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:

• 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 01, 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.