Founding Engineer

The roleWe're hiring a Founding FullStack Engineer to build V1 products end to end. You'll work in a fast, handson environment, iterating quickly with customers to solve real clinical workflow problems.Key responsibilities:Own the product lifecycle end to end: design, build, test, deploy, and iterate.Partner with founders on product vision, roadmap, and technical strategy.Architect scalable, secure systems across backend and frontend.Own cloud deployments; monitor reliability and performance.Make pragmatic technical choices on frameworks, tooling, and best practices.Establish engineering standards and help hire and mentor the early team.Prototype and productionize LLM-powered features responsibly.Ship quickly with customers; measure impact and refine.Hold a high quality bar while executing autonomously.Our tech stack:Turborepo (monorepo)FrontendCore app: React Native + Expo (Web, Android, iOS)Admin portal: Next.jsBackend: NestJSDatabase: PostgreSQLInfrastructure: GCPAI: LangChainWho we're looking forMust haves:Expertise in TypeScript and React.Proven experience building and scaling infrastructure.Hands-on with DevOps, CI/CD, and containers.Able to take products from 0→1, concept to production.Startup mindset: bias to action, high ownership, impact focus.Interest in healthcare and motivation to improve patient outcomes.Inperson in the San Francisco Bay Area 3 days/week.Nice to haves:Early startup or founder experience.Scaled an engineering team to 10+ with a strong culture.Shipped a production app using LLMs.Experience in highly regulated environments.