Founding Engineer
San Francisco, CA · On-site · Full-time
Compensation: $180,000–$230,000 + equity
About the Company
Our client is an early-stage (pre-seed) healthcare AI company building referral infrastructure that helps patients move from a primary or urgent care visit to the right specialist quickly and seamlessly. Their platform is already live across dozens of urgent care locations and piloting with a major U.S. health system, with deep EMR integration at the core of the product. It's a small, fast-moving founding team taking on a long-standing gap in coordinated patient referrals.
Founded 2024 · 1–10 people · Industry: Healthcare
The Role
This is our client's first engineering hire — a full-stack founding engineer who will own the entire technical surface alongside the technical co-founder, building and shipping across front end, back end, and cloud infrastructure while helping shape product direction as the company grows.
What you'll be doing
- Own the full technical stack end to end — front end, back end, and cloud infrastructure.
- Design and ship EMR integrations connecting the referral platform to urgent care, ER, and specialist workflows.
- Build and refine the core referral flow so patients are routed to the right specialist quickly and reliably.
- Partner with the founders on product decisions, turning clinical and operational needs into engineering priorities.
- Set the engineering foundations, patterns, and practices as the first engineer on the team.
Tech stack: Python backend, modern front end, cloud infrastructure; EMR / healthcare data integrations.
Requirements
- 3–5 years of software engineering experience (standout candidates with a little less will be considered; typically not a fit beyond roughly seven years)
- Strong Python with production backend experience, plus front-end and cloud comfort across the full stack
- A track record of taking a product or project from zero to one with end-to-end accountability
- Undergraduate degree from a U.S. university
- Authorized to work in the U.S. without visa sponsorship
- Able to work on-site in San Francisco five days a week at startup intensity
Nice to Haves
- Experience at a healthcare startup
- EMR integration or healthcare data standards experience
- A strong academic record or a standout early-career engineering track record
Why Join
- Be the first engineer, with genuine ownership of the whole stack and architecture from day one
- Work directly with the founders on a product that already has real traction in the market
- Meaningful equity in an early-stage company backed by experienced investors
Details
- Location — San Francisco, CA
- Work policy — On-site, 5 days/week, startup hours
- Compensation — $180,000–$230,000 + equity
- Visa sponsorship — None available
- Employment type — Full-time