Founding Principal Full Stack Engineer
CincyBrianHires
Job Description
Job Description
Our client, an early-stage healthcare AI startup, is hiring F ounding Principal Full Stack Engineers. You'll own major product verticals end-to-end — from practice analytics and AI-powered insights to EHR integrations — working directly with the co-founders to shape both the product and the engineering culture from the ground up.
What You'll Be Doing
- Owning entire product verticals end-to-end: roadmap, architecture, execution, and production operations
- Building AI-powered analytics and tooling that gives practice operators the leverage to support 40+ practices instead of 1–2
- Running parallel Claude Code/Codex agent sessions to ship at dramatically higher velocity
- Architecting and deploying full-stack features (Python/React) on AWS with no dedicated DevOps support
- Making product decisions autonomously — spotting opportunities, forming opinions, and shipping without waiting on specs
Key Requirements
- Has built and shipped a product end-to-end (true zero-to-one ownership, not just feature work within a larger team)
- Sophisticated agentic AI workflow — deep, hands-on experience running Claude Code/Codex with parallel sessions and custom tooling, not casual copilot use
- Full-stack fluency across frontend and backend, built from scratch rather than maintained (specific languages don't matter — breadth does)
- High agency and ownership mindset — operates without being told what to do, and is comfortable with early-stage intensity
- 5–10+ years of full-stack engineering experience with product ownership
- Experience managing cloud infrastructure, AWS preferred
Preferred
- Experience at a high-growth startup or a top-tier tech company
- Has built production features that integrate AI (not just used AI-assisted workflows)
Vacancy posted a month ago
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