Bunkerhill Health

Healthcare's System of Action

Bunkerhill Health is pioneering a transformative approach to medical technology by building the "system of action" for health systems. Founded in 2021 by David Eng and Nishith Khandwala, and backed by top-tier investors including Sequoia Capital, Y Combinator (W19), SV Angel, and Felicis, the company is tackling one of the most persistent challenges in modern healthcare: bridging the gap between clinical insights and actual patient care execution. Their flagship platform, Carebricks, empowers clinical and operational teams to build, share, and deploy AI agents that operate continuously across various service lines. This isn't just about identifying problems or flagging potential issues in a dashboard; it's about automating the necessary next steps to ensure that patient care is actually delivered. From streamlining complex prior authorizations and prioritizing high-risk referrals to ensuring preventive screening gaps are systematically closed, Bunkerhill Health's AI agents act as a shared, highly reliable brain for hospital systems. By seamlessly integrating with existing electronic health records (EHR) and deeply entrenched tech stacks, the platform minimizes friction for clinical staff who are already overwhelmed by administrative burdens. By processing over 200,000 CT scans and millions of patient records annually, Bunkerhill Health is directly improving outcomes for tens of thousands of patients, proving that AI's potential in medicine can be fully realized when it is thoughtfully designed to execute workflows at an unprecedented scale.

The broader operating context for Bunkerhill Health is one of immense opportunity and significant regulatory and operational complexity. Health systems are currently facing unprecedented staffing shortages, rising costs, and an ever-increasing volume of data that must be synthesized to deliver high-quality care. In this environment, solutions that merely offer analytical insights are no longer sufficient; hospitals need tools that can act on those insights autonomously or semi-autonomously, reducing the cognitive load on physicians and nurses. Bunkerhill's approach—focusing on a "system of action" rather than just a "system of record" or a "system of intelligence"—positions the company at the vanguard of the next wave of health tech innovation. For prospective candidates, this means engaging with a product that has immediate, measurable impact. When an AI agent successfully auto-submits a prior authorization for an urgent procedure, it doesn't just save an administrative worker a few hours; it can mean the difference between a patient receiving timely treatment or facing dangerous delays. This direct line of sight between the code written and the patient outcomes achieved is a compelling proposition for mission-driven technologists looking to make a lasting mark on the healthcare industry.

A Culture of Persistence and Collaboration

At Bunkerhill Health, the culture is deeply rooted in persistence, collaboration, and a shared, unwavering belief that healthcare can and must work fundamentally better. The problems the team is tackling are incredibly complex, and the stakes are exceptionally high, as their software directly impacts patient lives, clinical workflows, and hospital efficiency. This environment naturally fosters a sense of urgency and profound purpose, attracting individuals who are not just technically skilled but also deeply committed to making a tangible difference in the medical field. The company operates with a hybrid work model, with employees coming into their beautiful, sunny office in the SoMa district of San Francisco three times a week. This setup is intentionally designed to encourage active ideation, thoughtful code reviews, and cross-disciplinary collaboration that is difficult to replicate in a fully remote setting. Engineers work closely with clinicians, data scientists, and product managers, engaging in a continuous dialogue to translate ambitious goals into clear, actionable technical solutions. It's a fast-paced, dynamic setting where initiative is highly valued, and team members are encouraged to stay current on emerging technologies and proactively suggest improvements to the stack and operational processes.

The stakeholder trade-offs inherent in building healthcare technology are a frequent topic of discussion and collaboration within the team. Balancing the need for rapid iteration and deployment with the absolute necessity of patient safety, data privacy, and regulatory compliance requires a mature, nuanced approach to software development. The culture at Bunkerhill Health emphasizes rigorous testing, peer review, and a deep respect for the clinical context in which their tools will be deployed. Candidates should expect an environment where intellectual humility is prized; the ability to listen to clinical experts, understand their daily frustrations, and translate those insights into elegant technical solutions is just as important as writing efficient code. Furthermore, the company's relatively small size (around 30 employees) means that the organizational structure is relatively flat, offering significant visibility and the opportunity to influence both product direction and company culture. For those who thrive in environments where they can wear multiple hats, take on significant responsibility, and collaborate with a diverse group of highly intelligent, motivated peers, Bunkerhill Health offers an exceptionally rewarding cultural fit.

What You'll Actually Do

Joining Bunkerhill Health means taking full, end-to-end ownership of product features from initial ideation and design through to implementation, rigorous testing, and final deployment. As a Product Engineer, for instance, you will be expected to produce high-quality, maintainable, and well-documented technical work, with a strong, unwavering focus on reliability, scalability, and readability. The role is primarily backend-focused, utilizing languages like Python, Rust, Go, or Java, but offers ample opportunities to contribute across the entire stack depending on the specific needs of the project and your individual areas of interest. You will be responsible for building robust, fault-tolerant systems that handle massive amounts of highly sensitive healthcare data securely and efficiently, ensuring compliance with HIPAA and other relevant regulations. Beyond simply writing code, you will be expected to demonstrate reliability through proactive communication, anticipating potential roadblocks, and possessing the ability to independently unblock yourself and your teammates when challenges arise. Collaboration is key; you will frequently interface with end-users, including doctors, nurses, and hospital administrators, to assist with use case discovery, ensuring that the software being built truly meets the nuanced, real-world needs of healthcare providers.

A significant portion of your day-to-day work will involve interacting with cutting-edge Large Language Model (LLM) tooling and learning about advanced agentic workflows. You will be applying these sophisticated technologies to automate complex clinical and operational tasks that have historically been resistant to automation. This might involve developing algorithms to accurately parse dense, unstructured radiology reports for actionable findings, or creating intelligent systems that can navigate the labyrinthine process of auto-submitting prior authorizations for urgent medical procedures. The work requires a delicate balance of deep technical expertise and a pragmatic understanding of how technology is actually used in clinical settings. You will need to carefully consider edge cases, handle messy, incomplete data gracefully, and build systems that fail safely and transparently. For engineers who are passionate about pushing the boundaries of what AI can achieve in a highly regulated, high-stakes environment, the technical challenges at Bunkerhill Health are both intellectually stimulating and deeply meaningful.

Compensation & Benefits

Bunkerhill Health offers highly competitive compensation packages designed to attract and retain top-tier talent in the notoriously competitive San Francisco Bay Area market. For engineering roles, such as the Product Engineer position, the base salary ranges from $140,000 to $240,000, depending heavily on the candidate's level of experience, technical expertise, and demonstrated ability to deliver complex projects. Other critical roles, such as the Forward Deployed Product Lead, offer base salaries between $180,000 and $245,000, reflecting the unique blend of technical acumen and client-facing skills required for the position. The Technical Implementation Program Manager role, which is crucial for ensuring the successful deployment and adoption of the platform within hospital systems, ranges from $150,000 to $205,000. In addition to a strong, market-competitive base salary, employees receive equity in the company. This equity component is a significant aspect of the total compensation package, allowing team members to share directly in the long-term financial success and valuation growth of this fast-growing, Series A startup backed by premier venture capital firms.

The benefits package at Bunkerhill Health is comprehensive and thoughtfully designed to support the overall health, well-being, and financial security of the team. This includes premium medical, dental, and vision insurance coverage, ensuring that employees and their families have access to high-quality healthcare. Recognizing the realities of commuting in the Bay Area, the company provides generous commuter benefits to ease the journey to their SoMa office. A 401(k) plan is also offered to help employees save for their future financial goals. Beyond these standard benefits, Bunkerhill Health places a strong emphasis on professional development and continuous growth. Employees are provided with a supportive environment that encourages learning, whether through access to educational resources, opportunities to attend relevant industry conferences, or mentorship from senior leaders and domain experts within the company. This commitment to employee growth ensures that team members are not just contributing to the company's current success, but are also continuously expanding their own skill sets and advancing their careers.

The Interview Process

The interview process at Bunkerhill Health is deliberately designed to be thorough, rigorous, and multi-faceted, reflecting the exceptionally high standards of the team and the critical, life-impacting nature of the work they do. According to available data and candidate experiences, the entire process can take an average of 60 days from the initial point of contact to a final offer, requiring patience and a sustained commitment from prospective hires. For engineering and technical roles, the journey typically begins with a recruiter screen. This initial conversation is focused on assessing general fit, understanding your career trajectory, and evaluating your alignment with the company's overarching mission to transform healthcare operations. This is usually followed by a more in-depth screening interview with the hiring manager, providing an opportunity to delve deeper into your technical background, discuss the specific responsibilities of the role, and ask questions about the team's current priorities and challenges.

The technical evaluation phase is rigorous and designed to assess both theoretical knowledge and practical coding ability. It typically includes a HackerRank coding challenge, which serves as an initial filter for core algorithmic and problem-solving skills. Candidates who pass this stage will then participate in a live coding screen over Zoom, where they will work through a technical problem collaboratively with a Bunkerhill engineer, allowing the team to evaluate not just the final solution, but also the candidate's communication style and approach to problem-solving under pressure. The final stage is an extensive onsite interview, which is crucial for assessing cultural fit and facilitating informal, unstructured interactions. This onsite portion usually includes a team lunch, providing a more relaxed setting to get to know potential colleagues. The formal interviews during the onsite visit typically involve two additional, in-depth coding sessions and one comprehensive system design interview, where candidates will be asked to architect a solution to a complex, healthcare-specific technical challenge. For candidates who are not local to the San Francisco area, this final stage can be conducted virtually, though the rigor and format remain consistent. The comprehensive nature of this process ensures that candidates not only possess the necessary technical prowess but also share the company's deep dedication to improving healthcare through innovative technology.

Why Join / Why Not

Why Join: If you are deeply passionate about leveraging cutting-edge Artificial Intelligence and agentic workflows to solve tangible, real-world problems in the healthcare sector, Bunkerhill Health offers an unparalleled and highly compelling opportunity. You will be working on a sophisticated platform that directly and measurably impacts patient outcomes, clinical workflows, and overall hospital efficiency at an impressive scale. The company's strong financial footing, backed by prestigious, top-tier investors like Sequoia Capital and Y Combinator, provides significant stability and exceptional growth potential in a challenging economic climate. The culture is intensely collaborative, intellectually stimulating, and profoundly mission-driven, offering the unique chance to work alongside exceptionally talented professionals from both deep technical and clinical backgrounds. With a beautiful, sunlit office in the vibrant SoMa district of San Francisco, competitive compensation packages, and meaningful equity, it is an ideal environment for driven, ambitious individuals looking to make a significant, lasting impact on one of society's most critical industries.

Why Not: The high stakes, regulatory complexities, and inherent challenges of building healthcare technology mean that the work at Bunkerhill Health can be intensely demanding and occasionally stressful. The 60-day average interview process indicates a highly rigorous selection standard, which might be daunting or overly protracted for some candidates who are evaluating multiple fast-moving opportunities. Additionally, the company's strict adherence to a hybrid work model, requiring employees to be physically present in the San Francisco office three days a week, may not suit those who are seeking fully remote opportunities or who currently live outside the Bay Area and are unwilling to relocate. The fast-paced, rapidly evolving startup environment also requires a high degree of adaptability, comfort with ambiguity, and proactive initiative; individuals who prefer highly structured, predictable corporate settings with clearly defined, static roles might find the dynamic nature of the work challenging or frustrating.