Founding Engineer

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