About the RoleWe'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.
We're looking for a
Founding Engineer to join as one of the earliest technical hires. This role blends hands-on, end-to-end engineering with direct customer engagement - you'll talk to billers, fire chiefs, and ops leaders as often as you write code. If you thrive in a high-ownership environment and want your work to have immediate, measurable impact, this role is for you.
What You'll Do- Own architecture, development, deployment, and on-call responsibilities across the full stack.
- 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).
What We're Looking ForRequired:- 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.
LocationThis 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.
Compensation & Benefits- Salary: $120,000 - $190,000 USD annually, depending on experience.
- Early-stage equity as a founding team member.
- High-impact, high-ownership role at the ground floor of a mission-driven healthtech company.
