Hiring.Camp

Founding AI Engineer

Refactor

·

Apr 14, 2026

Salary
$120 – $150/yr
Location
Palo Alto, California, US
Type
Full-time
Department
Engineering
Source
Y Combinator

Description

Refactor is building a configurable AI platform that works with existing EMR/PMS systems to help hospitals and clinics get paid quickly and completely.

We are extremely fortunate to be working with enterprise billing companies handling $4B+ in medical claims across hundreds of clinics along with some of the largest health systems in the country ($10B+ in net patient revenue), which has given us a great position to attack and solve this critical problem for the largest and most important vertical in the world.

Interesting Technical Problems

Healthcare reimbursement is incredibly complex due to the large number of insurance companies (and third-party administrators), EHR/PMS systems, and specialties, each with their own rules and workflows. This makes deployment and configuration to each of our tenants exceptionally cumbersome and time-consuming.

An immediate goal of ours is to create shared infrastructure and tooling to automate this (think of this like an AI FDE), which has proven to be a difficult and exciting technical challenge!

As a starting point, we’ve created an autonomous loop that takes failures, creates

Next, we are building systems that have to work across modalities: pdfs/faxes, phone calls, web portals, desktop apps, and more, which means that you will get exposure to an extensive breadth of techniques and challenges, which should be really fun!

Job Description

We will be working in person in Palo Alto.

Skills

EMREHR

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Founding AI Engineer at Refactor • $120 – $150/yr | Hiring.Camp