Systems Engineer

We're Queue, the world's first fully autonomous robotic pharmacy. We go from sealed wholesale bottles to filled, verified prescription vials with zero human involvement.

We built Queue because no one should ever have to wait in line for the medicines they need. One in three US pharmacies has shut down. Pharmacists are overworked to a breaking point. And patients are paying the price. Queue fixes that. Pharmacists get to practice pharmacy again — counseling patients, catching interactions, doing the work only they can do. And patients get their prescriptions in 60 seconds or less, any time, anywhere.

We’re backed by over $18 million from Alleycorp, Riot Ventures, Ubiquity Ventures, House Capital, and others who believe the pharmacy system is broken and that robotics can fix it. Queue was founded by Nick Desai (6x founder, previously CEO of Heal) and Joshua Liu (previously Tesla, Waymo, and Zipline).

You’ll architect a mission-critical autonomous robotic system and drive decisions at the intersection of hardware, software, business and customer needs. You’ll guide cross-function teams through a systems lens - using rigorous, data-driven analysis to sharpen execution. Together, we’ll scale our robots to high-volume production and bring reliable pharmacy automation to patients nationwide.

What You Bring:

System Architecture & Technical Leadership: Own the end-to-end architecture, defining requirements, interfaces, and performance budgets Act as the technical integrator across hardware, software, controls, manufacturing, and operations Resolve ambiguity through structured analysis and clear decision making Balance performance, reliability, manufacturability, cost, and customer/unit-economic constraints

Own the end-to-end architecture, defining requirements, interfaces, and performance budgets

Act as the technical integrator across hardware, software, controls, manufacturing, and operations

Resolve ambiguity through structured analysis and clear decision making

Balance performance, reliability, manufacturability, cost, and customer/unit-economic constraints

Model-Driven Tradeoffs: Build and maintain system-level models for performance, throughput, reliability and cost. Apply first-principles reasoning, simulation, and quantitative trade studies to architectural decisions Update assumptions and margins as manufacturing and field data come in.

Build and maintain system-level models for performance, throughput, reliability and cost.

Apply first-principles reasoning, simulation, and quantitative trade studies to architectural decisions

Update assumptions and margins as manufacturing and field data come in.

Scale, Verification & Reliability Architect for high-volume manufacturing and nationwide deployment, driving system-level DFM/DFA. Design for variability, serviceability, logistics, and field reliability Define V&V strategy, lead integration, bring-up, FMEA, and root-cause analysis Hold the bar for safety, uptime, and real-world robustness.

Architect for high-volume manufacturing and nationwide deployment, driving system-level DFM/DFA.

Design for variability, serviceability, logistics, and field reliability

Define V&V strategy, lead integration, bring-up, FMEA, and root-cause analysis

Hold the bar for safety, uptime, and real-world robustness.

Recruiter Screen: (30 min)

Manager Interview (60 min)

Technical Interview: (60 min)

Leadership Interview: (60 min)

Impact & Growth Direct Patient Impact: Your work will improve healthcare outcomes for millions of patients Market Leadership: Ground-floor opportunity to define an entirely new category of healthcare technology Technical Innovation: Work on genuinely novel problems at the intersection of AI, robotics, and healthcare Career Acceleration: High-visibility role with significant growth potential as the company scales

Direct Patient Impact: Your work will improve healthcare outcomes for millions of patients

Market Leadership: Ground-floor opportunity to define an entirely new category of healthcare technology

Technical Innovation: Work on genuinely novel problems at the intersection of AI, robotics, and healthcare

Career Acceleration: High-visibility role with significant growth potential as the company scales

Team and Culture World-Class Team: Work alongside exceptional engineers, AI researchers, and healthcare experts Direct Access: Report directly to the CTO/Co-founder with significant autonomy and influence Innovation Focus: Culture that prioritizes breakthrough thinking and rapid experimentation Mission-Driven: Team united around the goal of transforming healthcare through technology

World-Class Team: Work alongside exceptional engineers, AI researchers, and healthcare experts

Direct Access: Report directly to the CTO/Co-founder with significant autonomy and influence

Innovation Focus: Culture that prioritizes breakthrough thinking and rapid experimentation

Mission-Driven: Team united around the goal of transforming healthcare through technology

Servant Leadership: Make those around you better. We serve our teams the way Queue serves communities: 4,000 pharmacies close each year and deserts are spreading - we’re here to reverse that.

Do the Hard Things: Healthcare, hardware, and company-building are all hard. We do them anyway. Convenience for us is life-changing for those we serve.

Own Your Work: Be accountable; take pride in what you ship. Queue lives and dies by what you do - own it fully.

Default is Now: There’s never a better time than today. Default to action: what can we prove, learn, or simplify right now?

Contact: If you have any questions, please contact us at careers@queue.inc