Founding Engineer

Job Description

Job Description

About the Role

We're a small, fast-moving seed-stage healthtech startup building AI-powered software that modernizes billing and operations for Emergency Medical Services (EMS) agencies. Our platform automates denial resolution, appeal generation, payer outreach, and compliance workflows — helping paramedics get paid and protecting 911 services across the country.

We're looking for a Founding Engineer to join as one of the earliest technical hires. This role blends hands-on, end-to-end engineering with direct customer engagement — you'll talk to billers, fire chiefs, and ops leaders as often as you write code. If you thrive in a high-ownership environment and want your work to have immediate, measurable impact, this role is for you.

What You'll Do

• Own architecture, development, deployment, and on-call responsibilities across the full stack.

• Build and ship customer-facing features informed by direct conversations with EMS billers and agency operators.

• Design and implement automation that eliminates manual work and drives meaningful revenue recovery for agencies.

• Make thoughtful product and design tradeoffs with a strong UX sensibility.

• Iterate rapidly: deploy, gather customer feedback, and continuously improve.

• Collaborate closely with the founding team in a hybrid in-person setting (San Francisco, 2–3 days per week).

What We're Looking For

Required:

• 1–3 years of experience building full-stack products end-to-end, with demonstrated ownership of complete features.

• Proficiency in React and a track record of delivering polished, customer-facing UIs with strong UX sensibility.

• Experience translating customer needs into technical deliverables and building features that interact with external APIs.

• Hands-on experience with LLMs and Retrieval-Augmented Generation (RAG) architectures — this is a dealbreaker requirement.

• Strong CS fundamentals, high attention to detail, fast learner, and clear communicator.

Nice to Have:

• Backend and infrastructure experience with Go, PostgreSQL, and Google Cloud .

• Background in EMS, 911 dispatch, healthcare, or insurance billing.

• NREMT certification (a significant plus).

• Prior experience as a founder or founding engineer at an early-stage startup.

Visa: OPT and STEM OPT candidates are welcome; the team will work with you on next steps. Formal visa sponsorship is not available at this time.

Location

This is a hybrid role based in San Francisco, CA . You'll be expected in the office 2–3 days per week to work closely with the founding team. Remote candidates are not being considered for this position.

Compensation & Benefits

• Salary: $120,000 – $190,000 USD annually, depending on experience.

• Early-stage equity as a founding team member.

• High-impact, high-ownership role at the ground floor of a mission-driven healthtech company.