Who we are:

At Ciitizen, we have a singular mission: to improve the lives of the 350 million+ people suffering from rare and complex conditions. Leveraging our AI-powered data platform, we empower patients with seamless access and control over their health data that they can share across our multi-sided ecosystem with caregivers, providers and researchers to illuminate better treatment and support options, while bringing therapies to patients faster. We support thousands of patients, work with a rapidly growing network of patient advocacy organizations, and innovate with leading biopharma organizations to accelerate therapies, always ensuring patients remain at the center.

We are a team of patients, caregivers, researchers and builders who have had first-hand experience across the spectrum of rare disease. Led by a seasoned founding team with a history of successful exits in healthcare and consumer startups, and supported by top-tier investors, we are a close-knit, mission-driven group seeking exceptional talents to join us.

The Role:

The Salesforce & Automation Engineer will play a critical role in helping our operational teams scale and improving our internal-facing products. You will be responsible for owning the technical design, architecture, implementation and delivery of automation solutions designed for our internal users. You have strong experience developing within CRMs, especially Salesforce, and are deeply familiar with best practices and key technologies to cut-out unnecessary processes and create efficiencies. You enjoy working in a fast-paced start-up environment, collaborating closely with the product, design and engineering teams. You have “strong opinions, loosely held”, and focus on shipping quickly at high-quality to ensure learnings from users to drive data-driven decisions.

This is a full-time remote role, with option for hybrid work based out of San Francisco, CA.


  • Collaborate with cross-functional teams to become an expert in end user processes, and use that expertise to create elegant solutions for automation within various operational systems.
  • Design, develop, and implement scalable solutions using Salesforce configuration, Apex, and Lightning components to automate processes and improve operational efficiency.
  • Utilize automation programming languages such as Shell scripts, Python, and JavaScript to build custom automations for various operational tasks.
  • Integrate Salesforce with external systems and tools, leveraging APIs and integration platforms (e.g., Segment, HubSpot) to ensure seamless data flow and interoperability.
  • Perform thorough testing and validation of automation solutions to ensure reliability, accuracy, and adherence to business requirements.
  • Provide ongoing support and maintenance for existing automation solutions, troubleshooting issues and optimizing performance as needed.
  • Work with stakeholders to prioritize automation initiatives and communicate progress and updates effectively. Present well-thought out approaches and technical trade-offs.
  • Stay abreast of emerging technologies and best practices in automation and Salesforce development, applying new insights to drive continuous improvement.
  • Mentor other team members and contribute to knowledge sharing and skill development within the engineering team, fostering a collaborative and innovative culture.
  • Demonstrate a commitment to Ciitizen’s mission and values, fostering a culture of innovation, collaboration, and excellence.


  • Over 4 years experience with Salesforce as a developer or administrator, including proficiency in Salesforce configuration, Apex development, and Lightning components. Experience with other CRM platforms like Hubspot.
  • Strong programming skills in Shell scripts, Python, and JavaScript, with demonstrated experience building automation scripts and solutions.
  • Experience with integration tools and platforms such as Segment, HubSpot, or similar.
  • Proven ability to understand complex business requirements and independently design elegant solutions to streamline and automate workflows.
  • Experience in the healthtech startup ecosystem is highly desirable.
  • Excellent communication and collaboration skills, with the ability to work effectively across functional teams.
  • A strong understanding of front-end performance optimization, scalability, and security
  • A growth mindset with a passion for innovation and continuous improvement, constantly seeking ways to simplify and optimize processes.
  • Strong analytical and problem-solving abilities, with a detail-oriented approach to solution design and implementation.
  • Ability to thrive in a fast-paced, dynamic environment and manage multiple priorities effectively.
  • Passion for creating exceptional consumer experiences, especially in the healthcare or healthtech space.