Founding Engineer
Core
Design and build AI agents and automated workflows for clinic operations (insurance verification, prior authorizations, patient intake, claims) and features for clinicians, patients, and internal operations.
Role type
Founding Engineer (Full-stack, AI-native platform)
Builds
AI agents, automated workflows, web and mobile features for healthcare practices
Domain
Healthcare technology, AI/LLM applications
Deliverable
production ML models | product features
Required skills
Python, TypeScript, Full-stack development, AI agent orchestration, LLM tool use, Infrastructure as Code, Cloud infrastructure, Product ownership
Preferred skills
Healthcare domain knowledge, Temporal workflow engine, React Native, LLM safety evaluations
Technologies
Python, Kotlin, Hasura, GraphQL, TypeScript, NestJS, Go, React, Next.js, React Native, PostgreSQL, pgvector, Snowflake, Temporal, gRPC, Protobuf, AWS, Terraform, GitHub Actions, Datadog, LaunchDarkly, Claude Code, Codex, OpenAI
Responsibilities
Design and build AI agents and automated workflows for clinic operations; Build features for clinicians, patients, and families on web and mobile; Take ambiguous problems from 0 to 1 and ship first versions; Design services, data models, and APIs; Own services in production including deployments and incident response; Write evals for model-facing features; Work with PHI safely using least-privilege access; Build and maintain AI coding agent skills, plugins, and review bots
Seniority
Founding, hands-on IC
