Founding Engineer
Core
Build an end-to-end operating system for senior care delivery, integrating AI tools and LLM agents to empower clinicians and staff in the PACE model.
Role type
Founding Engineer (0-1 system ownership)
Builds
Comprehensive operating system spanning growth, care delivery, operations, analytics, and finance
Domain
Healthcare technology / Senior care / PACE programs
Deliverable
production ML models | product features | infrastructure
Required skills
TypeScript, Node.js, React, AWS/GCP, Terraform, event-driven architecture, data-heavy workloads, system design, AI/LLM integration, buy-vs-build decision making
Preferred skills
FHIR/HL7/EDI/claims experience, data schema design, ETL, security-by-design, design systems, Mandarin/Cantonese
Technologies
TypeScript, Node, React, AWS, GCP, Terraform, SST, Medplum, LLM agents
Responsibilities
Develop end-to-end operating system, build and integrate LLM agents, pair with clinicians to measure time savings and outcomes, make buy vs build decisions, set engineering culture and roadmap
Seniority
Founding, 0-1 system ownership