Founding EngineerJob title: Founding Engineer
Location: San Francisco, CA (in-person only, relocation available)
Role OverviewThey are hiring our
Founding Engineer (Full-Stack) to work
in-person, 5 days/week, in San Francisco as a member of the founding team. The office is currently in Mission.
This is not a 9-to-5 role. This is a chance to join an early-stage startup, work incredibly hard to build something massive, and get unmatched career growth and learning along the way. What they are building matters - to families, to therapists, and to the kids waiting for care.
You'll be an equal thought partner in product and engineering - making foundational decisions on the stack, infrastructure, and development practices. You'll work directly with co-founders to bring the AI-powered software to life and evolve it into a scalable, secure, and delightful platform used by real clinicians and families.
This role is ideal for an engineer who wants to build from zero, shape culture and architecture, and leave a tangible mark on an early healthcare startup.
What You'll Do- Lead end-to-end development of the core web applications - from architecture to deployment
- Design and implement AI-powered product features
- Collaborate on product and technical design, shaping how the systems, APIs, and data models evolve
- Build and ship features rapidly while maintaining strong engineering quality (testing, observability, CI/CD)
- Establish early engineering processes, infrastructure standards, and documentation
- Own technical decisions around scalability, security, and maintainability - especially given HIPAA-compliant requirements
- Contribute to (and debate!) product direction, tradeoffs, and long-term technical vision
- Help define the early engineering culture and assist with future technical hires
Our Technical EnvironmentThey use
TypeScript and React with modern tooling - but they expect our architecture to evolve. You'll have major input into how the stack, process, and infrastructure are shaped as they scale.
You Might Be a Fit If You...- Have 2+ years of professional experience building and scaling modern web applications
- Are fluent in TypeScript, React, and modern backend frameworks (Node.js, or similar)
- Have experience with Vercel/AWS and CI/CD pipelines
- Move fast - Proficient with AI coding tools like Cursor, Codex, etc.
- Have strong opinions on architecture, testing, and developer experience - but value pragmatism over perfection
- Are excited by early-stage ambiguity and want to build real systems, not just prototypes
- Thrive working in-person with a small team, iterating quickly on product and design
- Bonus:
- Experience with healthcare, regulated environments, or automation workflows
- Familiarity with FHIR standard and GraphQL APIs
