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Founding Engineer

Ramona Health is a Public Benefit Corporation building a new kind of Medicare Advantage plan designed from the ground up to actually improve senior health outcomes, not just manage sickness.
We're integrating a proprietary AI coach with a network of high-touch primary care partners to create a proactive, personalized member experience focused on reversing chronic disease trends and reducing downstream costs.
We are early-stage, ambitious, and aiming to launch our first MA plan in CY 2027. This is not for the faint of heart.
We are not just building another health plan; we are building the AI-first, autonomous insurer of the future. Our v1 AI coach is already helping seniors nationwide in a pilot, but it is just the beginning of reimagining the system. The technical challenge is immense and fascinating: architect and build the entire nervous system of this company from scratch.
This means designing a hybrid architecture that balances a deterministic, auditable core for insurance operations (likely using frameworks like Temporal) with a flexible, agentic edge (leveraging LLMs and MCP-like principles) for our AI Coach and care orchestration.
You will be making foundational decisions that will define our technical DNA and competitive advantage for the next decade.

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