Conversational Designer

Role Description

Hello Patient is hiring a Conversational Designer to shape how our AI agents communicate with patients in real, high-stakes conversations. This role sits at the intersection of product, behavior, and language. You won't be building flows from scratch — you'll be iterating on and improving existing agent behaviors to make them more effective, more reliable, and more human in real-world conditions. Our agents have seconds to build trust, handle objections, and complete tasks without human intervention.

You'll work closely with Product and Engineering team members to evaluate how conversations perform in production and identify opportunities to improve outcomes — driving measurable impact on containment rate, task completion, and overall patient experience.

We're looking for sharp, curious thinkers who are deeply interested in human behavior and energized by solving complex, ambiguous problems through iteration. If you think in systems and care about how AI actually performs in the real world, this role is for you!

What You'll Do

• Design AI Behavior in Real Conversations
  • Define how agents respond across real-world scenarios (frustration, urgency, confusion, resistance)
  • Design conversations that balance empathy, efficiency, and task completion
  • Help agents establish trust fast and guide users toward successful outcomes
• Improve Performance & Outcomes
  • Analyze real interaction data to identify drop-off points and areas for improvement
  • Optimize for containment rate — resolving conversations without human intervention
  • Iterate quickly based on production metrics and qualitative conversation review
• Build & Refine Prompting Systems
  • Write and test structured prompts that shape agent behavior and tone
  • Partner with Product and Engineering to integrate conversational logic into the product
  • Develop reusable frameworks that scale across conversation types and use cases

Qualifications

• 2+ years in a relevant role — conversation design, UX writing, prompt engineering, linguistics, behavioral research, or similar
• Exceptional critical thinking and problem-solving skills
• Strong ability to understand and model human behavior
• Experience with structured thinking (prompts, logic, systems, or frameworks)
• High curiosity and willingness to challenge assumptions

Requirements

• Background in linguistics, psychology, philosophy, or a field that trained you to think rigorously about language and behavior
• Experience with AI products, chatbots, LLMs, or prompt engineering
• UX, conversation, or behavioral design experience
• Comfortable in fast-paced, early-stage environments

Benefits

• Base salary: $120,000–$160,000
• Equity: Meaningful ownership in a fast-growing healthtech startup

Company Description

Hello Patient is transforming healthcare communication through advanced conversational AI. Our founding team spent 3.5 years scaling Carbon Health's technology during hypergrowth, where we saw firsthand how much clinical time gets wasted on basic communication—great clinicians buried in admin work, patients stuck in phone tag.

Our AI platform proactively engages patients through perfectly timed calls and texts, resolving complex interactions end-to-end—from scheduling to billing to retention. Built with security and compliance at its core, our technology integrates with existing healthcare infrastructure to deliver 24/7 patient engagement.

Backed by Scale and 8VC, we're building the future of healthcare communication, one conversation at a time.