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Queue
Queue
11 – 50 Employees
HardwareHealthcarePharmaceuticals
Queue is a healthcare and pharmaceutical technology startup developing autonomous robotic pharmacy systems. Its kiosk-style units accept sealed wholesale medication bottles and dispense verified prescription vials with minimal human intervention, combining computer vision for pill identification, QR-code prescription verification, and AI-assisted inventory monitoring. Each unit is designed to stock roughly 250–280 commonly prescribed medications based on local demand and can fill a 60-pill vial in about 30 seconds. Queue is building pharmacy infrastructure intended to improve dispensing efficiency, reduce costs, and expand access in underserved areas. The company emerged from stealth following a seed round led by AlleyCorp and operates with a Silicon Valley team of around 20.
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Lead Systems Engineer - Autonomous Pharmacy

Lead systems engineering for Queue’s autonomous robotic pharmacy, defining architecture, safety, and regulatory strategy. Connect hardware, software, autonomy, and operations to support reliable medication dispensing at scale.

USUnited StatesCACaliforniaHybridFull-timeSeniorEnglish RequiredSystems Engineer

Description

  • Establish company-wide systems engineering processes, standards, tools, and review practices
  • Direct key architectural decisions covering margins, safety, and quality
  • Coordinate hardware, software, autonomy, operations, and pharmacy functions
  • Develop systems-thinking capabilities through cross-disciplinary engineering mentorship
  • Shape the product roadmap and strategy with executive leadership
  • Own the system safety strategy for a fully autonomous pharmacy
  • Use SOTIF methods to address performance limitations, edge cases, and unknown unsafe conditions
  • Lead hazard analyses across perception, dispensing verification, software, and human interaction
  • Define safety metrics, acceptance thresholds, and residual-risk justifications
  • Develop safety evidence from simulations, tests, and field data
  • Create safety monitoring and incident-learning processes as the fleet expands
  • Lead regulatory strategy involving state Boards of Pharmacy and applicable federal authorities
  • Convert regulatory objectives into system requirements and testable evidence
  • Present Queue’s engineering case to regulators, pharmacy partners, and standards organizations
  • Contribute to emerging regulatory frameworks for pharmacy automation
  • Own system requirements, interfaces, and performance, reliability, and safety budgets
  • Maintain system-level models for throughput, reliability, safety, and cost
  • Lead quantitative trade studies and resolve uncertainty through first-principles analysis
  • Design systems for scale, serviceability, and dependable field operation
  • Report to the Head of Systems Engineering while operating with substantial autonomy and influence

Requirements

  • Bring 8–12+ years of engineering experience on complex, safety-critical products, including senior technical leadership in systems architecture or safety
  • Have shipped systems with significant safety, operational, and economic consequences
  • Robotics experience is not mandatory; relevant backgrounds include autonomous vehicles, aerospace, medical devices, and industrial automation
  • Demonstrate advanced systems-safety expertise for autonomous or software-intensive products, including SOTIF (ISO 21448) and STPA, FMEA, or FTA hazard analysis
  • Have developed and defended safety cases or comparable risk arguments with external stakeholders
  • Bring deep expertise in systems architecture, requirements, interfaces, and engineering trade-offs
  • Work effectively across hardware, software, and operations, with depth in autonomy or perception, embedded or distributed software, electronics, or mechatronics
  • Set technical direction and influence teams and leaders without relying on formal authority
  • Apply first-principles reasoning, use data to make decisions, and take ownership in uncertain situations with low ego
  • Know autonomy and functional-safety standards such as UL 4600, ISO 26262, IEC 61508, or ISO 10218
  • Know medical-device or aerospace safety frameworks such as ISO 14971, IEC 62304, ARP4754A, or ARP4761
  • Have engaged regulators including state agencies, NHTSA, FAA, FDA, DEA, or Boards of Pharmacy
  • Have helped develop standards, policy, or regulation for emerging technologies
  • Have built an engineering function or operating processes at an early-stage company
  • Have scaled autonomous systems from pilot programs to fleet deployment

Benefits

  • Early-stage equity tied to scaling automated pharmacy dispensing
  • Work with a direct connection to safely delivering medication to patients
  • Small, trusted team with minimal bureaucracy
  • Health insurance coverage
  • 401(k) plan
  • Unlimited paid time off
  • Meaningful early-stage equity
  • Visible role with substantial opportunity for growth
  • Significant autonomy and influence
  • Collaborative environment with an exceptional team
  • Culture focused on breakthrough ideas and rapid experimentation
  • Mission-driven workplace

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