makes phone calls to insurance companies, automates browser sessions to find clinical trials, prepares patients for specialist appointments using their complete medical history, navigates government benefits applications, and coordinates across multiple sub-agents to get things done. It maintains persistent memory across months of interactions and gets smarter about each patient's condition, care team, and needs over time.
The AI engineering challenge: build an autonomous agent that operates reliably in one of the highest-stakes domains imaginable — where a wrong answer about a medication interaction or a missed insurance deadline has real consequences for a sick child and their family. Traditional chatbot architecture doesn't cut it. We need engineers who can design agentic systems that reason, plan, use tools, and know when to escalate to a human.
We're hiring AI Engineers to build the intelligence behind our AI advocate. You'll design and implement the agentic LLM systems, RAG pipelines, tool-use frameworks, and evaluation infrastructure that make it effective, reliable, and safe. This is not a research role — you'll ship production systems that real patients depend on daily.
You'll work closely with Product, Platform Engineering, and clinical advisors. You'll report to the CTO.
Agentic orchestration — Design and implement the multi-agent architecture that powers our advocate's ability to reason, plan, and execute complex multi-step tasks (scheduling appointments, filing insurance appeals, researching treatment options) with appropriate guardrails and human-in-the-loop checkpoints.
RAG and medical knowledge systems — Build retrieval pipelines over patient medical records, condition-specific knowledge bases, and community-sourced data from 125+ rare disease communities. Ensure the advocate's responses are grounded in the patient's actual medical history, not generic information.
Tool-use and integrations — Build and maintain the frameworks that let our agent take real-world actions: browser automation, phone calls, form filling, document generation, and API integrations with healthcare systems. Each tool-use needs to be reliable, auditable, and scoped to the right permissions.
Conversation intelligence — Design the systems that make the advocate's WhatsApp conversations feel natural, contextual, and proactive. This includes long-term memory, conversation state management, personalization, and knowing when to surface information the patient didn't ask for but needs.
Evaluation and safety — Build evaluation frameworks for agentic outputs in a domain where \"good enough\" isn't good enough. Develop testing infrastructure for multi-step agent workflows, hallucination detection, medical accuracy validation, and regression testing across model updates.
Prompt engineering and model optimization — Design prompt architectures that balance capability, cost, and latency. Evaluate and integrate new models as the landscape evolves. Optimize inference costs — our unit economics depend on it.
You've built LLM-powered systems that went to production and had real users — not just demos and prototypes. You understand that the hard part of agentic AI isn't getting a cool demo working, it's making it reliable at the 95th percentile. You've dealt with the unglamorous parts: evaluation frameworks, prompt regression testing, cost optimization, and edge cases that only show up at scale.
You care about the craft of building AI systems, not just the hype cycle. You've formed opinions about when to use agents vs. chains vs. simple prompts, and you can articulate the tradeoffs. You're comfortable working in a startup where the stack is evolving fast and the best architecture for next quarter might not be the one you built last quarter.
4+ years of software engineering experience, with 2+ years building LLM-powered applications in production.
Strong proficiency in Python and hands-on experience with agentic AI frameworks (LangChain, LangGraph, CrewAI, AutoGen, or equivalent).
Experience designing and implementing RAG systems — including chunking strategies, embedding models, vector databases, retrieval evaluation, and hybrid search.
Track record building AI systems that take real-world actions (tool-use, function calling, browser automation, API orchestration), not just generate text.
Strong software engineering fundamentals — you write production-grade code with tests, logging, error handling, and clear abstractions. You're an engineer who uses AI, not a prompt writer who avoids code.
Experience with evaluation and testing of LLM systems — you've built evals, measured hallucination rates, and designed regression suites for non-deterministic outputs.
Comfort with ambiguity and fast iteration. You've worked at a startup or early-stage company and thrived.
Strong written and verbal communication — you can explain agentic architecture tradeoffs to a PM and debug a prompt chain with an engineer in the same afternoon.
Experience with healthcare, life sciences, or other regulated domains where AI output accuracy has high stakes (HIPAA compliance, clinical data handling).
Familiarity with multi-agent architectures — designing systems where multiple specialized agents collaborate, hand off tasks, and share context.
Experience with WhatsApp Business API, messaging platforms, or conversational AI at scale.
Background in inference cost optimization — model selection, caching, batching, routing between models of different capability/cost profiles.
Familiarity with medical data formats (FHIR, HL7, CDA) or experience building systems over medical records.
Experience with voice AI, telephony APIs, or browser automation frameworks (Playwright, Puppeteer).
Contributions to open-source AI/LLM tooling or active engagement with the agentic AI community.
Citizen Health was founded on the belief — shaped by firsthand lived experiences navigating healthcare — that having the right advocate is the single most important factor in achieving better care and outcomes. By uniquely combining data, AI, and community, Citizen is building a personalized AI advocate powered by patients' complete medical histories and data from thousands of other patients to generate personalized insights for clinical decisions and day-to-day challenges. Starting in rare and complex conditions, patients share their data in exchange for value, enabling biopharma and researchers with seamless access to patients and regulatory-grade data, shaving years off drug development for much-needed treatments.
Citizen is founded by experienced entrepreneurs with multiple successes under their belts and is funded by top-tier investors including 8VC, Transformation Capital, and Headline Ventures, among others. We are a mission-driven team excited to be building the future of consumer healthcare.
Build an agentic AI system in production that actually helps people — not another chatbot, not a copilot for knowledge workers, but an autonomous advocate for families navigating rare diseases.
Work on problems at the frontier of agentic AI: multi-step planning in high-stakes domains, tool-use over messy real-world systems, long-term memory and personalization, evaluation of non-deterministic autonomous agents.
Ship to real users immediately. Our AI advocate is live and serving patients today. Your code will be in production within your first sprint.
A fast-paced, high-growth setting with expanding opportunities and clear paths for career progression.
A supportive culture of learning, experimentation, and innovation, where new ideas are encouraged and explored.
Competitive salary + equity
Comprehensive health, dental, and vision insurance
Unlimited PTO, including 12 weeks paid parental leave
Flexible remote-first work environment
Work-from-anywhere 30 days per year
Company offsites
Our Commitment to Diversity & Inclusion: Citizen Health is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of all backgrounds, identities, and experiences. Everyone deserves an equal chance to contribute and grow here — regardless of race, gender identity, sexual orientation, religion, national origin, age, disability, or veteran status.
Don't meet every qualification? No worries! We believe that passion, curiosity, and the right mindset are just as important as a checklist of skills. If you’re excited about what we’re building, we encourage you to apply.
","descriptionPlain":"THE PROBLEM\n\nWe're building an agentic AI caregiver advocate that lives in your text messages and acts on behalf of rare disease patients and their families. It doesn't just answer questions. It makes phone calls to insurance companies, automates browser sessions to find clinical trials, prepares patients for specialist appointments using their complete medical history, navigates government benefits applications, and coordinates across multiple sub-agents to get things done. It maintains persistent memory across months of interactions and gets smarter about each patient's condition, care team, and needs over time.\n\nThe AI engineering challenge: build an autonomous agent that operates reliably in one of the highest-stakes domains imaginable — where a wrong answer about a medication interaction or a missed insurance deadline has real consequences for a sick child and their family. Traditional chatbot architecture doesn't cut it. We need engineers who can design agentic systems that reason, plan, use tools, and know when to escalate to a human.\n\n\n\n\nTHE ROLE\n\nWe're hiring AI Engineers to build the intelligence behind our AI advocate. You'll design and implement the agentic LLM systems, RAG pipelines, tool-use frameworks, and evaluation infrastructure that make it effective, reliable, and safe. This is not a research role — you'll ship production systems that real patients depend on daily.\n\nYou'll work closely with Product, Platform Engineering, and clinical advisors. You'll report to the CTO.\n\n\n\n\nWHAT YOU'LL BUILD\n\nAgentic orchestration — Design and implement the multi-agent architecture that powers our advocate's ability to reason, plan, and execute complex multi-step tasks (scheduling appointments, filing insurance appeals, researching treatment options) with appropriate guardrails and human-in-the-loop checkpoints.\n\nRAG and medical knowledge systems — Build retrieval pipelines over patient medical records, condition-specific knowledge bases, and community-sourced data from 125+ rare disease communities. Ensure the advocate's responses are grounded in the patient's actual medical history, not generic information.\n\nTool-use and integrations — Build and maintain the frameworks that let our agent take real-world actions: browser automation, phone calls, form filling, document generation, and API integrations with healthcare systems. Each tool-use needs to be reliable, auditable, and scoped to the right permissions.\n\nConversation intelligence — Design the systems that make the advocate's WhatsApp conversations feel natural, contextual, and proactive. This includes long-term memory, conversation state management, personalization, and knowing when to surface information the patient didn't ask for but needs.\n\nEvaluation and safety — Build evaluation frameworks for agentic outputs in a domain where \"good enough\" isn't good enough. Develop testing infrastructure for multi-step agent workflows, hallucination detection, medical accuracy validation, and regression testing across model updates.\n\nPrompt engineering and model optimization — Design prompt architectures that balance capability, cost, and latency. Evaluate and integrate new models as the landscape evolves. Optimize inference costs — our unit economics depend on it.\n\n\n\n\nWHO YOU ARE\n\nYou've built LLM-powered systems that went to production and had real users — not just demos and prototypes. You understand that the hard part of agentic AI isn't getting a cool demo working, it's making it reliable at the 95th percentile. You've dealt with the unglamorous parts: evaluation frameworks, prompt regression testing, cost optimization, and edge cases that only show up at scale.\n\nYou care about the craft of building AI systems, not just the hype cycle. You've formed opinions about when to use agents vs. chains vs. simple prompts, and you can articulate the tradeoffs. You're comfortable working in a startup where the stack is evolving fast and the best architecture for next quarter might not be the one you built last quarter.\n\n\n\n\nMUST-HAVE SKILLS\n\n - 4+ years of software engineering experience, with 2+ years building LLM-powered applications in production.\n\n - Strong proficiency in Python and hands-on experience with agentic AI frameworks (LangChain, LangGraph, CrewAI, AutoGen, or equivalent).\n\n - Experience designing and implementing RAG systems — including chunking strategies, embedding models, vector databases, retrieval evaluation, and hybrid search.\n\n - Track record building AI systems that take real-world actions (tool-use, function calling, browser automation, API orchestration), not just generate text.\n\n - Strong software engineering fundamentals — you write production-grade code with tests, logging, error handling, and clear abstractions. You're an engineer who uses AI, not a prompt writer who avoids code.\n\n - Experience with evaluation and testing of LLM systems — you've built evals, measured hallucination rates, and designed regression suites for non-deterministic outputs.\n\n - Comfort with ambiguity and fast iteration. You've worked at a startup or early-stage company and thrived.\n\n - Strong written and verbal communication — you can explain agentic architecture tradeoffs to a PM and debug a prompt chain with an engineer in the same afternoon.\n \n \n\n\nPREFERRED SKILLS\n\n - Experience with healthcare, life sciences, or other regulated domains where AI output accuracy has high stakes (HIPAA compliance, clinical data handling).\n\n - Familiarity with multi-agent architectures — designing systems where multiple specialized agents collaborate, hand off tasks, and share context.\n\n - Experience with WhatsApp Business API, messaging platforms, or conversational AI at scale.\n\n - Background in inference cost optimization — model selection, caching, batching, routing between models of different capability/cost profiles.\n\n - Familiarity with medical data formats (FHIR, HL7, CDA) or experience building systems over medical records.\n\n - Experience with voice AI, telephony APIs, or browser automation frameworks (Playwright, Puppeteer).\n\n - Contributions to open-source AI/LLM tooling or active engagement with the agentic AI community.\n \n \n\n\nWHO WE ARE\n\nCitizen Health was founded on the belief — shaped by firsthand lived experiences navigating healthcare — that having the right advocate is the single most important factor in achieving better care and outcomes. By uniquely combining data, AI, and community, Citizen is building a personalized AI advocate powered by patients' complete medical histories and data from thousands of other patients to generate personalized insights for clinical decisions and day-to-day challenges. Starting in rare and complex conditions, patients share their data in exchange for value, enabling biopharma and researchers with seamless access to patients and regulatory-grade data, shaving years off drug development for much-needed treatments.\n\nCitizen is founded by experienced entrepreneurs with multiple successes under their belts and is funded by top-tier investors including 8VC, Transformation Capital, and Headline Ventures, among others. We are a mission-driven team excited to be building the future of consumer healthcare.\n\n\n\n\nWHY JOIN US\n\n - Build an agentic AI system in production that actually helps people — not another chatbot, not a copilot for knowledge workers, but an autonomous advocate for families navigating rare diseases.\n\n - Work on problems at the frontier of agentic AI: multi-step planning in high-stakes domains, tool-use over messy real-world systems, long-term memory and personalization, evaluation of non-deterministic autonomous agents.\n\n - Ship to real users immediately. Our AI advocate is live and serving patients today. Your code will be in production within your first sprint.\n\n - A fast-paced, high-growth setting with expanding opportunities and clear paths for career progression.\n\n - A supportive culture of learning, experimentation, and innovation, where new ideas are encouraged and explored.\n \n \n\n\nCOMPENSATION & BENEFITS\n\n - Competitive salary + equity\n\n - Comprehensive health, dental, and vision insurance\n\n - Unlimited PTO, including 12 weeks paid parental leave\n\n - Flexible remote-first work environment\n\n - Work-from-anywhere 30 days per year\n\n - Company offsites\n\n\n\nOur Commitment to Diversity & Inclusion: Citizen Health is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of all backgrounds, identities, and experiences. Everyone deserves an equal chance to contribute and grow here — regardless of race, gender identity, sexual orientation, religion, national origin, age, disability, or veteran status.\n\n\n\nDon't meet every qualification? No worries! We believe that passion, curiosity, and the right mindset are just as important as a checklist of skills. If you’re excited about what we’re building, we encourage you to apply.","compensation":{"compensationTierSummary":"$150K – $300K","scrapeableCompensationSalarySummary":"$150K - $300K","compensationTiers":[{"id":"0dfdc1bc-332c-45da-ab34-59e743f21cdc","tierSummary":"$150K – $300K","title":null,"additionalInformation":null,"components":[{"id":"7482d2d3-f9c1-40aa-b6c6-0de7b532dbd0","summary":"$150K – $300K","compensationType":"Salary","interval":"1 YEAR","currencyCode":"USD","minValue":150000,"maxValue":300000}]}],"summaryComponents":[{"compensationType":"Salary","interval":"1 YEAR","currencyCode":"USD","minValue":150000,"maxValue":300000}]}},{"id":"3611379c-668c-4a55-a6e9-b93fefb45c6c","title":"Staff Platform Engineer","department":"Engineering","team":"Engineering","employmentType":"FullTime","location":"San Francisco","shouldDisplayCompensationOnJobPostings":false,"secondaryLocations":[],"publishedAt":"2026-05-20T17:39:38.056+00:00","isListed":true,"isRemote":true,"workplaceType":"Hybrid","address":{"postalAddress":{"addressRegion":"California","addressCountry":"United States","addressLocality":"San Francisco"}},"jobUrl":"https://jobs.ashbyhq.com/Citizen%20Health/3611379c-668c-4a55-a6e9-b93fefb45c6c","applyUrl":"https://jobs.ashbyhq.com/Citizen%20Health/3611379c-668c-4a55-a6e9-b93fefb45c6c/application","descriptionHtml":"We run an agentic AI platform that acts as a personal advocate for rare disease patients. Our AI agent lives in your text messages, makes phone calls, automates browser sessions, maintains persistent memory across months of patient interactions, and coordinates multiple sub-agents to handle everything from appointment preparation to insurance navigation. The infrastructure challenge is unlike anything in traditional SaaS: long-running autonomous agent sessions with unpredictable compute patterns, real-time messaging at scale, tool-use pipelines that touch the open web on behalf of patients, and healthcare-grade compliance requirements across all of it.
We need someone to own this platform end-to-end.
We're hiring a Staff Platform Engineer to build and own the infrastructure that powers Citizen Health — the cloud platform, deployment systems, and reliability practices that let our teams ship AI-driven features safely at speed. You'll partner with teams across AI, web, mobile, and data engineering to keep our platform performant, secure, and compliant with healthcare standards (HIPAA, SOC 2, and adjacent frameworks).
This is a hands-on technical leadership role. You'll write code, set the direction for platform engineering, and raise the bar for how the entire org runs in production. You will likely be the first dedicated infrastructure hire and will build the platform engineering function from the ground up — owning everything from Terraform to on-call until you grow the team.
You'll report to the Director of Engineering.
Platform & infrastructure strategy — Set the technical direction for our agentic platform. Design architectures that handle long-running AI agent sessions, real-time WhatsApp message delivery, and autonomous tool execution (browser, phone, API calls) — all within HIPAA boundaries. Make the right build-vs-buy calls and keep infrastructure cost-efficient as we scale from hundreds to tens of thousands of active patients.
Reliability & observability — Define SLOs, build the observability stack, drive incident response, and keep uptime boringly high. Make on-call sustainable. When something breaks at 2am, you fix it, write the post-mortem, and spend the next sprint making sure it never happens again — without being asked.
CI/CD & developer experience — Own the deployment pipeline end-to-end. Eliminate friction in the inner and outer loops so teams can ship to production dozens of times a day with confidence. Our AI engineers should be thinking about models and prompts, not fighting deploys.
Inference cost & capacity management — AI inference is our largest variable cost. Partner with AI engineering to optimize model serving, manage GPU and compute capacity, negotiate vendor contracts, and make sure our unit economics work as we scale.
Security & compliance — Partner with security and legal to maintain HIPAA, SOC 2, and related regulatory standards. Implement controls that protect patient data without slowing teams down. Secure the agent tool-use pipeline — when our AI agent opens a browser or makes a phone call on behalf of a patient, the blast radius has to be contained.
Cross-functional partnership — Work closely with Product, AI/ML, Data, and Security to translate platform needs into roadmap. Unblock teams and mentor engineers across the org.
You've been the person who saw a scaling wall six months before it became a crisis, made the case to rearchitect, and then did the work. You've led infrastructure through a meaningful inflection — 10x traffic growth, launch into a new channel, migration from monolith to services — and you can talk concretely about what broke, what you learned, and what you'd do differently.
You thrive in early-stage environments where the team is small, the scope is broad, and the best answer hasn't been written in a runbook yet. You default to data, automate the toil, and document what you learn. You've worked at a startup before (ideally sub-50 people) and you liked it.
8+ years of software / infrastructure engineering experience; 4+ years in a senior IC or technical leadership role on a Platform, SRE, or DevOps team.
Deep expertise running production systems on a major cloud provider (AWS, GCP, or Azure).
Hands-on with Kubernetes, infrastructure-as-code (Terraform, Pulumi, or similar), and modern CI/CD tooling (GitHub Actions, ArgoCD, Spinnaker, etc.).
Strong programming skills in at least one of Go, Python, or TypeScript — you build tooling, not just configure it.
Demonstrated experience scaling infrastructure through a significant growth inflection (10x users, new product surface, architectural migration) in a production environment.
Proven track record designing for high availability, zero-downtime releases, and graceful degradation in regulated or data-intensive environments.
Strong security fundamentals: IAM, secrets management, network segmentation, vulnerability management, supply-chain security.
Experience at an early-stage or high-growth startup where you owned infrastructure broadly, not just a narrow slice.
Excellent written and verbal communication — you're equally effective in a post-mortem, a roadmap discussion, and a Slack thread.
Experience supporting AI/ML workloads in production — model serving, inference optimization, GPU infrastructure, vector databases, or large-scale data pipelines. This is close to a must-have given our architecture.
Familiarity with agentic AI systems, multi-agent orchestration, or long-running autonomous workflows.
Experience with messaging infrastructure at scale — message queues, webhook reliability, delivery guarantees, rate limiting (WhatsApp, SMS, or similar).
Background in healthtech, life sciences, fintech, or other regulated domains (HIPAA, SOC 2, HITRUST, FedRAMP).
Familiarity with FHIR / HL7 or other healthcare data standards.
Experience growing a Platform or SRE function from a small group of generalists into a specialized team.
Citizen Health was founded on the belief — shaped by firsthand lived experiences navigating healthcare — that having the right advocate is the single most important factor in achieving better care and outcomes. By uniquely combining data, AI, and community, Citizen is building a personalized AI advocate powered by patients' complete medical histories and data from thousands of other patients to generate personalized insights for clinical decisions and day-to-day challenges. Starting in rare and complex conditions, patients share their data in exchange for value, enabling biopharma and researchers with seamless access to patients and regulatory-grade data, shaving years off drug development for much-needed treatments.
Citizen is founded by experienced entrepreneurs with multiple successes under their belts and is funded by top-tier investors including 8VC, Transformation Capital, and Headline Ventures, among others. We are a mission-driven team excited to be building the future of consumer healthcare.
The chance to build platform infrastructure for an agentic AI system that doesn't exist anywhere else — the playbook hasn't been written yet.
A real mission with real patients. The people using our product are navigating rare diseases with their children. The infrastructure you build directly affects whether they get the right diagnosis, the right benefits, the right clinical trial.
Ownership from day one. You'll shape the platform engineering function, not inherit someone else's architecture.
A fast-paced, high-growth setting with expanding opportunities and clear paths for career progression.
A supportive culture of learning, experimentation, and innovation, where new ideas are encouraged and explored.
Competitive salary + equity
Comprehensive health, dental, and vision insurance
Unlimited PTO, including 12 weeks paid parental leave
Flexible remote-first work environment
Work-from-anywhere 30 days per year
Company offsites
Our Commitment to Diversity & Inclusion: Citizen Health is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of all backgrounds, identities, and experiences — regardless of race, gender identity, sexual orientation, religion, national origin, age, disability, or veteran status.
Don't meet every qualification? We believe that passion, curiosity, and the right mindset matter as much as a checklist of skills. If you're excited about what we're building, we encourage you to apply.
","descriptionPlain":"THE PROBLEM\n\nWe run an agentic AI platform that acts as a personal advocate for rare disease patients. Our AI agent lives in your text messages, makes phone calls, automates browser sessions, maintains persistent memory across months of patient interactions, and coordinates multiple sub-agents to handle everything from appointment preparation to insurance navigation. The infrastructure challenge is unlike anything in traditional SaaS: long-running autonomous agent sessions with unpredictable compute patterns, real-time messaging at scale, tool-use pipelines that touch the open web on behalf of patients, and healthcare-grade compliance requirements across all of it.\n\nWe need someone to own this platform end-to-end.\n\n\n\n\nTHE ROLE\n\nWe're hiring a Staff Platform Engineer to build and own the infrastructure that powers Citizen Health — the cloud platform, deployment systems, and reliability practices that let our teams ship AI-driven features safely at speed. You'll partner with teams across AI, web, mobile, and data engineering to keep our platform performant, secure, and compliant with healthcare standards (HIPAA, SOC 2, and adjacent frameworks).\n\nThis is a hands-on technical leadership role. You'll write code, set the direction for platform engineering, and raise the bar for how the entire org runs in production. You will likely be the first dedicated infrastructure hire and will build the platform engineering function from the ground up — owning everything from Terraform to on-call until you grow the team.\n\nYou'll report to the Director of Engineering.\n\n\n\n\nWHAT YOU'LL DRIVE\n\nPlatform & infrastructure strategy — Set the technical direction for our agentic platform. Design architectures that handle long-running AI agent sessions, real-time WhatsApp message delivery, and autonomous tool execution (browser, phone, API calls) — all within HIPAA boundaries. Make the right build-vs-buy calls and keep infrastructure cost-efficient as we scale from hundreds to tens of thousands of active patients.\n\nReliability & observability — Define SLOs, build the observability stack, drive incident response, and keep uptime boringly high. Make on-call sustainable. When something breaks at 2am, you fix it, write the post-mortem, and spend the next sprint making sure it never happens again — without being asked.\n\nCI/CD & developer experience — Own the deployment pipeline end-to-end. Eliminate friction in the inner and outer loops so teams can ship to production dozens of times a day with confidence. Our AI engineers should be thinking about models and prompts, not fighting deploys.\n\nInference cost & capacity management — AI inference is our largest variable cost. Partner with AI engineering to optimize model serving, manage GPU and compute capacity, negotiate vendor contracts, and make sure our unit economics work as we scale.\n\nSecurity & compliance — Partner with security and legal to maintain HIPAA, SOC 2, and related regulatory standards. Implement controls that protect patient data without slowing teams down. Secure the agent tool-use pipeline — when our AI agent opens a browser or makes a phone call on behalf of a patient, the blast radius has to be contained.\n\nCross-functional partnership — Work closely with Product, AI/ML, Data, and Security to translate platform needs into roadmap. Unblock teams and mentor engineers across the org.\n\n\n\n\nWHO YOU ARE\n\nYou've been the person who saw a scaling wall six months before it became a crisis, made the case to rearchitect, and then did the work. You've led infrastructure through a meaningful inflection — 10x traffic growth, launch into a new channel, migration from monolith to services — and you can talk concretely about what broke, what you learned, and what you'd do differently.\n\nYou thrive in early-stage environments where the team is small, the scope is broad, and the best answer hasn't been written in a runbook yet. You default to data, automate the toil, and document what you learn. You've worked at a startup before (ideally sub-50 people) and you liked it.\n\n\n\n\nMUST-HAVE SKILLS\n\n - 8+ years of software / infrastructure engineering experience; 4+ years in a senior IC or technical leadership role on a Platform, SRE, or DevOps team.\n\n - Deep expertise running production systems on a major cloud provider (AWS, GCP, or Azure).\n\n - Hands-on with Kubernetes, infrastructure-as-code (Terraform, Pulumi, or similar), and modern CI/CD tooling (GitHub Actions, ArgoCD, Spinnaker, etc.).\n\n - Strong programming skills in at least one of Go, Python, or TypeScript — you build tooling, not just configure it.\n\n - Demonstrated experience scaling infrastructure through a significant growth inflection (10x users, new product surface, architectural migration) in a production environment.\n\n - Proven track record designing for high availability, zero-downtime releases, and graceful degradation in regulated or data-intensive environments.\n\n - Strong security fundamentals: IAM, secrets management, network segmentation, vulnerability management, supply-chain security.\n\n - Experience at an early-stage or high-growth startup where you owned infrastructure broadly, not just a narrow slice.\n\n - Excellent written and verbal communication — you're equally effective in a post-mortem, a roadmap discussion, and a Slack thread.\n \n \n\n\nPREFERRED SKILLS\n\n - Experience supporting AI/ML workloads in production — model serving, inference optimization, GPU infrastructure, vector databases, or large-scale data pipelines. This is close to a must-have given our architecture.\n\n - Familiarity with agentic AI systems, multi-agent orchestration, or long-running autonomous workflows.\n\n - Experience with messaging infrastructure at scale — message queues, webhook reliability, delivery guarantees, rate limiting (WhatsApp, SMS, or similar).\n\n - Background in healthtech, life sciences, fintech, or other regulated domains (HIPAA, SOC 2, HITRUST, FedRAMP).\n\n - Familiarity with FHIR / HL7 or other healthcare data standards.\n\n - Experience growing a Platform or SRE function from a small group of generalists into a specialized team.\n \n \n\n\nWHO WE ARE\n\nCitizen Health was founded on the belief — shaped by firsthand lived experiences navigating healthcare — that having the right advocate is the single most important factor in achieving better care and outcomes. By uniquely combining data, AI, and community, Citizen is building a personalized AI advocate powered by patients' complete medical histories and data from thousands of other patients to generate personalized insights for clinical decisions and day-to-day challenges. Starting in rare and complex conditions, patients share their data in exchange for value, enabling biopharma and researchers with seamless access to patients and regulatory-grade data, shaving years off drug development for much-needed treatments.\n\nCitizen is founded by experienced entrepreneurs with multiple successes under their belts and is funded by top-tier investors including 8VC, Transformation Capital, and Headline Ventures, among others. We are a mission-driven team excited to be building the future of consumer healthcare.\n\n\n\n\nWHY JOIN US\n\n - The chance to build platform infrastructure for an agentic AI system that doesn't exist anywhere else — the playbook hasn't been written yet.\n\n - A real mission with real patients. The people using our product are navigating rare diseases with their children. The infrastructure you build directly affects whether they get the right diagnosis, the right benefits, the right clinical trial.\n\n - Ownership from day one. You'll shape the platform engineering function, not inherit someone else's architecture.\n\n - A fast-paced, high-growth setting with expanding opportunities and clear paths for career progression.\n\n - A supportive culture of learning, experimentation, and innovation, where new ideas are encouraged and explored.\n \n \n\n\nCOMPENSATION & BENEFITS\n\n - Competitive salary + equity\n\n - Comprehensive health, dental, and vision insurance\n\n - Unlimited PTO, including 12 weeks paid parental leave\n\n - Flexible remote-first work environment\n\n - Work-from-anywhere 30 days per year\n\n - Company offsites\n \n \n\nOur Commitment to Diversity & Inclusion: Citizen Health is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of all backgrounds, identities, and experiences — regardless of race, gender identity, sexual orientation, religion, national origin, age, disability, or veteran status.\n\nDon't meet every qualification? We believe that passion, curiosity, and the right mindset matter as much as a checklist of skills. If you're excited about what we're building, we encourage you to apply.","compensation":{"compensationTierSummary":null,"scrapeableCompensationSalarySummary":null,"compensationTiers":[],"summaryComponents":[]}},{"id":"511f242c-f8cc-426b-befb-49320ad62154","title":"Executive Assistant & Office Operations Manager","department":"Other","team":"Other","employmentType":"FullTime","location":"San Francisco","shouldDisplayCompensationOnJobPostings":false,"secondaryLocations":[],"publishedAt":"2026-10-21T00:12:20.173+00:00","isListed":true,"isRemote":true,"workplaceType":"Hybrid","address":{"postalAddress":{"addressRegion":"California","addressCountry":"United States","addressLocality":"San Francisco"}},"jobUrl":"https://jobs.ashbyhq.com/Citizen%20Health/511f242c-f8cc-426b-befb-49320ad62154","applyUrl":"https://jobs.ashbyhq.com/Citizen%20Health/511f242c-f8cc-426b-befb-49320ad62154/application","descriptionHtml":"Citizen Health is a small team moving fast on a hard problem: building Ari, an AI advocate for families navigating rare disease. Our two co-founders — the CEO and the Chief Business Officer — split their time across product, fundraising, biopharma and advocacy partnerships, hiring, and the day-to-day of running the company. Every hour they spend wrestling with calendars, chasing interview panels, or figuring out who ordered the standing desks is an hour not spent on patients, partners, or the team.
As we grow, the operational surface area grows with us: more candidates moving through more interview loops, more external meetings across more time zones, a real office with real vendors, and a steady stream of people-ops and business-ops tasks that don't yet have an owner. We need one person who can hold all of it — and make it look easy.
We're hiring an Executive Assistant & Office Manager to support our CEO and CBO directly, run our San Francisco office, own recruiting coordination end-to-end, and take on ad hoc business operations work across the company. Most companies split this work across three or four people. Here, it's one seat — which means broad scope, real ownership, and a close-up view of how an early-stage company actually runs.
You'll be the connective tissue between the founders and everyone else: the person who knows what's happening this week, who needs what from whom, and what's going to fall through the cracks unless someone catches it. You'll operate with a high degree of autonomy and handle confidential information across compensation, personnel, and business development.
This role is based in San Francisco with regular in-office presence. You'll report to the CEO and work day-to-day with both co-founders.
Executive support for the CEO and CBO — Own both calendars, including competing priorities across recurring internal meetings and all external scheduling with investors, partners, advisors, and candidates. Serve as the scheduling and communications point of contact for external stakeholders. Coordinate domestic and international travel end-to-end. Prepare agendas, pre-reads, and meeting materials; track action items afterward and make sure they close. Manage expense reporting for both executives. Triage inbound requests and protect founder time — deciding what needs their attention and what you can resolve yourself.
Board, investor, and leadership logistics — Coordinate board meetings, investor updates, and leadership offsites: scheduling, materials assembly, logistics, and follow-through.
Office and operations management — Run the day-to-day operations of the office. Own vendor relationships and contracts (building management, cleaning, catering, IT, supplies). Manage office supply, equipment, and kitchen inventory within budget. Coordinate IT and workstation setup for new hires and equipment needs for the existing team. Serve as the first point of contact for facilities issues and building management, including mail and shipping, access, seating, and safety.
Recruiting coordination — Schedule and coordinate all candidate interviews and full-day onsites across open roles. Manage interviewer panels and reschedules across multiple calendars, including executive interviews. Own candidate communication and experience from first scheduling contact through onsite — every candidate should leave thinking Citizen is the most organized company they've talked to. Maintain candidate records and keep the pipeline clean in our ATS.
People operations and HR administration — Own and maintain the company-wide onboarding playbook used for every new hire across departments. Own the monthly headcount report covering full-time employees, contractors, and interns. Support onboarding documentation and other HR administration as needed.
Team events and culture — Plan and execute team events, all-hands logistics, offsites, and celebrations. Help make a distributed, fast-moving team feel like one team.
Ad hoc business operations — Take on the projects that don't have an owner yet: vendor and tool procurement, contract tracking, process documentation, internal tooling setup, one-off research and analysis for the founders, and whatever else comes up. You'll see problems before we do and fix them before we ask.
You've supported founders and executives through fast-changing priorities and competing deadlines, handling sensitive information with discretion. You're proactive about building the systems and processes a growing company needs. You identify the gap before someone has to point it out to you, and put a solution in place.
You're organized, steady under pressure, and a problem solver. You're proactive rather than reactive identifing issues before they become problems and keep people informed without being asked. You manage multiple priorities at once without losing track of any of them, and you have good judgment about what's urgent, what's important, and what can wait. You handle sensitive information with discretion.
You have worked and thrived at scalling companies where the scope is still being defined and getting something done often means figuring it out yourself.
4+ years of experience in executive support, office management, operations, or a comparable role, with at least 2 years directly supporting C-level executives or founders.
Demonstrated experience owning complex calendars, travel, and external scheduling across multiple time zones and stakeholder types (investors, partners, candidates).
Experience coordinating recruiting logistics — interview scheduling, panel management, candidate communication — at a company actively hiring across multiple roles.
Track record of running an office or facilities function: vendor management, budgets, inventory, IT and equipment coordination.
Exceptional written and verbal communication — polished with external stakeholders, crisp and direct internally.
Proven discretion handling confidential compensation, personnel, and business information.
Fluency with the modern operations toolkit: Google Workspace, Slack, Notion, an ATS, expense and travel tools, and the ability to pick up new software quickly.
Based in the San Francisco Bay Area and able to be in the office 3 days a week (Tue/Wed/Thu).
Experience at a venture-backed startup between Seed and Series B, where you owned operations broadly rather than a narrow slice.
Exposure to HR administration or people operations — onboarding, headcount tracking, benefits coordination, or HRIS tools.
Experience supporting board meetings, investor relations, or fundraising logistics.
Experience planning offsites and team events for distributed teams.
Comfort with light data work — building trackers, headcount reports, or simple dashboards in Sheets or similar.
Interest in healthcare, life sciences, or mission-driven companies; familiarity with the rare disease community is a plus but not required.
Citizen Health was founded on the belief — shaped by firsthand lived experiences navigating healthcare — that having the right advocate is the single most important factor in achieving better care and outcomes. By uniquely combining data, AI, and community, Citizen is building a personalized AI advocate powered by patients' complete medical histories and data from thousands of other patients to generate personalized insights for clinical decisions and day-to-day challenges. Starting in rare and complex conditions, patients share their data in exchange for value, enabling biopharma and researchers with seamless access to patients and regulatory-grade data, shaving years off drug development for much-needed treatments.
Citizen is founded by experienced entrepreneurs with multiple successes under their belts and is funded by top-tier investors including 8VC, Transformation Capital, and Headline Ventures, among others. We are a mission-driven team excited to be building the future of consumer healthcare.
Direct, daily partnership with two co-founders — you'll see how an early-stage company is built from the inside and have real influence on how it runs.
Unusual breadth. Executive support, office operations, recruiting, people ops, and business ops in one seat — with a clear path to grow into a broader operations or people leadership role as the company scales.
A real mission with real patients. The people using our product are navigating rare diseases with their children. Keeping the company running smoothly directly affects whether they get the right diagnosis, the right benefits, the right clinical trial.
Ownership from day one. You'll build the systems, not inherit them.
A supportive culture of learning, experimentation, and innovation, where new ideas are encouraged and explored.
Competitive salary + equity
Comprehensive health, dental, and vision insurance
Unlimited PTO, including 12 weeks paid parental leave
Hybrid role based in our San Francisco office
Work-from-anywhere 30 days per year
Company offsites
Salary Range: $105,000 - $150,000
Citizen Health is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of all backgrounds, identities, and experiences — regardless of race, gender identity, sexual orientation, religion, national origin, age, disability, or veteran status.
Don't meet every qualification? We believe that passion, curiosity, and the right mindset matter as much as a checklist of skills. If you're excited about what we're building, we encourage you to apply.
","descriptionPlain":"THE PROBLEM\n\nCitizen Health is a small team moving fast on a hard problem: building Ari, an AI advocate for families navigating rare disease. Our two co-founders — the CEO and the Chief Business Officer — split their time across product, fundraising, biopharma and advocacy partnerships, hiring, and the day-to-day of running the company. Every hour they spend wrestling with calendars, chasing interview panels, or figuring out who ordered the standing desks is an hour not spent on patients, partners, or the team.\n\nAs we grow, the operational surface area grows with us: more candidates moving through more interview loops, more external meetings across more time zones, a real office with real vendors, and a steady stream of people-ops and business-ops tasks that don't yet have an owner. We need one person who can hold all of it — and make it look easy.\n\n\n\n\nTHE ROLE\n\nWe're hiring an Executive Assistant & Office Manager to support our CEO and CBO directly, run our San Francisco office, own recruiting coordination end-to-end, and take on ad hoc business operations work across the company. Most companies split this work across three or four people. Here, it's one seat — which means broad scope, real ownership, and a close-up view of how an early-stage company actually runs.\n\nYou'll be the connective tissue between the founders and everyone else: the person who knows what's happening this week, who needs what from whom, and what's going to fall through the cracks unless someone catches it. You'll operate with a high degree of autonomy and handle confidential information across compensation, personnel, and business development.\n\nThis role is based in San Francisco with regular in-office presence. You'll report to the CEO and work day-to-day with both co-founders.\n\n\n\n\nWHAT YOU'LL DRIVE\n\nExecutive support for the CEO and CBO — Own both calendars, including competing priorities across recurring internal meetings and all external scheduling with investors, partners, advisors, and candidates. Serve as the scheduling and communications point of contact for external stakeholders. Coordinate domestic and international travel end-to-end. Prepare agendas, pre-reads, and meeting materials; track action items afterward and make sure they close. Manage expense reporting for both executives. Triage inbound requests and protect founder time — deciding what needs their attention and what you can resolve yourself.\n\nBoard, investor, and leadership logistics — Coordinate board meetings, investor updates, and leadership offsites: scheduling, materials assembly, logistics, and follow-through.\n\nOffice and operations management — Run the day-to-day operations of the office. Own vendor relationships and contracts (building management, cleaning, catering, IT, supplies). Manage office supply, equipment, and kitchen inventory within budget. Coordinate IT and workstation setup for new hires and equipment needs for the existing team. Serve as the first point of contact for facilities issues and building management, including mail and shipping, access, seating, and safety.\n\nRecruiting coordination — Schedule and coordinate all candidate interviews and full-day onsites across open roles. Manage interviewer panels and reschedules across multiple calendars, including executive interviews. Own candidate communication and experience from first scheduling contact through onsite — every candidate should leave thinking Citizen is the most organized company they've talked to. Maintain candidate records and keep the pipeline clean in our ATS.\n\nPeople operations and HR administration — Own and maintain the company-wide onboarding playbook used for every new hire across departments. Own the monthly headcount report covering full-time employees, contractors, and interns. Support onboarding documentation and other HR administration as needed.\n\nTeam events and culture — Plan and execute team events, all-hands logistics, offsites, and celebrations. Help make a distributed, fast-moving team feel like one team.\n\nAd hoc business operations — Take on the projects that don't have an owner yet: vendor and tool procurement, contract tracking, process documentation, internal tooling setup, one-off research and analysis for the founders, and whatever else comes up. You'll see problems before we do and fix them before we ask.\n\n\n\n\nWHO YOU ARE\n\nYou've supported founders and executives through fast-changing priorities and competing deadlines, handling sensitive information with discretion. You're proactive about building the systems and processes a growing company needs. You identify the gap before someone has to point it out to you, and put a solution in place.\n\nYou're organized, steady under pressure, and a problem solver. You're proactive rather than reactive identifing issues before they become problems and keep people informed without being asked. You manage multiple priorities at once without losing track of any of them, and you have good judgment about what's urgent, what's important, and what can wait. You handle sensitive information with discretion.\n\nYou have worked and thrived at scalling companies where the scope is still being defined and getting something done often means figuring it out yourself.\n\n\n\n\nMUST-HAVE SKILLS\n\n - 4+ years of experience in executive support, office management, operations, or a comparable role, with at least 2 years directly supporting C-level executives or founders.\n\n - Demonstrated experience owning complex calendars, travel, and external scheduling across multiple time zones and stakeholder types (investors, partners, candidates).\n\n - Experience coordinating recruiting logistics — interview scheduling, panel management, candidate communication — at a company actively hiring across multiple roles.\n\n - Track record of running an office or facilities function: vendor management, budgets, inventory, IT and equipment coordination.\n\n - Exceptional written and verbal communication — polished with external stakeholders, crisp and direct internally.\n\n - Proven discretion handling confidential compensation, personnel, and business information.\n\n - Fluency with the modern operations toolkit: Google Workspace, Slack, Notion, an ATS, expense and travel tools, and the ability to pick up new software quickly.\n\n - Based in the San Francisco Bay Area and able to be in the office 3 days a week (Tue/Wed/Thu).\n\n - \n\n\nPREFERRED SKILLS\n\n - Experience at a venture-backed startup between Seed and Series B, where you owned operations broadly rather than a narrow slice.\n\n - Exposure to HR administration or people operations — onboarding, headcount tracking, benefits coordination, or HRIS tools.\n\n - Experience supporting board meetings, investor relations, or fundraising logistics.\n\n - Experience planning offsites and team events for distributed teams.\n\n - Comfort with light data work — building trackers, headcount reports, or simple dashboards in Sheets or similar.\n\n - Interest in healthcare, life sciences, or mission-driven companies; familiarity with the rare disease community is a plus but not required.\n\n\nWHO WE ARE\n\nCitizen Health was founded on the belief — shaped by firsthand lived experiences navigating healthcare — that having the right advocate is the single most important factor in achieving better care and outcomes. By uniquely combining data, AI, and community, Citizen is building a personalized AI advocate powered by patients' complete medical histories and data from thousands of other patients to generate personalized insights for clinical decisions and day-to-day challenges. Starting in rare and complex conditions, patients share their data in exchange for value, enabling biopharma and researchers with seamless access to patients and regulatory-grade data, shaving years off drug development for much-needed treatments.\n\nCitizen is founded by experienced entrepreneurs with multiple successes under their belts and is funded by top-tier investors including 8VC, Transformation Capital, and Headline Ventures, among others. We are a mission-driven team excited to be building the future of consumer healthcare.\n\n\n\n\nWHY JOIN US\n\n - Direct, daily partnership with two co-founders — you'll see how an early-stage company is built from the inside and have real influence on how it runs.\n\n - Unusual breadth. Executive support, office operations, recruiting, people ops, and business ops in one seat — with a clear path to grow into a broader operations or people leadership role as the company scales.\n\n - A real mission with real patients. The people using our product are navigating rare diseases with their children. Keeping the company running smoothly directly affects whether they get the right diagnosis, the right benefits, the right clinical trial.\n\n - Ownership from day one. You'll build the systems, not inherit them.\n\n - A supportive culture of learning, experimentation, and innovation, where new ideas are encouraged and explored.\n \n \n\n\nCOMPENSATION & BENEFITS\n\n - Competitive salary + equity\n\n - Comprehensive health, dental, and vision insurance\n\n - Unlimited PTO, including 12 weeks paid parental leave\n\n - Hybrid role based in our San Francisco office\n\n - Work-from-anywhere 30 days per year\n\n - Company offsites\n\nSalary Range: $105,000 - $150,000\n\n\n\n\nOUR COMMITMENT TO DIVERSITY & INCLUSION\n\nCitizen Health is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of all backgrounds, identities, and experiences — regardless of race, gender identity, sexual orientation, religion, national origin, age, disability, or veteran status.\n\nDon't meet every qualification? We believe that passion, curiosity, and the right mindset matter as much as a checklist of skills. If you're excited about what we're building, we encourage you to apply.\n\n","compensation":{"compensationTierSummary":null,"scrapeableCompensationSalarySummary":null,"compensationTiers":[],"summaryComponents":[]}}],"apiVersion":"1"}