Member of Technical Staff, RL Environments

Member of Technical Staff, RL Environments

SF · NYC

About RoVR


RoVR builds the autonomous system of execution for healthcare: AI that runs clinics end to end, acts across every system they depend on, and improves with every outcome. Healthcare is one of the most complex real-world environments for autonomous intelligence, demanding continuous coordination, reasoning, and decision-making under uncertainty. We’re pushing the frontiers of agentic systems, long-horizon reasoning, memory, and reinforcement learning to build AI that pursues goals, recovers from failures, and learns from experience. We’re building the foundation for a future where entire healthcare systems operate, adapt, and improve autonomously.

Why RoVR

At RoVR, we’re on a mission to turn practices into AI-Native, Self-Optimizing Learning Health Clinics. At RoVR, we are building a multimodal, agentic operating system to launch, manage, and scale A-LHCs nationwide. We collaborate with large health organizations as well as local physician groups, modernizing legacy operations to launch these next-generation clinics.

Central to this vision are at RoVR, autonomous agents that orchestrate and optimize clinical, administrative, and patient engagement processes. By alleviating repetitive tasks, RoVRs free providers and admins to focus on proactive decision-making guided by actionable insights, laying the groundwork for a more responsive, outcome-driven healthcare ecosystem.

By uniting clinical and operational intelligence in one cohesive platform, we're building the infrastructure for a Learning Health System that can collaborate with and empower clinicians to redefine the patient experience and transform health outcomes.

Based in the heart of NYC and backed by leading venture capital firms/visionary healthcare leaders, RoVR is on a mission to transform the future of healthcare. We are seeking mission-driven engineers, designers, and operators to join our team and help us build the foundational operating system that will drive medicine for the next century.

The Role

We are looking for a product builder to own how patients experience RoVR. From finding a provider and booking a first visit to understanding next steps and staying connected between appointments, you would make complex care feel understandable and manageable.

You would also shape how patients interact with agents: when an agent should take initiative, what it should explain, when it should ask for confirmation, and how a person takes over. These decisions are central to the product.

The work combines product judgment, interaction design, and experimentation. You will spend time with patients and care teams, turn observations into prototypes, and work with engineers to ship and evaluate them. You will be accountable for whether people can understand the experience, complete what they came to do, and get the help they need.

Responsibilities

  • Own patient journeys across onboarding, provider discovery, scheduling, intake, communication, and ongoing care.

  • Study how patients and care teams use the product. Turn confusion, abandoned tasks, and repeated requests for help into concrete improvements.

  • Design interactions across the patient portal, chat, and voice. Define how agents communicate progress, handle uncertainty, request consent, and hand work to people.

  • Turn ideas into flows, prototypes, and clear product behavior. Work closely with engineering, design, and clinical operations to carry them through launch.

  • Run experiments with explicit hypotheses and success criteria. Measure task completion, patient understanding, effort, and follow-through.

  • Build experience evaluations with realistic patient scenarios, including interruptions, misunderstood requests, changing preferences, and failed actions. Use them to assess changes before and after release.

  • Make accessibility, health literacy, language needs, and patient control part of the product from the beginning.

Minimum qualifications

  • You have shipped a consumer product or service and can explain the decisions you made, what happened after launch, and what you changed.

  • Strong product judgment and interaction design instincts. You can make a complex process easier without hiding information people need.

  • Ability to turn an idea into a testable prototype using design tools, AI tools, or lightweight code. A software engineering background is not required.

  • Experience speaking directly with users and combining those observations with behavioral data to decide what to build.

  • Clear writing. You can define product behavior precisely and write language that helps someone understand what happens next.

  • A practical understanding of AI capabilities and limitations, including how unpredictable behavior affects the experience.

  • Ownership from problem discovery through launch and iteration.

Preferred qualifications

  • Experience building consumer healthcare products or services that involve sensitive information and consequential decisions.

  • Experience designing conversational, voice, or agent-based experiences.

  • Experience improving onboarding, activation, or ongoing engagement through measurable product changes.

  • Familiarity with accessibility, multilingual experiences, or designing for people with different levels of health and digital literacy.

Logistics

  • Location: San Francisco or New York, on-site.

  • Employment type: full-time.

  • Compensation: competitive salary and meaningful equity.

  • Visa sponsorship is available.

RoVR is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.

The Role

We are looking for an engineer to build the environments agents are trained in: simulated clinics with simulated patients, staff and counterparties, the tasks that populate them, and the reward signals that score what an agent did. As the owner of environments, you would make them faithful enough that what is learned in them holds in a real practice, and scalable enough to run thousands of episodes at a time. The work sits between simulation engineering and reinforcement learning.

Responsibilities

  • Design and build RL environments that replicate clinical workflows end to end: state, tools, counterparties and consequences.

  • Build task generators and dynamic datasets with adjustable difficulty, so environments do not go stale as policies improve.

  • Develop verifiers and reward signals: deterministic where possible, model-graded where not.

  • Make environments reproducible, instrumented and fast to reset, with the APIs the training stack needs to run, reset and score at scale.

  • Study the gap between simulated and real clinic outcomes, and close it.

Minimum qualifications

  • Bachelor's degree or equivalent experience in computer science or a related technical field.

  • 3+ years in software, simulation or ML infrastructure, with an environment others have trained against.

  • Strong Python and systems skills; browser or API simulation (Playwright or similar) and distributed execution.

  • Working RL understanding: reward design, environment dynamics, reward hacking.

  • Ability to turn "handle this correctly" into a scored task.

Preferred qualifications

  • Experience with simulated users or multi-agent simulation.

  • Enough healthcare operations knowledge to know which failures matter.

Logistics

  • Location: San Francisco or New York, on-site.

  • Employment type: full-time.

  • Compensation: competitive salary and meaningful equity.

  • Visa sponsorship is available.

RoVR is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.

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