About the RoleThis is a rare
Founding Engineer (potential CTO) opportunity at a seed-stage, AI-native digital health startup focused on nervous system repair and chronic disease management. You'll be the second technical voice at the company - the person who turns a bold product vision into a production-quality AI mobile experience, and who defines the engineering culture and stack for the next decade.
You'll own the full technical journey: from shipping the first end-to-end AI coaching experience in a React Native app, to architecting the model and feedback loop that powers a real-time nervous system training coach using wearable biosignal data.
This role is
in-person in Montreal, San Francisco, or New York City, and is central to everything the founding team builds.
What You'll Do- Serve as Founding Engineer and potential CTO, owning technical direction and day-to-day execution.
- Ship the AI coaching product v1 end-to-end - from a React Native mobile app to Claude-backed inference and wearable integrations.
- Architect and build an AI-powered nervous system training coach, including model design, prompt engineering, tool use, and evaluation pipelines.
- Translate biosignals (HRV, breath, motion, PPG) into a real-time personalized coaching layer.
- Build and maintain AI-powered QA and testing pipelines to enable safe, fast daily shipping.
- Own full-stack decisions across frontend, backend, infrastructure, and AI-native layers.
- Integrate iOS/HealthKit and wearable platforms (e.g. Apple Watch, Oura, Whoop, EEG headbands).
- Collaborate closely with the founding team on-site in Montreal, SF, or NYC.
What We're Looking ForDealbreakers (must-haves):- Production experience shipping and operating Claude or other frontier LLM-based systems, including prompts, tool use, and evals.
- Willingness and ability to work in-person in Montreal, San Francisco, or New York City.
- 3+ years in mobile/full-stack engineering with a track record of delivering 01 consumer mobile apps to real users.
Required skills & experience:- Deep fluency in React Native with end-to-end ownership of the mobile lifecycle (build, release, debug, monitor, iterate).
- Experience with AI-native infrastructure where AI functions are integrated across all layers - not bolted on.
- Backend development in Node.js or Python with PostgreSQL and modern infra (Vercel, Fly, Render, or similar).
- Ability to move fluidly across the full stack (frontend, backend, infra, AI) with minimal handholding.
- Hands-on experience with HealthKit, wearable APIs, or real-time biosignal data (HRV, PPG, motion).
- Founder mindset: comfortable making hard tradeoffs, operating with high autonomy, and building from zero.
Nice to have:- Experience building AI-powered testing or evaluation pipelines.
- App Store shipping experience - a consumer mobile app with real, active users.
- Background or genuine interest in nervous system science, somatics, neuroscience, or trauma research.
- Prior experience as the first or founding engineer at an early-stage startup.
Compensation & Benefits- Base salary: $170,000 USD / year
- Early-stage equity commensurate with founding-team scope
- High-impact, high-ownership role with a direct path to CTO
Visa sponsorship is not available for this role.
LocationThis is a fully
on-site role. The founding team works together in person across
New York City, San Francisco, or Montreal. Candidates must be able to commit to in-person collaboration at one of these locations.
