Software Engineer
Valerie Health
San Francisco, CA · Posted April 23, 2026
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Where San Francisco, CA placed in our monthly rankings, month by month. Each month stays online at its own address.
November 2026
- #1Best cities for security jobs316 openings · of 20
- #1Best cities for technology jobs7,178 openings · of 100
- #1Best cities for financial services pay after cost of living$173k · of 33
- #1Best cities for entry-level jobs that want AI skills35% · of 100
- #1Best cities for entry-level jobs that want AI skills in the West Coast35% · of 54
- #1Cities with the most jobs that do not need a four-year degree in the West Coast902 jobs · of 47
Rankings about engineering jobs
- Best cities for software and engineering jobs #1 San Francisco (3,412 openings)
- Best cities for engineering pay after cost of living #1 San Mateo ($216k)
- Most requested AI skills in engineering jobs #1 AI tools in daily work (6.1%)
- AI tools named most often in engineering jobs #1 Claude (1.7%)
- Employers with the most engineering jobs #1 Amazon (2,992 roles)
Pay compared with the market
This listing does not state pay. Across 816 open software engineer listings that state pay, the middle half runs $150,000 to $247,000 and the median is $192,500.
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How AI is used in this kind of work
Among software developers, AI is already used for some of the tasks. Measured exposure for software developers: 29% (some).
Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.
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About the job
ABOUT THE COMPANY
Valerie Health is the AI front office for independent provider groups. We are reimagining how independent practices operate by using AI to modernize patient/provider communication, enhance care, and drive industry-changing operational efficiencies.
Why join us now?
- Team: We are led by Pete Shalek https://www.linkedin.com/in/petershalek/ (2x health tech exits, including a $600M acquisition by Optum) and Nitin Joshi https://www.linkedin.com/in/njoshi023/ (scaled Uber Eats + Health, Stripe Connect, and Bridge–acquired by Stripe for $1.1B). Beyond our Founders, our team brings decades of experience from Stripe, Uber, and Meta, combining deep expertise in ML systems, large-scale infrastructure, and product design.
- Trajectory: We partner with leading independent provider groups across the U.S., automating hundreds of thousands of tasks each month. Scaling at 7x year-over-year with 300% NRR as customers consistently expand usage.
- Funding: We have raised $39m from world-class investors including Redpoint Ventures, General Catalyst, Primary Ventures, and BoxGroup.
ABOUT THE ROLE
As a founding engineer, you will get a front seat into building a world-class startup. You will help shape the technical foundation of Valerie Health, and drive both our product and business from inception to scale. You will play a lead role in designing and implementing a robust backend infrastructure, building AI models across various modalities and use-cases (OCR, Voice, LLM, RPA) with RLHF, and creating delightful user experiences.
WHAT YOU'LL DO
- Collaborate closely with the rest of the team to shape product, business, and company direction. Help define and shape the culture of the company.
- Build a production-ready AI infrastructure, integrating and fine-tuning models across voice, text, and desktop agents. Build a reinforcement learning system with internal and external humans in the loop.
- Own end to end product surface areas that serve external and internal users. Build deeply empathetic and polished user experiences that raise the bar across the industry.
- Design, build and scale a HIPAA-compliant backend infrastructure that’s highly secure with strong availability and performance.
OUR TECH STACK COMBINES
- Vision models to interpret unstructured healthcare data and build a deep clinical ontology
- Language and speech models for automated, empathetic text and voice communication with patients
- LLM-based workflows that integrate directly with EMRs
- RPA and desktop automation to bridge fragmented and legacy systems
ABOUT YOU
- Experience:
- 1 - 10+ years of experience in software engineering, with a strong background in computer science.
- Previous experience in big tech or startups is a plus.
- Demonstrated experience in building end-to-end products.
- Attributes:
- User-Focus: Deep empathy for users, with the ability to translate their needs into product features and prioritize effectively.
- Work as Craft: Interest in producing elegant, polished, and high-performance work, finding pride and joy in the details.
- Growth Mindset: Eagerness to learn new approaches, seek feedback, and continually improve skill sets.
- Strong Communicator: Clear and succinct in both written and verbal communication, capable of adjusting style for different audiences and conveying technical topics to non-technical stakeholders.
- Self-Starter & Adaptable: Proactively own projects from inception to completion, identify challenges, and offer solutions, thriving in a dynamic work environment.
WHAT WE OFFER
- Competitive salary, equity and benefits including medical, dental, vision, 401(k) and PTO
- Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status
- SF office: Daily catered lunch and dinner reimbursement