Founding Engineer

We’re hiring a Founding Engineer to join an early-stage company building AI-powered software and data infrastructure for healthcare organizations operating in highly regulated, data-intensive environments.

This is a foundational engineering hire. You’ll work directly with the founders to design and build core product experiences, develop AI-enabled workflows, implement customer deployments, and help establish the engineering systems and practices that will support the company’s growth. The platform brings together large volumes of clinical, operational, and financial data to automate workflows, surface actionable insights, and improve decision-making for enterprise healthcare customers.

The role is well suited for an engineer who enjoys working across product, design, and engineering, is comfortable wearing multiple hats, and thrives owning projects from initial concept through production. What You’ll OwnProduct Engineering

• Design, build, and ship product features across the stack, from database design and APIs through frontend applications
• Build and maintain integrations with external systems, structured datasets, and enterprise data sources
• Develop infrastructure that powers AI-enabled product experiences, including LLM-driven workflows and intelligent automation
• Improve application performance, reliability, and scalability as customer usage and data volumes grow
• Work closely with founders and users to translate complex operational requirements into intuitive software

Customer Deployments

• Partner with customers during implementation and onboarding
• Configure integrations, data mappings, and deployment workflows
• Participate in customer conversations and translate feedback into product improvements
• Support and maintain the systems you build, including incident response, debugging, and operational troubleshooting

Engineering Foundation

• Help establish engineering practices around testing, deployments, observability, security, and code review
• Build systems that meet the reliability and compliance expectations of enterprise customers
• Mentor future team members and help shape the company’s engineering culture

• 3-5+ years of experience building and shipping customer-facing software
• Familiarity with healthcare data standards (FHIR, HL7, X12, EHR, claims, or similar)
• Strong experience with React, TypeScript, and modern web application development
• Full-stack experience across frontend applications, APIs, databases, and background services, including work with complex enterprise or operational data systems
• Experience building and deploying AI-enabled product features using modern LLMs, agent frameworks, or retrieval-based systems
• Familiarity with prompt engineering, evaluation workflows, and AI application development best practices
• Strong product judgment and the ability to work effectively with limited process or oversight

Bonus

• Experience in customer-facing engineering roles such as implementation engineering, solutions engineering, forward deployed engineering, or technical consulting
• Understanding of enterprise deployment requirements, security best practices, and compliance-focused environments (HIPAA, SOC 2, etc.)
• Comfortable working in a fast-paced startup where engineering, product, and customer success are closely intertwined, Application Programming Interface (API), Artificial Intelligence (AI), Automation, Best Practices, Business Operations, Category Development, Code Reviews, Cross-Functional, Customer Relations, Data Sets, Database Design, Debugging Skills, HIPAA (Health Insurance Portability and Accountability Act), HL7 (Health Level 7), Healthcare, High Tech Industry, Identify Issues, Incident Response, Machine Learning, Medical Record System, Mentoring, Onboarding, Operations Management, Performance Management, Process Management, Product Design, Product Development, Product Engineering, Product Shipments, Software Development, Software Engineering, Startup, Systems Maintenance, Technical Consulting, Technical Recruiting, Technical Support, Technical/Engineering Design, Testing, User Interface/Experience (UI/UX), Workflow Analysis

The starting salary for this role is $180,000, with a range up to $240,000 USD. The provided salary depends on many factors, such as work experience and transferable skills, business needs and impact, and market demands.

Our client is an early-stage, venture-backed software company building an AI-native platform for organizations managing complex operational and healthcare data. Their technology helps customers unify fragmented information, automate manual workflows, and generate actionable insights that improve decision-making across clinical and business operations.

The founding team brings deep expertise across software engineering, machine learning, and enterprise systems, and is building a category-defining platform for one of the largest and most data-intensive industries. This is an opportunity to join at the earliest stages, work directly alongside the founders, and help shape both the product and engineering organization from the ground up.