Founding GTM Engineer

About Rovi Health

Rovi is an AI-powered care concierge and virtual clinic for employer health plans. We monitor clinical data in real time, catch expensive care before it gets scheduled, and redirect members to higher-quality, lower-cost options. When someone has a condition we can treat directly, we do that through our own virtual clinic.

The problem we’re solving: in-network prices for the same procedure vary up to 10x within a single zip code. A hospital MRI costs $3,000. The independent imaging center ten minutes away charges $500. Same scan, same quality. But nobody tells the patient, the doctor doesn’t know the price, and the employer won’t see the claim for months. So the expensive option wins by default, every time.

Rovi changes that. We deliver high-quality care to member before they choose the expensive or low-quality default. Our AI-native clinic allows us to treat and navigate care, meaning we can reduce outpatient spend by over 30% while improving health outcomes.

We’re live with 30,000 patients today and adding thousands more each month. We’re backed by Y Combinator, Lightspeed, Gradient (Google’s AI fund), Liquid 2 (Joe Montana), and others.

The Role

You are not a traditional, manual enterprise sales rep. You are our Founding GTM Engineer.

Today, Rovi Health relies heavily on warm referrals and founder-led sales to close enterprise-level deals. As we scale, the team needs a highly technical, automation-first counterpart to build an outbound sales machine from the ground up and eventually take over the entire sales function.

You will design, build, and operate the systems that generate pipeline, while getting in the trenches to close high-six-figure deals with C-suite decision-makers.

What You’ll OwnThe Outbound Engine: You will build and automate our entire top-of-funnel architecture from scratch. This includes automated prospecting workflows, LinkedIn management, and email/calling campaigns, creating a highly leveraged system that minimizes the need for massive human hiring later.

Complex Deal Execution: You will navigate high-value deals ($100K–$1million ACV) averaging 3 to 6-month sales cycles. This means selling directly to the executive suite (CFOs, CHROs, CEOs) and working through aggregators and brokerage firms that bring in multiple RFPs.

The First 90 Days: Your immediate focus will be on system building, top-of-funnel qualification, and operational support. You will be automating processes, prospecting outbound leads, and doing mid-funnel management.

Scale and Leadership: Over time, you will grow into a leader and scale out the department, setting the GTM culture that every future hire inherits.

Who We’re Looking ForHighly Technical: You don't need to write production code, but you must be extremely comfortable using AI tools to accelerate workflows and managing sales collateral housed as HTML files in a GitHub repository.

Automation-First Mindset: You inherently look for ways to automate repetitive tasks and leverage technology rather than throwing human hours at a problem.

Executive Presence: You know how to navigate complex enterprise sales motions and speak the language of CFOs, CHROs, and aggregators.

Builder DNA: You'd rather have ownership and ambiguity than a well-defined lane and a predefined playbook. You are ready to build the foundation that everything else runs on.

Compensation & Benefits

• $150K–$200K Base / $250K–$400K OTE

• Generous early-stage equity

• Unlimited PTO

• Daily meals in the office

• Wellness stipend

You don't need healthcare experience. We care about systems thinking, execution speed, and building things that work.