Founding Member of Technical Staff / Product Engineer
Job Description
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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Job Details
- Category
- Aerospace Engineering
- Employment Type
- Full Time
- Location
- San Francisco, CA
- Posted
- Last updated
- May 28, 2026, 04:40 PM
- Compensation
- $160,000 - $220,000 per year
About Ruma Care
Ruma Care automates all admin work for infusion clinics - starting with prior authorizations & copay assistance enrollment. Biologics are expensive medications that cost $80-$150K+ per year per patient, and often need to be administered in specific settings called infusion clinics. Medical providers buy these drugs up front to secure pricing deals and safer inventory - they are reimbursed for the cost of the medications through the patients’ insurance. Current medical workflows aren't built for infusion clinics. Inventory, storage, transport, and billing is still managed through paper and excel spreadsheets. And because they’re so expensive, these specialty medications are denied by insurers at a rate of 37% each year. When they are denied, when workflows fail, or patients are infused before paperwork is cleared, providers don’t get reimbursed for the medication and are left covering the costs. Ruma Care solves this so clinics get paid, patients get treated faster, and care teams spend less time fighting forms. We do this in three ways: 1. For each medication, diagnosis, and insurance combination, Ruma extracts the submission criteria required to get the drug approved by insurers. 2. We pull out the correct forms, then automate the form-filling for prior authorizations. 3. Lastly, we enroll patients in copay assistance programs, all in one workflow and platform. We turn a process that traditionally spans 70+ online portals, disparate paper forms, and manual phone calling into a single, streamlined platform. As we process prior authorizations, our models learn from denial patterns to understand exactly what insurers need to see to get a prior authorization approved.
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