Founding Engineer (Healthcare + AI)

SCRIBBLE FOUNDING ENGINEER

Philadelphia, PA | Full-Time | Home Health AI

About Scribble

Scribble 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 Role

As 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 Do

• Architect and own the full-stack platform - frontend, backend, infrastructure, and AI pipelines
• Build and deploy AI agents that automate clinical documentation workflows end-to-end
• Design backend systems built to scale from hundreds to thousands of production users
• Work directly with clinicians and agency operators to translate real workflow pain into product decisions
• Act as the technical product owner - driving roadmap, prioritization, and trade-offs alongside the CEO
• Establish HIPAA-compliant architecture, security standards, and engineering practices from day one
• Move fast - ship to real users, get feedback, iterate, repeat
• Hire and mentor the engineering team as we scale

What We're Looking For

Required

• 7+ years of software development experience
• True full-stack capability - you own frontend, backend, database, and cloud infrastructure without needing to hand off
• Claude Code is already part of how you work, not something you are learning
• You have scaled backend systems to thousands of production users and know what breaks at scale before it breaks
• Product-centric - you hold the technical and the user experience simultaneously and make decisions that serve both
• Lean by default - you build the right thing at the right scale, and you don't need a big team to do it
• Strong communicator - you can explain a complex architectural decision clearly to a non-technical audience
• Based in Greater Philadelphia region

Strongly Preferred

• Experience in health tech - EHR integrations, clinical workflows, HIPAA-compliant system design
• Familiarity with home health, skilled nursing, or post-acute care operations
• Prior founding engineer or early-stage startup experience
• Hands-on work with agentic AI systems and LLM-powered workflows

Tech Stack

Our current stack - you should be comfortable here and have opinions about:

• Node.js; React Native; AWS; Claude Code and agentic workflows

What We Offer

• Equity - you will be a key engineering hire
• Competitive salary + stock options
• Direct access to customers and real feedback loops from day one
• Work on a problem that genuinely matters - reducing clinician burnout and improving patient safety for a fast-aging population
• No bureaucracy, no committees, no red tape - just a lean team building fast
• Philadelphia-based with flexibility

How to Apply

Send a short note with the following:

• The most complex system you have built and scaled - what was hard, what broke, how you fixed it
• Something you have built with AI agents or Claude Code - a link, a demo, or a description
• Why Scribble is interesting to you

No lengthy cover letters. Show us what you have built.

Scribble is an equal opportunity employer.