About the Company
Our client is building the Agentic Operating System for Clinical Trial Execution.
Clinical trials are one of the most operationally complex, expensive, and failure-prone systems in healthcare. Despite massive innovation in therapeutics, trial execution still runs on fragmented tooling, manual workflows, and overloaded clinical operations teams.
Our client is changing that by building an agent-native platform that can execute, coordinate, and automate the workflows that power modern clinical trials
.
The founder has already raised a seed round and has signed customer
s.
The R
oleThis is a CTO/Cofounder to build the platform from 0 to 1. The right person will architect and ship the first production system, then grow the engineering team around
it.This individual will be the technical counterpart to the founder, owning platform decisions, execution velocity, and technical strate
gy.
The goal is to deliver a functioning V1 platform ready to deploy with customers in the next 2 to 3 mon
ths.
What You Wi
ll DoBuild the Product (0
- to 1)Architect and ship the first version of the platform end-t
- o-endDesign agentic workflows for clinical trial exec
- utionBuild production-grade RAG pipelines, orchestration layers, and automation sy
- stemsOwn technical decisions across backend, frontend, infrastructure, and AI sy
stemsDevelop Agentic Infrastru
- ctureImplement agent frameworks using tools like LangChain or equiva
- lentsBuild retrieval, memory, and tool-use systems for real-world enterprise work
- flowsFine-tune or adapt models where needed for domain-specific exec
- utionEnsure reliability, observability, and safety in autonomous task exec
utionOperate as a Cofo
- underPartner closely with the founder on strategy, product direction, and ro
- admapJoin customer meetings to deeply understand workflow pain p
- ointsSupport fundraising efforts through technical narrative and credib
- ilityHire and lead the first engineering team as the company s
cales
What Our Client Is Looki
ng ForThis role is for someone who is both a builder and an architect. Someone who has shipped real systems and understands what it takes to create agentic infrastructure in produ
ction.
Ideal Bac
- kgroundExperience designing or building platforms from the ground up in real-world envir
- onmentsExperience as a Cofounder in a venture-backed startup or a Founding Engineer at a high-growth
- companyStrong fullstack engineering skills with infrastructure
- fluencyDeep understand
- ing of:RAG pi
- pelinesTool-using
- agentsWorkflow orches
- trationModel adaptation and fine
- -tuningFamiliarity with LangChain or comparable agent fra
meworks
You Might Be a Fi
- t If YouHave built 0 to 1 systems before, especially in high-stakes
- domainsWant to be the technical founder, not a CTO in n
- ame onlyThrive in ambiguity and move extrem
- ely fastCare about building durable software, n
- ot demosWant massive ownership, equity, and long-ter
m upsideAs the CTO, you will choose the architecture and tools needed to build the platform correctly and
quickly.
Com
pensationFlexible salary plus meaningful cofounder-leve
l equity.
