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Onsite or remote • Boston+4💼 Full-time💰 $24,000–$24,000🗓 2026-06-25

Core

Building the patient/admin portal, patient automations, and AI/digital twin tooling for a telehealth platform focused on longevity and hormone optimization.

Role type

Founding Full-Stack Engineer (CTO track)

Builds

Member-facing portal, clinical ops workflows, AI-assisted clinical tooling

Domain

Telehealth, Longevity, Hormone Optimization

Deliverable

production ML models | product features

Required skills

Full-stack development, Frontend design, Rapid prototyping, System architecture, API integration

Preferred skills

Healthcare domain knowledge, HIPAA compliance, Workflow orchestration, LLM API experience, Payment integration (Stripe)

Technologies

Not specified

Responsibilities

Overhaul existing patient portal, build patient automation workflows, develop AI/digital twin modeling, report directly to founder

Seniority

Founding, hands-on IC with CTO trajectory

Rewrite
## About the role Luma Health, rebranding to Afterward, is a telehealth platform for longevity and hormone optimization, with members across 40+ states on a membership model. Our main focus is on Peptides. We're small and moving fast, and we're looking for a builder to own real product from day one. This is a 3 month sprint to try and find a CTO with a real future attached: full-time for 3 months with cash stipend ($2,000 a month), and for the right person it converts into a CTO / cofounder equity role in the fall. If you want to be early at something and grow into running its technology, this is that shot. This is a risk. We are a startup, and I understand you're worth more than $2,000 a month. ## What you'd own - Our patient/admin portal — the member-facing app for protocols, labs, visit history, messaging, and billing, etc. We have this roughly built but needs an overhaul. - Patient automations — intake, follow-ups, reminders, and clinical ops workflows that let us scale - AI / "digital twin" buildout — early work on patient digital-twin modeling and AI-assisted clinical and ops tooling. This is longer term play- main focus is on portal buildouts and automations. You'll report directly to the founder, ship things members and staff use immediately, and have a real say in the stack and architecture. ## You might be a fit if you - You ship shit fast and have a good eye for frontend design. ## Bonus points - Healthcare, HIPAA, or regulated-data exposure - Automation / workflow orchestration / LLM API experience - Stripe or similar payments ## How we work the security and data-architecture guardrails are set by leadership — you build great things within them, and we teach you why they exist. Real ownership, direct founder access, and a summer that's effectively the audition for a much bigger role. Tell us about something you've built and shipped (link it if you can) and what you'd most want to work on.
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