About Penelope Health
American healthcare providers spend hundreds of billions a year creating and optimizing health insurance claims. Payers spend a similar amount adjudicating them. AI was supposed to fix this, but instead it has escalated the arms race: providers use AI to generate claims, and payers deploy AI to deny them.
At Penelope, we are collapsing the middle of this negative-sum system. We build the policy intelligence layer and infrastructure that makes healthcare billing deterministic—converting payer medical policies and clinical notes into computable contracts grounded in formal logic, exposed via API and MCP. When we succeed, we will materially reduce the cost of care for the American patient.
Founded by Sohum Patel, MD (CEO) and Mattijs De Paepe, MEng (CTO), we are backed by top investors including Thoreau, Bertelsmann Healthcare Investments, Twine Ventures, and Seedcamp. We are hiring across our hubs in London and New York.
About the Role
Don't see an open role that matches your background, but passionate about our mission? This general application is for exceptional people who want to join Penelope Health.
We are growing rapidly across Engineering, Product, Operations, and Go-To-Market. If you are high-agency, deeply curious, and want to solve one of healthcare's largest structural bottlenecks, we want to hear from you - even if we don't currently have a formal requisition posted for your exact title.
What We Look For
First-principles thinkers: You dissect complex, messy systems down to their fundamental truths and build clean solutions from there.
AI-native problem solvers: When faced with repetitive friction or hard domain challenges, your natural instinct is to automate and leverage modern tooling.
High agency & bias for action: You don't wait to be told what to do; you identify the binding constraint and solve it.
Clear written communicators: At Penelope, we think in writing and favor crisp memos over slide decks.
Excitement for early-stage pace: You thrive in high-velocity, ambiguous environments where every team member moves the needle.
Areas We're Frequently Interested In
Software & Systems Engineering: Backend, infrastructure, distributed systems, compiler/formal logic design, and full-stack development.
Forward Deployed & Solutions Engineering: Working at the intersection of technical architecture, payer/provider workflows, and customer deployments.
Product & Design: Translating intricate medical necessity policies and revenue-cycle workflows into deterministic, elegant tools.
Operations & Commercial: Strategy, operations, revenue cycle domain expertise, and high-velocity enterprise execution.
More details
Locations: London, UK or New York, NY (in-office culture with flexibility)
Compensation: Highly competitive salary + meaningful early equity tailored to level and discipline