Founding Full-Stack Engineer
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## 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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