> Markdown version of [/jobs/ext/1914684-founding-engineer](https://www.wearedevelopers.com/jobs/ext/1914684-founding-engineer). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md).

---

# Founding Engineer

- **Company:** David Joseph & Company
- **Location:** San Francisco, CA, United States
- **Experience:** Experienced
- **Salary:** $180,000.0 - $230,000.0
- **Contract:** Permanent contract
- **Skills:** Cloud Computing, Python (Programming Language), Software Engineering, Backend, Health Level Seven International, Front End Software Development
- **Published:** August 4, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=561e150500cb9184

## About the Role

* 3-5 years of software engineering experience (standout candidates with a little less will be considered; typically not a fit beyond roughly seven years)
 * Strong Python with production backend experience, plus front-end and cloud comfort across the full stack
 * A track record of taking a product or project from zero to one with end-to-end accountability
 * Undergraduate degree from a U.S. university
 * Authorized to work in the U.S. without visa sponsorship
 * Able to work on-site in San Francisco five days a week at startup intensity, * Experience at a healthcare startup
 * EMR integration or healthcare data standards experience
 * A strong academic record or a standout early-career engineering track record

## Description

This is our client's first engineering hire - a full-stack founding engineer who will own the entire technical surface alongside the technical co-founder, building and shipping across front end, back end, and cloud infrastructure while helping shape product direction as the company grows.

What you'll be doing

 * Own the full technical stack end to end - front end, back end, and cloud infrastructure.
 * Design and ship EMR integrations connecting the referral platform to urgent care, ER, and specialist workflows.
 * Build and refine the core referral flow so patients are routed to the right specialist quickly and reliably.
 * Partner with the founders on product decisions, turning clinical and operational needs into engineering priorities.
 * Set the engineering foundations, patterns, and practices as the first engineer on the team.

Tech stack: Python backend, modern front end, cloud infrastructure; EMR / healthcare data integrations.


## Related Videos

- [Green Cloud Computing](https://www.wearedevelopers.com/videos/592-green-cloud-computing)
- [Developing the Backend with Stefan Lingler, CTO at Shpock](https://www.wearedevelopers.com/videos/100360-developing-the-backend-with-stefan-lingler-cto-at-shpock)
- [The Avengers Initiative (Practical Ethics for Software Engineers)](https://www.wearedevelopers.com/videos/2070-the-avengers-initiative-practical-ethics-for-software-engineers)
- [Coffee with Developers](https://www.wearedevelopers.com/videos/354-coffee-with-developers)
- [Nest.js - TypeScript in the backend can also be clean](https://www.wearedevelopers.com/videos/1033-nest-js-typescript-in-the-backend-can-also-be-clean)
- [Coffee with Developers - Adam Wiggins](https://www.wearedevelopers.com/videos/919-coffee-with-developers-adam-wiggins)

## Related Articles

- [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers)
- [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs)
- [Best Countries for Software Engineers](https://www.wearedevelopers.com/magazine/267-best-countries-for-software-engineers)
- [Where to Find Entry-Level Software Engineering Jobs](https://www.wearedevelopers.com/magazine/397-where-to-find-entry-level-software-engineering-jobs)
- [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again)
- [The Best X (Twitter) Accounts for Developers](https://www.wearedevelopers.com/magazine/294-the-best-x-twitter-accounts-for-developers)