{"schemaVersion":"jobsearcher.job.v1","id":"baf144773ee8d8fa54b5f6fa","url":"https://jobsearcher.com/jobs/baf144773ee8d8fa54b5f6fa","canonicalUrl":"https://jobsearcher.com/jobs/baf144773ee8d8fa54b5f6fa","title":"Founding Full-Stack Engineer","description":"Founding Full-Stack EngineerNYCOur client is a rapidly scaling, stealth-mode mental health startup based in New York City, focused on transforming care for older adults through advanced AI. Backed by premier venture capital and healthcare founders, the company operates with a collaborative, in-person team and a mission to drive measurable impact for a major, underserved population.About the RoleWe're seeking a Founding Senior Fullstack Engineer to help architect, build, and launch an AI-first clinical platform supporting care teams and patients at scale. You’ll join an experienced, driven founding team, set technical standards, and own major product decisions—moving quickly from concept to robust, production-ready solutions. This is a unique opportunity to make foundational contributions and set the future engineering culture with a clear trajectory to Head of Engineering as the organization scales.ResponsibilitiesDesign and deliver the V1 clinical operations layer across patient experience, therapist workflows, and healthcare infrastructure (EHR, scheduling, billing).Lead the development and iteration of AI-powered features: speech-to-text triage, care navigation copilots, automated progress notes, intelligent intake, and voice agent functionality.Own and evolve the technical architecture, ensuring scalability, reliability, and compliance.Collaborate closely with clinicians, product, and design to rapidly prototype, iterate, and ship impactful solutions.Mentor, recruit, and amplify early engineering talent as the team grows.Set and uphold high standards for code quality, system design, and operational excellence.Influence technical and team culture as a founding engineering leader.Qualifications4–8 years of hands-on experience as a fullstack software engineer in a high-growth or startup setting at a senior/staff level.Demonstrated track record of owning and shipping complex 0-to-1 projects and scaling systems in production environments.Strong technical proficiency in fullstack development (Next.js/React, Node.js, Flask or similar backend frameworks).Experience leading technical decisions and mentoring or attracting engineering talent.Excellent collaboration and communication skills; proven ability to move fast and deliver outcomes with minimal oversight.Hybrid: Ability to work onsite at least 3 days per week in New York City.Preferred SkillsExperience building and launching AI-first product features or platforms.Background working in healthcare, especially with EHRs, billing, or other clinical infrastructure.Bachelor’s or higher in Computer Science or related discipline.Experience and tangible impact at Series A–C startups.Track record of excellence - can be demonstrated through top academics, ownership of critical projects, open-source contributions, or key roles at high-growth companies.Deep mission alignment and a genuine drive to improve lives through technology.","company":"Recruitseq","rawCompany":"recruitseq","city":"New York","state":"NY","isRemote":false,"isActive":false,"createdAt":"2026-04-12T17:12:01.126Z","occupations":[{"code":"15-1252.00","title":"Software Developers","slug":"software-developers"},{"code":"15-1299.08","title":"Computer Systems Engineers/Architects","slug":"computer-systems-engineers-architects"},{"code":"17-2199.00","title":"Engineers, All Other","slug":"engineers-all-other"}],"industries":[{"code":"541511","title":"Custom Computer Programming Services","slug":"custom-computer-programming-services"},{"code":"541512","title":"Computer Systems Design Services","slug":"computer-systems-design-services"},{"code":"513210","title":"Software Publishers","slug":"software-publishers"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Founding Full-Stack Engineer","description":"Founding Full-Stack EngineerNYCOur client is a rapidly scaling, stealth-mode mental health startup based in New York City, focused on transforming care for older adults through advanced AI. Backed by premier venture capital and healthcare founders, the company operates with a collaborative, in-person team and a mission to drive measurable impact for a major, underserved population.About the RoleWe're seeking a Founding Senior Fullstack Engineer to help architect, build, and launch an AI-first clinical platform supporting care teams and patients at scale. You’ll join an experienced, driven founding team, set technical standards, and own major product decisions—moving quickly from concept to robust, production-ready solutions. This is a unique opportunity to make foundational contributions and set the future engineering culture with a clear trajectory to Head of Engineering as the organization scales.ResponsibilitiesDesign and deliver the V1 clinical operations layer across patient experience, therapist workflows, and healthcare infrastructure (EHR, scheduling, billing).Lead the development and iteration of AI-powered features: speech-to-text triage, care navigation copilots, automated progress notes, intelligent intake, and voice agent functionality.Own and evolve the technical architecture, ensuring scalability, reliability, and compliance.Collaborate closely with clinicians, product, and design to rapidly prototype, iterate, and ship impactful solutions.Mentor, recruit, and amplify early engineering talent as the team grows.Set and uphold high standards for code quality, system design, and operational excellence.Influence technical and team culture as a founding engineering leader.Qualifications4–8 years of hands-on experience as a fullstack software engineer in a high-growth or startup setting at a senior/staff level.Demonstrated track record of owning and shipping complex 0-to-1 projects and scaling systems in production environments.Strong technical proficiency in fullstack development (Next.js/React, Node.js, Flask or similar backend frameworks).Experience leading technical decisions and mentoring or attracting engineering talent.Excellent collaboration and communication skills; proven ability to move fast and deliver outcomes with minimal oversight.Hybrid: Ability to work onsite at least 3 days per week in New York City.Preferred SkillsExperience building and launching AI-first product features or platforms.Background working in healthcare, especially with EHRs, billing, or other clinical infrastructure.Bachelor’s or higher in Computer Science or related discipline.Experience and tangible impact at Series A–C startups.Track record of excellence - can be demonstrated through top academics, ownership of critical projects, open-source contributions, or key roles at high-growth companies.Deep mission alignment and a genuine drive to improve lives through technology.","datePosted":"2026-04-12T17:12:01.126Z","dateModified":"2026-04-12T17:12:01.126Z","hiringOrganization":{"@type":"Organization","name":"Recruitseq","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"New York","addressRegion":"NY","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"baf144773ee8d8fa54b5f6fa"},"url":"https://jobsearcher.com/jobs/baf144773ee8d8fa54b5f6fa"}}