AIOS
Head of AI Engineering at AIOS — Remote, $200-$400k/yr + equity

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About AIOS
AIOS is building the world’s first full-stack AI doctor.
We’re at $350M ARR, growing from $10M/yr 12 months ago. We’re the world’s fastest growing AI doctor.
We’re faithfully serving >150k/mo patients via Bolt Pharmacy, our main UK brand. We’re profitable.
Our strategy exists at the intersection of two strong theses:
- The AI doctor that wins will get to escape velocity using GLP-1s, the fastest growing consumer product in history.
- The $2T European healthcare market is overlooked by the most talented builders.
Our master plan:
- Step 0 → $100M/yr by end of 2025: We went from $10M to $100M in 6 months serving the UK GLP-1 market.
- Step 1 → $1B ARR by end of 2026: Over the last 12 months we've grown from 3k to 150k UK active GLP-1 patients. We’ll continue this growth curve to hit $1B ARR.
- Step 2 → $10B ARR by end of 2028: Blitzscale Europe. We’ll be Europe’s largest GLP-1 provider.
- Step 3 → $100B/yr by end of 2031: Get regulatory approval across Europe for our Full Autonomous Prescribing (FAP) system. Win contracts at scale with European payers to mass replace human labor. We’ll be the dominant full-stack AI doctor in Europe.
- Step 4 → $1T/yr by end of 2035: With one line of code and zero human time, you can use AIOS to treat any patient globally with any medication.
In so doing, we’ll become the world’s first trillion-dollar healthcare company.
We’re a young, founder-led company. This is still Day 1 and all our work is ahead of us.
You can read more about working with us here: Working at AIOS
Being a Head of AI Engineering at AIOS
We are building a world-leading Applied AI team.
As Head of AI Engineering at AIOS, your fundamental role is to build the AIOS Agent SDK and make it the foundation for world-class agents across the company.
You are not joining to discover our first AI use case or build another chatbot.
Our customer-facing agent gathers context from across our product and customer history, retrieves the right knowledge, reasons through multi-step cases, and decides when to act, respond, escalate, or stand down. Our agentic workflows autonomously generate >$100k of revenue per day.
This existing harness will become the nucleus of the AIOS Agent SDK. You’ll separate its reusable foundations from its customer-support logic and turn them into a strongly opinionated internal platform.
We’re also building an AI clinical decision-support system. This helps clinicians evaluate patient eligibility, contraindications, dosing, and risk. It will be the second major system built on the SDK and, over time, a foundation for increasingly autonomous clinical decisions.
Once the SDK has proven itself through these two tools, it will become the default foundation for new agents across AIOS.
You’ll be the DRI for agent architecture, model strategy, evals, AI reliability, technical safety, provider relationships, and the shared runtime. You’ll make these decisions autonomously. You’ll ensure we use the best model for each job based on measured quality, reliability, speed, and cost.
This is a technical leadership role. You’ll lead by example as you grow the team.
Reasons to use Rodeo
I’m in my final year doing Economics and I don’t know whether to apply for grad schemes now or do a masters first. What do you think?
Honest answer — it depends on where you want to end up. A lot of top grad schemes (Big 4, civil service, banking) don’t need a masters. Let’s look at the ones you’d be competitive for now, and we can decide if a masters actually adds anything.
Also worth knowing: most autumn 2026 applications are open now. Timing matters more than you think.
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Graduate Consultant — 2026 Scheme
Why you're a good match
StrongYour economics background and your summer at a regional bank line up with what PwC looks for on the consulting scheme. Applications close in four weeks.
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Why you're a good match
You’ve got the grades and the economics background, and your bank internship is exactly the experience this scheme looks for. Apply soon — deadlines close within the month.
Experience fit
Your summer at the bank plus your econometrics coursework map directly to the day-one responsibilities on this scheme — client modelling, market briefings, and deal support.
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No noise. No "maybe this fits." Just roles with a clear explanation of why they're right — and where to focus when applying.
You’ll ensure:
- The AIOS Agent SDK exists and is running the show in production, and it is in exceptionally safe technical hands
- Product engineers can build excellent agents without recreating context, tool, safety, eval, and observability infrastructure.
- Our agents become more capable without becoming less predictable.
- Major changes are supported by trustworthy evidence across quality, reliability, safety, latency, and cost.
- Production failures continuously strengthen our evals, architecture, and models.
- Our engineers actively seek your judgment and trust the direction you set.
- AIOS is clearly an industry leader in applied AI for production healthcare systems.
This is a full-time, fully remote role. You can work async in the timezone of your choice, provided you’re regularly available until midday Pacific Time for collaboration.
This is a senior role. You’ll report directly to Gzim :), (VP of Engineering).
You’ll also work closely with:
- Ben Dowdle (Head of Product)
- Saim Dalvi (UK Clinical Lead)
- Richie Cartwright (CEO)
Key responsibilities
- Agent SDK: You’ll turn Jesse’s (customer support tool) existing harness into the strongly opinionated internal platform powering Jesse, Aegis (clinical support tool), and future AIOS agents. You’ll own its architecture, reusable primitives, supported extension points, developer experience, and integration with our existing infrastructure.
- Jesse & Aegis: You’ll become the senior technical owner of Jesse and work closely with the engineers and Clinical Product team building Aegis. You’ll improve both systems while extracting the shared foundations they need across context, retrieval, memory, orchestration, tools, state, and escalation.
- Evals & Experimentation: You’ll build trustworthy benchmarks using deterministic checks, simulations, model-based graders, human judgment, and production outcomes. You’ll establish the path from offline evaluation to controlled production experiments so major changes ship with evidence.
- Production Learning Loop: You’ll turn traces, poor resolutions, escalations, incidents, tool failures, and successful outcomes into better evals, stronger architecture, improved models, and permanent platform capabilities.
- Safety & Compliance: You’ll make consequential agent actions safe through authorization, validation, idempotency, auditability, recovery, and human handoff. You’ll encode compliance, privacy, security, and regional requirements into the platform wherever possible.
- Models & Economics: You’ll own model selection, routing, fallbacks, caching, and our ~$200k monthly model spend. When the evidence supports it, you’ll lead the data preparation, fine-tuning, evaluation, and AIOS-controlled deployment of specialized open-weight models.
- Reliability: You’ll own the shared runtime in production, including tracing, observability, testing, provider resilience, capacity, and incident response. You’ll be the senior engineering DRI when an AI system behaves unsafely, quality regresses, or the platform fails.
- Technical Leadership: You’ll set AIOS’s AI architecture and strategy in close partnership with the VP of Engineering. You’ll make the final call on major technical decisions, guide engineers across product pods, and remain hands-on by writing production code and personally building the most important foundations.
- Build the Team: You’ll inherit one engineer and build the Applied AI team to approximately five exceptional people during your first year. You’ll own our technical relationships with leading model providers and represent AIOS externally where doing so strengthens our work.


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Need to have
- Experience: You have 8+ years of software engineering experience and remain an active production contributor.
- Education: You have at least a bachelor’s degree in Computer Science, Machine Learning, or a closely related technical field.
- Production Agents: You have personally built and shipped an exceptional agentic system used by real customers. It did more than answer questions: it reasoned across multiple steps, used tools, changed state, and operated under real production constraints.
- Agent Architecture: You can reason deeply about harnesses, orchestration, context construction, retrieval, memory, state, tool design, structured workflows, and error recovery.
- Evals: You’ve built or meaningfully owned evaluation systems for probabilistic products. You understand dataset construction, evaluator design, simulations, regression detection, noisy metrics, and the relationship between offline performance and production outcomes.
- Software Engineering: You have strong systems-engineering fundamentals. You can reason about APIs, distributed systems, concurrency, queues, databases, observability, failure modes, and production reliability.
- Consequential Actions: You know how to let an agent act safely. You have strong judgment around authorization, validation, idempotency, state transitions, auditability, recovery, and escalation.
- Model Judgement: You understand the capabilities and limitations of current frontier and open-weight models. You know when the model is the problem and when the real problem is context, tools, data, orchestration, or evaluation.
- Open-Weight Models: You have enough technical depth to lead the fine-tuning and AIOS-controlled deployment of open-weight models when the evidence supports doing so. Prior production deployment is not required.
- Leadership: You have successfully led and managed a small technical engineering team. You set a clear direction, raise the quality bar, develop strong engineers, and address underperformance.
- Technical Authority: Strong engineers trust your judgment. You can make difficult decisions, explain the trade-offs clearly, and push back without hesitation when a proposed approach is unsound.
- Communication: You can explain difficult technical ideas to engineers, product leaders, clinicians, and executives without flattening the important details.
- Independence: You create clarity in ambiguous environments and make high-quality decisions without hand-holding.
- Builder: You still write production
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