Founding Engineer
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:
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Own the product lifecycle end to end: design, build, test, deploy, and iterate.
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Partner with founders on product vision, roadmap, and technical strategy.
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Architect scalable, secure systems across backend and frontend.
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Own cloud deployments; monitor reliability and performance.
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Make pragmatic technical choices on frameworks, tooling, and best practices.
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Establish engineering standards and help hire and mentor the early team.
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Prototype and productionize LLM-powered features responsibly.
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Ship quickly with customers; measure impact and refine.
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Hold a high quality bar while executing autonomously.
Our tech stack:
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Turborepo (monorepo)
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Frontend
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Core app: React Native + Expo (Web, Android, iOS)
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Admin portal: Next.js
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Backend: NestJS
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Database: PostgreSQL
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Infrastructure: GCP
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AI: LangChain
Who we’re looking for
Must haves:
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Expertise in TypeScript and React.
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Proven experience building and scaling infrastructure.
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Hands-on with DevOps, CI/CD, and containers.
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Able to take products from 0→1, concept to production.
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Startup mindset: bias to action, high ownership, impact focus.
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Interest in healthcare and motivation to improve patient outcomes.
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In‑person in the San Francisco Bay Area 3 days/week.
Nice to haves:
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Early startup or founder experience.
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Scaled an engineering team to 10+ with a strong culture.
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Shipped a production app using LLMs.
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Experience in highly regulated environments.