BioStack is building the data layer for AI-native healthcare and drug discovery. We work with leading AI labs, human data companies, and frontier biotech teams to source, structure, and deliver high-value clinical and preclinical datasets for model training, evaluation, and deployment.
We sit at the intersection of healthcare, frontier AI, and data infrastructure. Our work spans medical institutions, clinics, imaging centers, and data partners globally, turning messy real-world clinical workflows into AI-ready products that matter.
The long-term vision is to make high-quality healthcare accessible to everyone and radically improve drug discovery by linking real-world healthcare data with genomics, imaging, biomarkers, and experimental data. This creates a foundation for AI systems that can learn from millions of patient journeys, understand why treatments work for some patients and fail for others, personalize care based on clinical and genomic context, identify the right interventions earlier, and uncover new therapeutic opportunities from the connection between biology and real-world outcomes.
BioStack is backed by PeakXV, Y Combinator, Afore Capital, SV Angel as well as high-profile angels from OpenAI, Meta and Google DeepMind.
About the Role
As an RL Engineer at BioStack, you will build reinforcement learning environments and post-training systems for healthcare AI.
BioStack is building the data and environment layer for medical AI: sourcing high-value clinical data, turning it into model-ready workflows, and building tasks, rewards, verifiers, benchmarks, and agent environments where models can learn against meaningful and measurable outcomes.
You will work across the full RL loop — from environment and reward design to training, evaluation, and iteration. Projects may span clinical reasoning, longitudinal patient care, diagnostic decision-making, chronic disease management, and biomedical research.
This is a hands-on engineering role. You will build environments, run experiments, train models and agents, analyze failures, and improve the data and feedback signals that determine what models learn.
Strong judgment around data is particularly important. You should be able to determine whether a dataset has the signal quality, label fidelity, coverage, diversity, and clinical relevance required to support useful training tasks, rewards, and evaluations.
Prior healthcare experience is not required.
This is a full-time in-person role based in San Francisco, CA.
What you will do:
You might thrive in this role if:
Compensation and benefits:
Work authorization: Visa sponsorship is available for suitable candidates
Equal Opportunity
BioStack is an equal opportunity employer. We are committed to building a diverse and inclusive team and do not discriminate on the basis of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or any other characteristic protected by applicable law. All qualified applicants will receive consideration for employment.
A note for you:
You may be early in your career—just graduating or coming in with a few internships. That is completely fine. We are a young team too.
The real question is how you are wired.
You work toward something for months, finally achieve it, and almost immediately start thinking about what comes next. You want harder problems, more responsibility, and a steeper learning curve. If that sounds like you, you will fit in here. There is no ceiling at BioStack.
We are building our own version of a small group of unconventional, relentlessly driven people who perform exceptionally well when the stakes are high.
The work is technically difficult, operationally messy, and deeply consequential. We need people who want to become world-class, not merely competent.
You should want to become one of the best engineers of your generation. We will give you ambitious problems, real ownership, direct feedback, and the pressure and support to discover abilities you may not know you have.
It will be intense, demanding, and—for the right person—one of the most rewarding periods of their career.
Real world training envs for healthcare AI models
Salary
$200,000 - $350,000
Equity
0.1% - 1%
Location
San Francisco, CA
Experience
0+ years
Total raised
$500K
Last stage
Pre-seed
Investors
No applications, no recruiter spam. Just the intro.
A few questions to make sure this role is the right shape for you. Two minutes.
I write the intro, send it to the founder, and handle the back-and-forth.
If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.