Product Engineer

We help infusion clinics get every biologic approved and paid for. Biologics are expensive specialty medications that cost $80K/year and are very hard to access. Each insurer has different coverage rules and…

Location: San Francisco, CA
Company size: 2–10
Posted: 3w ago
Via: Yc

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Job listing · Updated 01 SEP 2026

Product Engineer

Ruma Care· San Francisco, CA, USView company profile

Job title: Product Engineer
Job location: San Francisco, CA, US
Job listing URL: https://www.ycombinator.com/companies/ruma-care/jobs/fUj2G2Y-product-engineer
Job description: **About Ruma Care** Ruma Care is building the operating stack for biologic infusion clinics. Biologics account for 51% of U.S. medication spending. These medications are life-changing and used for cancer and autoimmune diseases. However, access to biologics is incredibly complicated and difficult because of administratively heavy workloads. If any part is not done correctly, clinics run the risk of losing money. Ruma Care is helping clinics get patients on their life-changing medications faster. **What You’ll Do** * Build and scale core workflows across prior authorizations, benefits verification, payer communication, and clinic operations * Work directly with customers to understand workflows and rapidly iterate on product * Develop AI agents and tooling for document parsing, data extraction, workflow automation, and operational decision-making * Develop robust systems that can handle messy and inconsistent healthcare data * Collaborate directly with customers to understand workflows and rapidly iterate on solutions * Help establish engineering processes and tooling as we scale **Who you are** * Strong product intuition and ability to move quickly in ambiguous environments * Proactive about using AI tools to improve development speed, workflows, and problem-solving * Comfortable owning problems end-to-end with high ownership * Excited by fast iteration and direct customer feedback * Strong communication skills and willingness to work cross-functionally * High ownership and highly resourceful **Bonus points if you have experience with:** * AI/LLM systems * Workflow automation * Healthcare or insurance workflows * OCR/document processing systems * Startup or high-growth environments **Role requirements** * 3+ years of experience building and shipping full stack web applications * Experience operating in fast-moving startup or high-growth environments * Strong product intuition and ability to translate ambiguous problems into scalable systems * Experience owning projects end-to-end, from architecture to production deployment * Ability to move quickly, prioritize well, and operate with high ownership * Strong communication skills and willingness to work closely with customers and cross-functional teams

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