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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Founding Engineer - **Company:** PEOPLE INC. - **Location:** San Francisco, CA, United States - **Experience:** Experienced - **Salary:** $180,000.0 - $240,000.0 - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), Artificial Intelligence, ASC X12 Standards, Application Performance Management, Systems Engineering, Code Review, Databases, Data Files, Data Infrastructure, Database Design, Software Debugging, Web Development, Design of User Interfaces, Human-Computer Interaction, Machine Learning, Operational Data Store, Software Engineering, Systems Integration, TypeScript, ReactJS, Fast Healthcare Interoperability Resources, Delivery Pipeline, Large Language Models, Multi-Agent Systems, Prompt Engineering, Electronic Medical Records, Health Level Seven International, Build Tools, Front End Software Development - **Published:** August 9, 2026 - **Apply:** https://www.careerbuilder.com/job-details/founding-engineer-san-francisco-ca--1c712921-3313-429b-a7e0-04b6e48e4726 ## About the Role * 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 ## Description 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 ## Related Videos - [Do TypeScript without TypeScript](https://www.wearedevelopers.com/videos/327-do-typescript-without-typescript) - [Kubernetes and Microservices with Multi-Model Databases](https://www.wearedevelopers.com/videos/382-kubernetes-and-microservices-with-multi-model-databases) - [Watch Tests Go Brrrr! : Getting Started with Cypress in ReactJS](https://www.wearedevelopers.com/videos/282-watch-tests-go-brrrr-getting-started-with-cypress-in-reactjs) - [Shipping Faster with Less: Render on Cloud Hosting, AI Workloads, and the Future of DevOps](https://www.wearedevelopers.com/videos/1894-shipping-faster-with-less-render-on-cloud-hosting-ai-workloads-and-the-future-of-devops) - [Vuejs and TypeScript- Working Together like Peanut Butter and Jelly](https://www.wearedevelopers.com/videos/127-vuejs-and-typescript-working-together-like-peanut-butter-and-jelly) - [Fault Tolerance and Consistency at Scale: Harnessing the Power of Distributed SQL Databases](https://www.wearedevelopers.com/videos/1146-fault-tolerance-and-consistency-at-scale-harnessing-the-power-of-distributed-sql-databases) ## Related Articles - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [Dev Digest 120 - Apple and peers](https://www.wearedevelopers.com/magazine/455-dev-digest-120-apple-and-peers) - [The Best X (Twitter) Accounts for Developers](https://www.wearedevelopers.com/magazine/294-the-best-x-twitter-accounts-for-developers) - [Why Upskilling And Reskilling is Important For Developers](https://www.wearedevelopers.com/magazine/428-why-upskilling-and-reskilling-is-important-for-developers) - [Is Software Engineering Over-Saturated?](https://www.wearedevelopers.com/magazine/418-is-software-engineering-over-saturated) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers)