Founding Engineer (Healthcare + AI)

SCRIBBLE FOUNDING ENGINEERPhiladelphia, PA   |   Full-Time   |   Home Health AIAbout ScribbleScribble is the top-rated AI platform for home health — purpose-built to give clinicians their time back. Home health agencies run on documentation: visit notes, care plans, prior authorizations, compliance paperwork. It is crushing clinicians and driving burnout across the industry.We fix that with AI that understands complex home health workflows. Scribble helps clinicians document faster, more accurately, and in full regulatory compliance - so they can spend their time with patients, not paperwork.We have real traction, customers across the US, and an ambitious roadmap. This is a category-defining opportunity in a massive, underserved market.The RoleAs Founding Engineer, you will own the technical foundation of Scribble — the architecture, the hard calls, the engineering culture. You will work directly with the CEO, with clinicians, and with customers.You are the kind of engineer who sees a complex problem and gets energized, not overwhelmed. You think in systems. You ship. You care about the user as much as the code. And you understand that at this stage, speed and quality are not opposites - they are both required.What You'll DoArchitect and own the full-stack platform - frontend, backend, infrastructure, and AI pipelinesBuild and deploy AI agents that automate clinical documentation workflows end-to-endDesign backend systems built to scale from hundreds to thousands of production usersWork directly with clinicians and agency operators to translate real workflow pain into product decisionsAct as the technical product owner - driving roadmap, prioritization, and trade-offs alongside the CEOEstablish HIPAA-compliant architecture, security standards, and engineering practices from day oneMove fast - ship to real users, get feedback, iterate, repeatHire and mentor the engineering team as we scaleWhat We're Looking ForRequired5+ years of software development experienceTrue full-stack capability - you own frontend, backend, database, and cloud infrastructure without needing to hand offClaude Code is already part of how you work, not something you are learningYou have scaled backend systems to thousands of production users and know what breaks at scale before it breaksProduct-centric - you hold the technical and the user experience simultaneously and make decisions that serve bothLean by default - you build the right thing at the right scale, and you don't need a big team to do itStrong communicator - you can explain a complex architectural decision clearly to a non-technical audienceBased in Greater Philadelphia regionStrongly PreferredExperience in health tech - EHR integrations, clinical workflows, HIPAA-compliant system designFamiliarity with home health, skilled nursing, or post-acute care operationsPrior founding engineer or early-stage startup experienceHands-on work with agentic AI systems and LLM-powered workflowsTech StackOur current stack - you should be comfortable here and have opinions about:Node.js; React Native; AWS; Claude Code and agentic workflowsWhat We OfferEquity - you will be a key engineering hireCompetitive salary + stock optionsDirect access to customers and real feedback loops from day oneWork on a problem that genuinely matters - reducing clinician burnout and improving patient safety for a fast-aging populationNo bureaucracy, no committees, no red tape - just a lean team building fastPhiladelphia-based with flexibilityHow to ApplySend a short note with the following:The most complex system you have built and scaled - what was hard, what broke, how you fixed itSomething you have built with AI agents or Claude Code - a link, a demo, or a descriptionWhy Scribble is interesting to youNo lengthy cover letters. Show us what you have built.Scribble is an equal opportunity employer.