Careers

• Medical reviewers

  Clinicians in endocrinology, cardiology, geriatrics, sports medicine and clinical pharmacology. Part-time, paid a fixed fee per review that does not depend on the grade you assign. You will be named on every page you sign and your grade decisions will be published with your reasoning, verbatim. If that is uncomfortable, this is not the right arrangement — it is the whole point of it.

• Research and evidence

  Systematic-review skills, comfortable with risk-of-bias appraisal, able to read a supplementary appendix for the coefficient rather than trusting a secondary source. Most of the job is finding out that something does not work.

• Engineering

  TypeScript, Next.js, Postgres. The interesting constraints here are real: a public page must not be able to import the health data client, evidence scoring must be a pure function with a monotonicity guarantee, and every design value has to resolve to a token because CI greps for the alternative.

• Editorial

  Writers and editors who can make an uncomfortable specific readable. You will not be able to publish a grade change, and you will be asked to cut sentences that are true but unsupported.

• Trust, safety and verification

  Reviewing clinic licences with regulators, moderating reviews against published guidelines, triaging safety reports. Deliberately separated from anything commercial: you will not be able to see what a clinic pays us, and we will not tell you.

A conversation, not a screen

First call is 30 minutes with someone who does the job, not a recruiter reading a script. You get to ask the awkward questions about the business model in that call, not at the end.

A paid work sample

One realistic piece of work, scoped to about three hours, paid at your day rate. For a reviewer that is appraising a real evidence base. For an engineer it is a real bug or a real page. We do not run whiteboard puzzles and we do not ask for unpaid work.

Two conversations about the work sample

One about the substance, one about how you would do it differently at ten times the scale. We tell you what we thought of your sample either way, in writing.

A decision within a week of the last conversation

And a reason. If we say no, you get the actual reason, not "we decided to move forward with other candidates".

References at the end, with your permission

We never contact a current employer without asking first.

• Every posting carries a band, and we will not negotiate you below it or ask what you currently earn. Asking is illegal in several of the places we hire and a bad idea in the rest.
• Bands are set by role and level, not by geography within a market. We do not pay the same level differently for the same work because of where someone sits.
• No part of any editorial or review compensation depends on traffic, on revenue, or on the grade a reviewer assigns. That is a structural requirement, not a perk.
• This page does not quote a number, because a number here would be out of date and the posting is the binding version.

• The output is mostly negative findings. If you want to work somewhere optimistic about supplements, this will grind on you.
• Downgrading a popular therapy costs us revenue, and it still happens. Commercial pressure exists here; the answer is structural separation rather than nobody feeling it.
• Constraints are enforced by CI, not by taste. You will be blocked from shipping a raw hex colour, a left-padding utility, or an import that crosses the health data boundary.
• Reviewers are named publicly and their reasoning is published unedited. That is exposure that some clinicians reasonably do not want.
• We are small enough that you will own something end to end and there will be nobody to hand the boring half to.

Email hello@longlifelist.com with the role family in the subject line. Instead of a cover letter, send one paragraph on something you used to believe about health, diet or medicine and changed your mind about, and what changed it. That is genuinely the thing we read first.

Reviewer applications can go straight to editorial@longlifelist.com. It helps to include an ORCID or a PubMed author link so we can read your work, and to say which interventions you would have to recuse yourself from. See what a reviewer is accountable for.