Founding Engineer
Full-time
Healthcare Infrastructure Company
The opportunity
Healthcare's revenue systems were not built for the AI era. In an age of abundance, care is bound by slow decisions, fragmented data, and slow payment cycles.
About Us
We are redesigning healthcare's industrial infrastructure. Our platform creates a simpler reimbursement layer for medical providers, unleashing the potential for AI-led and AI-enabled care.
Our NYC-based team is lean, founder-led and already supporting great brands in healthcare. Our venture is backed by leading early-stage investors and angels. Before building the Healthcare Infrastructure Company, our founding team built and scaled high-growth venture-backed businesses in tech and digital health.
About the role
We're hiring a high-energy ops whiz to join our team build from the ground up, working directly alongside our CEO, CTO, and team. The right person for this is role is someone who is scrappy, intelligent, detail-oriented and low-ego. For our team, there is no task too big and no task too small.
As a founding engineer, you’ll wear many hats at once! The main buckets of work will be:
- Platform. Build the systems of instant decisions for claims, eligibility, payments, and the workflows that our customers live in every day.
- Automated Intelligence. Insurance runs on unstructured chaos: faxes, EOBs, payer portals, phone calls. You'll build the AI pipelines that turn that mess into structured, trustworthy data — and the guardrails that make it safe to act on.
- Integrations. Clearinghouses, payers, EHRs. Every one of them is different and none of them is modern. You'll make them look like one clean system to everyone downstream.
We work hard and have fun doing it; this role will be in-person, 5+ days a week. If you are seeking for a role that you can turn off notifications at 5pm, this won’t be the best fit!
Who you are
Here are profiles we’re interested in:
- Someone excited about making a career-defining leap
- 2-10+ years of experience shipping production software, ideally inside a high-growth startup, owning features end to end; experience with healthcare claims is a huge plus
- Proactive, self-motivated, and capable of owning, collaborating, and coordinating around their work independently
- Fluent in the modern JavaScript stack: TypeScript, Next.js, React, Node, with experience designing modular backends, and Python
- Experience building agentic systems (with Claude SDK, for example)
- Detail-oriented and low-ego: with teammates, customers and vendor
- Former (or aspiring) founder
Our Values
- Learn by doing
- Speed over perfection
- Ask for forgiveness, not permission
- Have fun!
What we offer
- Early-stage equity
- A front-row seat to building a company from first principles, with direct ownership from day one
- A charming Chinatown office (Manhattan)
- Health Benefits and 401(k)
- Lunch on the company
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Founding Engineer in New York, NY vacancy
$80k - $110k
...productive use. We are an early-stage team working where biology, engineering and industrial design meet, supported by South Park Commons... ...Brooklyn Navy Yard. \n \n The role \n You will be our founding engineer, helping establish and shape our hardware...SuggestedPermanent employmentWork at officeImmediate startBiomific
New York, NY4 days ago- Serval is hiring a founding Solutions Engineer to own the technical pre-sales cycle for strategic customers. You will engage CIOs and security leaders, run architecture reviews, and demonstrate the platform’s value with hands-on demos and pilots. As the first technical...Suggested
- Pockyt, building the AI-native infrastructure for global money movement, seeks a founding engineer for the NYC Applied AI team. You will own critical systems end-to-end, drive agentic workflows, and mentor a growing team from day one while reporting to the CEO and collaborating...Suggested
- EliseAI is hiring a founding GTM Engineer to redesign revenue systems and embed AI into go-to-market workflows. You’ll lead discovery, prototyping, and end-to-end implementation of AI solutions across Sales, Marketing, Customer Success, Revenue Ops, and Recruiting. You’...Suggested
$150k - $250k
Founding Engineer - Consumer AI & Agentic Systems Location: New York, NY (Onsite) Employment Type: Full-Time Base Salary: $150,000-$250,000 Equity: 1%-3% Work Authorization: Open to visa transfers, including OPT and H-1B transfers Relocation Assistance: Not provided About...SuggestedFull timeH1bWork at officeWork visaRelocation package$120k - $180k
...Founding Engineer Full-time | Hybrid — New York, NY | $120K–$180K + Competitive Equity I'm working on behalf of a VC-backed startup (Google + Y Combinator among the backers) building the AI-native infrastructure to change that. They're looking for a Founding Engineer...Full time3 days per weekDigital Waffle
New York, NY3 days ago- ...Founding Engineer Reporting to: William DeVar , Technical Co-Founder Location: Richmond VA (Preferred), Open to exceptional NYC or Remote candidates About June Point Lending June Point Lending is making homeownership possible and more accessible for a creditworthy...Full timeSelf employmentRemote work
June Point Lending
New York, NY1 day ago - ...We're building the operating system for how value moves in an agentic, borderless economy. The Role We're hiring a Founding Engineer to start our New York Applied AI team — the small, senior, AI-leveraged group whose mandate is to compress quarters into days...Full time
Pockyt
New York, NY2 days ago $160k - $225k
...paying customers and 15,000 creators. We’re a team of five, backed by Gutter Capital. The Role We’re looking for a founding engineer who operates at a staff level and wants to shape both a product and the engineering team behind it. You’ll join our full-...Full timeWork at officeWeekend workFlair
New York, NY4 hours ago$260k
...Founding Engineer Location: New York City (Chelsea) — on-site Type: Full-time Stage: Early-stage, well-funded startup Compensation: Up to $260K base, depending on experience, plus 1–2% equity About the Company We're an early-stage startup, backed...Full timeTemporary workRelocationEBAS Group
New York, NY1 day ago$150k - $250k
...Founding Engineer New York City · In person $150,000–$250,000 salary + 1-3% equity About EcoGPT EcoGPT is building an AI company centered around people and the planet. We’ve grown to 3M+ users and are currently growing 50–100% month over month. We’re building...EcoGPT
New York, NY14 hours ago$180k - $250k
...An AI startup in New York City is looking for a Founding Engineer to join their team. Compensation: $180K–$250K + Equity Location: New York, NY; 5 days onsite per week US Citizen/GC Holders Only; No Visa Sponsorship Within this role, you'll own a full product...Full timeVisa sponsorshipOpen Systems Technologies
New York, NY14 hours ago$150k - $250k
...Founding Engineer | New York City | $150k–$250k + Equity I’m working with an early-stage, YC-backed AI startup looking for a Founding Engineer to help build a product transforming how home service businesses sell and operate. The opportunity: ~$150k–$250k base...Full timeFor contractorsWork at officeVisa sponsorshipAlpha Associates Recruitment
New York, NY4 days ago$200k - $280k
...Hey! Thanks for checking this out. This is one of the coolest engineering roles we’ve worked on. 2 quick notes: This is New York based... ...high bar. What’s in it for you? They’re hiring three founding engineers to build a second product team from scratch in the...Full timeWork at officeVisa sponsorshipRelocation packageWeekend work3 days per weekBluebird
New York, NY14 hours ago$170k - $250k
...Founding Engineer (Full-Stack Product Engineering & Agentic AI) Compensation: $170K–$250K base + founding-level equity Location: New York City — five days on-site The Company A rapidly scaling, venture-backed healthcare technology company is building...Full timeImmediate startPeople In AI
New York, NY14 hours ago- ...Founding Customer Success Engineer Location: New York City Type: Full-time, In-office Overview Our client is hiring a Founding Customer Success Engineer to help customers get meaningful value from the platform. The successful candidate will maintain an unusually...Full timeWork at office
GroTech Search
New York, NY14 hours ago $170k - $220k
...RIVER Founding Engineer About River River builds AI voice agents for B2B SaaS sales teams. Our agent talks with prospects in real time: it qualifies them, answers the hard questions, demos the product by actually using it in a browser while it speaks, and follows...Full timeLive inVisa sponsorshipRelocation packageRiver
New York, NY4 days ago$250k - $300k
...Founding Engineer, CTO New York City | On-site $250,000-$300,000 + meaningful equity Albert Bow are support an early stage start-up in NYC who are currently on the lookout for a Founding Engineer who is interested in finding a role to give them a clear pathway...Full timeAlbert Bow
New York, NY14 hours ago- ...Founding Engineer About the opportunity We are partnering with an early-stage, well-funded startup building the interface for the next generation of enterprise decision-making, powered by behavioral simulations and LLMs. The company is working with its first enterprise...Full time
kadence
New York, NY14 hours ago - ...Ultralytics is hiring three founding engineers to form a second product team based in its new New York office. These roles function as tech leads who bring high ownership, production software experience, and a strong interest in AI experimentation to build and scale the...Work at office
Ultralytics
New York, NY4 days ago - ...Founding Backend Engineer Location: New York City or San Fran - 4 days per week onsite, 1 day remote Work Style: In-office, 5 days per week Employment Type: Full-time Experience: 6–10 years Focus: Backend Engineering, Data Modeling, Knowledge Graphs...Full timeWork at officeRemote work
Nxt Level
New York, NY2 days ago $100k - $150k
...they love: a toy. The role You’ll be one of our first engineers and own the backend that powers every conversation. That means... ...days ~ Real ownership from day one ~$100k to $150k base + founding equity How to apply Send your resume and a short note...Full timeShift workSkyBuds
New York, NY4 days ago$175k - $225k
...Senior Founding Engineer | Build Agentic AI That Grows Consumer Brands | NYC Start-Up The Opportunity This is engineer #2 at a start-up backed by a top-tier Silicon Valley VC, building an AI platform that runs the growth operations of consumer brands end to end...Full timeH1bWork at officeRelocationIniti8 Recruitment
New York, NY14 hours ago- ...to join at the ground floor and help shape product direction, engineering standards, and company culture from the beginning. If you... ...that kind of role. What You’ll Work On You’ll join a founding engineering team building the first generation of core products...Full time
arcadia
New York, NY2 days ago $175k - $250k
...nearly the entire technology stack. Spring is backed by a $300 million bank facility and $30 million in equity. We're hiring a founding engineer to build the next stage: AI agents that manage underwriting, funding, and repayment at scale, alongside software that helps...Full timeH1bVisa sponsorshipSpring
New York, NY2 days ago$150k - $250k
Precharm is seeking a founding engineer in New York City to build and improve systems for our trading business. You will have significant ownership over the development of exchange connectors, execution systems, and market data infrastructure. We value candidates with 1...$195k - $230k
...The Role We're looking for a Founding Product Engineer to help build the next generation of financial products for the millions of low-income Americans who interact with Forage. Forage is the leading payment processor for regulated payments, starting with EBT. We...Work at officeRemote workForage
New York, NY14 hours ago$150k - $250k
...Decagon, Cognition, Kalshi, and Uber. About the Role This is a rare opportunity to be one of the first employees. As a Founding Engineer at Pascal, you will deliver modern, agent-first architectures to our customers. Responsibilities include: Building the foundational...Work at officeFlexible hoursPascal
New York, NY1 day ago- ...New York or San Francisco is hiring the first AI infrastructure engineer to build the core backend and distributed systems—on-site. You... ...compensation. You will collaborate directly with the founder and founding team to operationalize customer workflows and ensure reliable,...
$250k
...generation financial infrastructure at the intersection of AI, financial markets, and blockchain . They’re looking for a Founding Engineer to join at the ground floor and help architect and build the core platform from scratch. The Role Design and build core...RelocationPlexus Resource Solutions
New York, NY2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Founding Engineer. Be the first to apply!
