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A foundation model for brain data that detects seizures in real time.

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About Piramidal

The company, in brief.

What they do

Piramidal builds foundation models for brainwave (EEG) data, pretrained on 4 million hours of EEG. Its first product, Marcy, is an EEG agent that monitors ICU patients and flags seizures in real time. Marcy is pending FDA 510(k) submission. Fabryc, a platform that tracks hundreds of EEGs in real time, launches in 2027. Piramidal works with Cleveland Clinic.

What they value

  • Be a chronic optimist and relentlessly resourceful.
  • Own a problem from an unclear start to a running, monitored service.
  • Move fast and work on your own.
  • Ship product in short cycles with a small, fast-moving team.
  • Build software to the standards of a regulated medical device.

Where they hire

All three Postings are in New York. The backend role is in the New York office five days a week, with travel to client sites. It requires US work authorization. The other two Postings do not say how many office days they ask for or mention work authorization.

Teams and roles

The board lists three roles. Piramidal calls its team small and fast-moving.

  • Tech: a senior backend engineer builds Python and Go services for real-time streams of brain data, and helps take ML models into production. A frontend engineer builds the main user interface, with real-time charts of data streams in React and Next.js.
  • Product: a senior product manager owns the roadmap, runs discovery with clinicians, and works with regulatory and quality teams.

The backend role pays $200,000 to $300,000, with equity.

What they look for

Both engineering roles ask for five or more years of experience. The backend role wants stream-processing systems, strong Python, Kubernetes, and relational databases. The frontend role wants deep React and Next.js skills and web performance work. The product manager needs four or more years of product management and experience with clinical or regulated products. The backend role counts work in healthcare or regulated software as a plus. The engineering Postings describe the interview steps: a screen, a technical screen, and a final round with design and product sessions, which is in person for the backend role.

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