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# Founding Engineer

- **Company:** CLERA, LLC
- **Location:** San Francisco, CA, United States
- **Experience:** Starter
- **Salary:** $120,000.0 - $190,000.0
- **Contract:** Permanent contract
- **Skills:** Artificial Intelligence, PostgreSQL, Google Cloud, Large Language Models, Backend, Web Api, Golang
- **Published:** August 4, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=dfdd163e3931df9a

## About the Role

* 1-3 years of experience building full-stack products end-to-end, with demonstrated ownership of complete features.
 * Proficiency in React and a track record of delivering polished, customer-facing UIs with strong UX sensibility.
 * Experience translating customer needs into technical deliverables and building features that interact with external APIs.
 * Hands-on experience with LLMs and Retrieval-Augmented Generation (RAG) architectures - this is a dealbreaker requirement.
 * Strong CS fundamentals, high attention to detail, fast learner, and clear communicator.

Nice to Have:

 * Backend and infrastructure experience with Go, PostgreSQL, and Google Cloud.
 * Background in EMS, 911 dispatch, healthcare, or insurance billing.
 * NREMT certification (a significant plus).
 * Prior experience as a founder or founding engineer at an early-stage startup.

Visa: OPT and STEM OPT candidates are welcome; the team will work with you on next steps. Formal visa sponsorship is not available at this time.

## Description

We're a small, fast-moving seed-stage healthtech startup building AI-powered software that modernizes billing and operations for Emergency Medical Services (EMS) agencies. Our platform automates denial resolution, appeal generation, payer outreach, and compliance workflows - helping paramedics get paid and protecting 911 services across the country., * Build and ship customer-facing features informed by direct conversations with EMS billers and agency operators.

 * Design and implement automation that eliminates manual work and drives meaningful revenue recovery for agencies.
 * Make thoughtful product and design tradeoffs with a strong UX sensibility.
 * Iterate rapidly: deploy, gather customer feedback, and continuously improve.
 * Collaborate closely with the founding team in a hybrid in-person setting (San Francisco, 2-3 days per week)., This is a hybrid role based in San Francisco, CA. You'll be expected in the office 2-3 days per week to work closely with the founding team. Remote candidates are not being considered for this position.


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