Routina is hiring engineers, designers, and healthcare operators who want to build the connective tissue for how clinics, pharmacies, and logistics teams actually run. Real customers. Real revenue. Real engineering challenges.
Why Routina
We're at the rare stage where the technical problems are genuinely hard, the customer pull is real, and the team is still small enough that what you build matters.
An agent orchestration runtime running on top of healthcare's existing systems — Epic, PrimeRx, RedSail, QBO, Slack, and more. MCP servers. Custom integrations. A meta-builder AI that lets operators design their own agent workforce in plain language. The technical surface area is wide and the product gets meaningfully better every quarter.
43 enterprise customers across healthcare and logistics. Real revenue, not pre-revenue. Customers who use the platform every day to run intake, dispatch, refills, RPM, billing, and reporting. Capital raised, runway clear, hiring against demand — not against a thesis. We're past the "will anyone want this?" question.
PR-headquartered with team members across the US. Bilingual EN/ES environment. Distributed-friendly with quarterly in-person sprints in San Juan. Ownership culture — we hire people who want to operate a function, not execute a ticket queue. Direct access to customers, the founders, and the actual decisions that shape the product.
What we offer
Compensation, benefits, and the working conditions that make all of the above feasible.
Market-rate base salary for your role and location. Comp bands published internally — no sandbagging, no surprises.
Every full-time hire gets equity. We're a venture-backed company; you should benefit from the upside you help build.
Take what you need, when you need it. Minimum two weeks/year — we'll remind you if you haven't.
Medical, dental, vision for PR-based team members. Stipend for US-based contractors and team members.
Direct working relationship with Adrian, Christopher, and the leadership team. No skip-level dynamics — we're still that small.
PR HQ, distributed team. Quarterly all-team sprints in San Juan. Async-first day-to-day, sync when it matters.
Our values
Not slogans for the wall. The decisions we make at the table when we're choosing between two options.
If a feature looks great in a deck but breaks on a Tuesday afternoon when a clinic actually uses it, we ship the boring version that survives Tuesday.
PHI doesn't show up in logs we can grep, slides we screenshot, or shortcuts we take. HIPAA-by-default isn't a feature — it's the substrate.
We'd rather have a v1 in production with one customer next week than a v2 in design with no customer next quarter. Real users teach us what to build.
Our customers run pharmacies, clinics, logistics ops. We hire people who can have those conversations directly — not through a CSM screening filter.
EN/ES across docs, support, and sales. Healthcare operators in Puerto Rico, the US South, and Latin America deserve native-language software, not translated software.
Open roles
We hire against demand, not against a roadmap. If you're an exceptional engineer, designer, or healthcare operator and you'd want to work on what we're building, we want to know you — even if there's no specific role posted today.
Profiles we're particularly interested in:
Send us a note. Resume optional, work samples appreciated.
careers@getroutina.comWe read every email. We respond to people we're interested in within a week.
If you'd rather understand the product before considering joining, the rest of the site does the work. Start with the homepage; the platform pitch lives there.