CareerPlanSign in

Senior Founding Engineer, Platform

New York City, NY💼 Full-time🗓 2026-09-20 → 2026-09-25

Core

Design and build the foundational platform for an autism care operating system, including data models, billing logic, and AI infrastructure.

Role type

Senior Founding Engineer (Platform)

Builds

A unified platform for clinicians to manage practice operations, billing, and clinical workflows.

Domain

Healthcare / Fintech / AI Infrastructure

Deliverable

production ML models | product features | infrastructure

Required skills

Domain modeling, state machine design, schema migration, money logic implementation, LLM pipeline construction, security architecture, HIPAA compliance

Preferred skills

LLM feature shipping (RAG, evals), event sourcing, ledger architectures, healthcare/EHR experience

Technologies

LLMs, state machines, schema migration tools, security frameworks

Responsibilities

Design core domain models for patients, providers, and claims; implement money invariants and payout logic; build lifecycle state machines for system stability; manage schema evolution and migrations; construct AI infrastructure for clinical workflows; ensure security and HIPAA compliance; handle production deployment and incident response

Sourced via dover · Listed on CareerPlan, which tracks 70,000+ jobs from 20+ sources.