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Founding Engineer

San Francisco, California · Computer/Software

The role

We’re hiring a Founding Full‑Stack Engineer to build V1 products end to end. You’ll work in a fast, hands‑on environment, iterating quickly with customers to solve real clinical workflow problems.

Key responsibilities:

  • Own the product lifecycle end to end: design, build, test, deploy, and iterate.

  • Partner with founders on product vision, roadmap, and technical strategy.

  • Architect scalable, secure systems across backend and frontend.

  • Own cloud deployments; monitor reliability and performance.

  • Make pragmatic technical choices on frameworks, tooling, and best practices.

  • Establish engineering standards and help hire and mentor the early team.

  • Prototype and productionize LLM-powered features responsibly.

  • Ship quickly with customers; measure impact and refine.

  • Hold a high quality bar while executing autonomously.

Our tech stack:

  • Turborepo (monorepo)

  • Frontend

    • Core app: React Native + Expo (Web, Android, iOS)

    • Admin portal: Next.js

  • Backend: NestJS

  • Database: PostgreSQL

  • Infrastructure: GCP

  • AI: LangChain

Who we’re looking for

Must haves:

  • Expertise in TypeScript and React.

  • Proven experience building and scaling infrastructure.

  • Hands-on with DevOps, CI/CD, and containers.

  • Able to take products from 0→1, concept to production.

  • Startup mindset: bias to action, high ownership, impact focus.

  • Interest in healthcare and motivation to improve patient outcomes.

  • In‑person in the San Francisco Bay Area 3 days/week.

Nice to haves:

  • Early startup or founder experience.

  • Scaled an engineering team to 10+ with a strong culture.

  • Shipped a production app using LLMs.

  • Experience in highly regulated environments.

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