The role

You'll own RPM growth at Center. That means taking the ideas that bring on more clinics, enroll more patients and keep them engaged, and turning them into shipped product that moves the numbers. Some ideas will come from our commercial team, some from clinicians and patients, and plenty will come from you.

This is a broad, high-ownership seat with a lot of room to shape things. You'll help decide how the platform grows as we take on larger health systems, partner closely with our engineering lead on architecture, and lend a hand on Aria when it counts. You'll also be someone patients and clinics can rely on when something isn't right, which keeps you close to the people you're building for.

What you'll do

• Ship RPM growth ideas from first sketch to production: enrollment flows, patient outreach, engagement features and provider tools
• Turn feature requests from patients and providers into the thing they actually need
• Help shape our architecture as we scale
• Work alongside the team on Aria, our AI coach
• Own bug and vulnerability management, so issues get triaged quickly and closed properly
• Dig into patient support cases when they need an engineer's eye

We build with AI every day, and we've put real care into doing it well. Our repo ships its own set of Claude Code agents that understand our security setup, our monitoring operations and our quality system. Every change moves through a clear loop: plan it, build it, test it, review it. If a change touches regulated code, the process catches it. The result is a small team that moves quickly, ships safely, and spends its energy on the interesting problems.

Our stack is TypeScript from top to bottom: Svelte on the front end, Node services behind it, MongoDB underneath, Capacitor for mobile, and LangChain with Vertex and OpenAI powering the AI. A lot of our operations run on n8n. Don't worry if some of that is new to you. A couple of us had never written Svelte before joining and were shipping within a day.

Some of what we build counts as a medical device, and we're a HIPAA business associate, so we take quality and privacy seriously. It adds a little process, and it also means you can be proud of everything that reaches a patient.

• A strong track record of shipping products people use, including technical leadership on systems that grew a lot on your watch. That's usually 8+ years, but we care most about what you've built.
• You've started something of your own, or been one of the first engineers at a startup. Most of our team has, and it's the best sign we know that someone loves owning a problem end to end.
• You thrive in ambiguity. Hand you a fuzzy growth idea and you'll come back with a plan, a build, and a result you can measure.
• Strong full-stack TypeScript, and you're comfortable moving between front end, back end and data.
• You're AI-native. You build with AI tools every day and have good instincts for when to trust them and how to check their work.
• Great product sense. You care how patients and clinicians feel when they use what you've made.

Bonus points: mobile experience (iOS, Android or Capacitor), healthcare data, or EHR integrations.

We're headquartered in San Francisco with a remote engineering team spread across London, Liverpool and Cairo, and we're hiring on the US East Coast so you'll share working hours with the clinics and patients we serve. We're flexible, and we trust you to do your best work on a schedule that suits you. Questions are always welcome and always get a real answer. You'll have regular 1:1s with your manager, focused on where you want to grow. And when something goes wrong, we get curious about why, never about who.

Thousands of times a day, someone opens Center to understand what their blood sugar is doing, and every month more clinics join us. If you want your work to show up in real people's health, we'd love to meet you.

NYC: $170,000 - $230,000

The expected salary range may vary for other locations. Actual salary may vary based on qualifications and experience. Tempus offers a full range of benefits, which may include incentive compensation, restricted stock units, medical and other benefits depending on the position.