Founding Engineer

About the Company high growth AI Startup backed by top-tier VCs, building the AI layer that fixes how ambulance agencies get paid. EMS agencies lose roughly $40B a year to denied claims, payor maze rules, and documentation errors that nobody catches until it's too late. This team is building ambient documentation, pre-bill error catching, intelligent claims, and automated denials software to fix it. About the Team Founded by two operators who've lived this problem from both sides: one a former healthcare investor and EMT, the other a founding engineer who built voice and AI products across several healthcare startups. They started the company because EMS is one of the few industries where good software directly protects the service people call on their worst day. About the Role This is a true founding seat, not a generic early-employee title. You'll talk directly to billers, fire chiefs, and ops leaders, build customer-facing features, and own things end-to-end: architecture, code, deployment, and the 2am page when something breaks. You'll help ship automation that saves agencies real money and gets paramedics paid faster. About You You have an opinion and know when to push back. When a customer asks for X, you figure out whether they actually need X or something three steps upstream. You ship, feel good for thirty seconds, then start noticing what could be better. You want to start a company someday, and you want a real founding seat with meaningful equity to go with it. Must-Haves Strong agentic builder, comfortable running multiple agents in parallel and always looking to learn more 2-5 years building fullstack products end-to-end High bar for quality, sharp attention to detail, fast learner, clear communicator Solid grounding in APIs, LLMs, and RAG architectures React experience with strong design and UX instincts How They Work In-person in SF 2-3 days/week Lunch and dinner covered on office days Free health, vision, and dental insurance Monthly wellness stipend Unlimited PTO plus one week per quarter to work from anywhere #J-18808-Ljbffr