Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Founding Engineer

$180k

People Culture Talent

The Role We're hiring a Founding Engineer to join an early‑stage company building AI‑powered software and data infrastructure for healthcare organizations operating in highly regulated, data‑intensive environments. This is a foundational engineering hire. You'll work directly with the founders to design and build core product experiences, develop AI‑enabled workflows, implement customer deployments, and help establish the engineering systems and practices that will support the company's growth. The platform brings together large volumes of clinical, operational, and financial data to automate workflows, surface actionable insights, and improve decision‑making for enterprise healthcare customers. The role is well suited for an engineer who enjoys working across product, design, and engineering, is comfortable wearing multiple hats, and thrives owning projects from initial concept through production. Product Engineering Design, build, and ship product features across the stack, from database design and APIs through frontend applications Build and maintain integrations with external systems, structured datasets, and enterprise data sources Develop infrastructure that powers AI‑enabled product experiences, including LLM‑driven workflows and intelligent automation Improve application performance, reliability, and scalability as customer usage and data volumes grow Work closely with founders and users to translate complex operational requirements into intuitive software Customer Deployments Partner with customers during implementation and onboarding Configure integrations, data mappings, and deployment workflows Participate in customer conversations and translate feedback into product improvements Support and maintain the systems you build, including incident response, debugging, and operational troubleshooting Engineering Foundation Help establish engineering practices around testing, deployments, observability, security, and code review Build systems that meet the reliability and compliance expectations of enterprise customers Mentor future team members and help shape the company's engineering culture What You’ll Bring 3–5+ years of experience building and shipping customer‑facing software Familiarity with healthcare data standards (FHIR, HL7, X12, EHR, claims, or similar) Strong experience with React, TypeScript, and modern web application development Full‑stack experience across frontend applications, APIs, databases, and background services, including work with complex enterprise or operational data systems Experience building and deploying AI‑enabled product features using modern LLMs, agent frameworks, or retrieval‑based systems Familiarity with prompt engineering, evaluation workflows, and AI application development best practices Strong product judgment and the ability to work effectively with limited process or oversight Bonus Experience in customer‑facing engineering roles such as implementation engineering, solutions engineering, forward deployed engineering, or technical consulting Understanding of enterprise deployment requirements, security best practices, and compliance‑focused environments (HIPAA, SOC 2, etc.) Comfortable working in a fast‑paced startup where engineering, product, and customer success are closely intertwined Benefits The starting salary for this role is $180,000, with a range up to $240,000 USD. The provided salary depends on many factors, such as work experience and transferable skills, business needs and impact, and market demands. About Our Client Our client is an early‑stage, venture‑backed software company building an AI‑native platform for organizations managing complex operational and healthcare data. Their technology helps customers unify fragmented information, automate manual workflows, and generate actionable insights that improve decision‑making across clinical and business operations. The founding team brings deep expertise across software engineering, machine learning, and enterprise systems, and is building a category‑defining platform for one of the largest and most data‑intensive industries. This is an opportunity to join at the earliest stages, work directly alongside the founders, and help shape both the product and engineering organization from the ground up. #J-18808-Ljbffr

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Founding Engineer in San Francisco, CA vacancy
  • $140k - $180k

     ...About the RoleJoin a small, high-velocity founding team as engineer #4, working directly with the CTO and fellow founding engineers at an AI-powered talent acquisition startup in San Francisco. This is a hands-on, high-ownership role where you'll ship features to production... 
    Suggested
    Visa sponsorship

    Torrey Holistics

    San Francisco, CA
    10 hours ago
  •  ...researcher who has spent his entire career in enterprise AI, leading engineering teams from seed through Series C. The broader team includes...  .... We hold a high bar of excellence that starts with the founding team. Background Deploying truly impactful AI Agents today requires... 
    Suggested

    Fragment

    San Francisco, CA
    3 days ago
  •  ...interact with AI. We are funded by leading VCs and are a startup-in-residence at the iconic design and innovation firm, IDEO. Founding Engineer To make this future possible, we’re hiring our first engineer. What we’re looking for is tenacity, creativity, and a refusal to... 
    Suggested

    Shared Context Lab

    San Francisco, CA
    3 days ago
  • $200k

     ...We’re looking for a highly ambitious Founding Engineer to join a fast-growing AI startup building the next generation of developer workflows for production codebases. This is a unique opportunity to work directly with the founding team and help shape both the product and... 
    Suggested
    Full time

    Wink

    San Francisco, CA
    3 days ago
  •  ...needed. No hand‑holding. No waiting for specs. You're a full‑stack engineer, an AI engineer, and a product engineer in one person. Former...  ...impact this role will have. A seat at the table. This is a founding role, you'll shape the product and the company. We're building... 
    Suggested

    DataLeap

    San Francisco, CA
    3 days ago
  •  ...We’re hiring a Founding Full-Stack Engineer to join our team! This role is full-time in San Francisco at our Presidio office. Gauge helps companies show up in more AI answers. Search traffic is shifting away from Google into AI chat, and companies are figuring out how... 
    Full time
    Work at office
    Immediate start
    Shift work

    Gauge

    San Francisco, CA
    3 days ago
  •  ...Blind Bio is solving for. About the Role As an AI‑focused Software Engineer at Double Blind Bio, you will help build and operate...  ...research workflows Experience working in early‑stage startups or founding teams Deep expertise in at least one area of the stack (frontend... 
    Worldwide

    Double Blind Bio

    San Francisco, CA
    3 days ago
  •  ...Candidate Data Infrastructure - "Senior SWE" and "Sr. Software Engineer" are the same thing, but keyword search doesn't know that. Build...  ...jobs." "Own green‑field systems, ship daily, and receive founding‑level equity in a pre‑seed startup backed by top investors." "Relocate... 
    Full time
    Work experience placement
    H1b
    Live in
    Remote work
    Relocation
    Visa sponsorship
    Flexible hours
    Day shift

    Worldwide Placement

    San Francisco, CA
    2 days ago
  •  ...Founding Engineer (Full Stack) Location: San Francisco Bay Area Type: Full-Time Compensation: Competitive salary + meaningful equity (founding tier) About the role We’re hiring a founding full stack engineer to help architect and build the platform from day one. This is... 
    Full time

    Fabrion

    San Francisco, CA
    2 days ago
  •  ...and socials in a single place. We're looking for an excellent engineer to join us in Mumbai (and SF) as our 3rd team member. This person...  ...Experience or passion outside engineering (athletics, esports, founding, etc.) is a plus. If this sounds like you, apply and DM us with... 

    Result (YC P26)

    San Francisco, CA
    3 days ago
  •  ...company from scratch! About Our Team Our team is a group of five engineers, embodying a ‘small but mighty’ spirit. We are defined by our...  ...’ve done this before (we love former founders + early stage founding engineers! All great talent is welcome, of course). Who You Are... 
    Contract work

    Untether Labs

    San Francisco, CA
    3 days ago
  •  ...About Terac We’re building a search engine for human thought . While you might go to Google to search through the web, you come to Terac...  ...major consumer companies. Joining now means being part of the founding team defining the next $100B market. The Role We’re looking for... 

    Terac

    San Francisco, CA
    4 days ago
  •  ...We’re looking for exceptional founding engineers to build the consumer security layer for web3. Working at Pocket Universe protects people from fraudulent transactions designed to steal blockchain assets. Our mission is to push the status quo on security and UX such that... 
    Full time
    Contract work
    Relocation

    Pocket Universe

    San Francisco, CA
    3 days ago
  • $180k - $280k

     ...Salary: USD180000 - USD280000 per annum + PTO + Benefits + 401(K) + Equity Founding Senior Software Engineer $180,000 - $280,000 + 1-2% Equity + 401(k) + Benefits + Flexible PTO San Francisco, CA - On-site (5 days/week) Are you a Senior Software Engineer with full stack... 
    Relocation
    Flexible hours

    Rise Technical Recruitment

    San Francisco, CA
    3 days ago
  •  ...connections will form the foundation of the agentic internet – and Caylex will be the infrastructure powering it. The Role As a Founding Engineer, you’ll play a central role in shaping both our product and engineering culture. You will: Work full-stack across... 
    Full time
    Work at office

    Caylex

    San Francisco, CA
    4 days ago
  •  ...platforms. Define Technical Strategy and Culture: You will collaborate closely with the founding team to shape technical strategies, influence product development, and establish our engineering culture and best practices. Proactive Problem Solving: You will drive success by... 

    Unbound

    San Francisco, CA
    3 days ago
  • $120k - $180k

     ...Founding Engineer – Staff/Senior Location: San Francisco, CA Type: Full-time, In-person Flowtel is building the next-generation operating system for hospitality, powered by modern AI agents that can handle everything from booking to room service. We just launched, secured... 
    Full time

    Flowtel

    San Francisco, CA
    3 days ago
  • $175k - $225k

     ...About the Role Join a fast-moving, early-stage consumer AI startup as a Founding Engineer — a rare, high-impact position working directly alongside the founder. This is a true 1-of-1 opportunity to shape both the product and engineering culture from the ground up. The... 
    Remote work
    Visa sponsorship

    CLERA

    San Francisco, CA
    2 days ago
  • $180k - $230k

     ...Founding Engineer San Francisco, CA (Full-time) - In‑Office $180k-$230k base annually About the Role Hiring a world‑class Applied AI Engineer to build the core systems behind their automation engine for hardware engineering. This is a deeply technical, high‑impact role... 
    Full time
    Work at office
    Remote work
    Relocation

    Smvsoft LLC.

    San Francisco, CA
    1 day ago
  • $205k - $250k

     ...tldr: Kiloforge is looking for exceptional generalist founding engineers (full‑stack, AI, etc.) who are scrappy, have taste, and love building things to create the next generational company. what is Kiloforge: We’re building a new kind of company. Kiloforge is a company... 

    Kiloforge

    San Francisco, CA
    1 day ago
  •  ...About the Role We're looking for founding Machine Learning Engineers (MLEs) to own and improve our core action models end-to-end— the intelligence that powers Composite's proactive automation platform. You'll work at the intersection of LLM inference, browser understanding... 

    Icehouseventures

    San Francisco, CA
    5 days ago
  •  ...huge: End-to end testing is broken. Teams either waste tons of engineering hours maintaining fragile, selector-based tests that break...  ...that we're all professional firefighters (fun fact, one of our founding engineers was formerly an actual firefighter) Talk to customers... 
    Work at office
    Night shift
    Weekend work

    Autosana Inc.

    San Francisco, CA
    2 days ago
  •  ...Founding Software Engineer | AI Agents | San Francisco or London Location: San Francisco, CA or London, UK (London-based candidates must be willing to relocate to San Francisco in 2026) This is a genuine Founding Engineer opportunity to join an Andreessen Horowitz-backed... 
    Relocation
    Flexible hours

    TruNorth

    San Francisco, CA
    2 days ago
  • $150k - $250k

     ...AgentMail is building the identity and communication infrastructure for AI agents, starting with email. We are looking for a Founding Engineer with backend and infra focus to architect systems for agents as the end users. Responsibilities Design APIs that are intuitive... 
    Work experience placement
    Internship

    AgentMail (YC S25)

    San Francisco, CA
    3 days ago
  •  ...Career Launch is hiring for this role and related opportunities. Career Launch is hiring candidates for Founding Engineer roles and similar opportunities with fast-moving teams. This is a remote-friendly opportunity for candidates who are analytical, practical, and comfortable... 
    Remote work

    Career-Launch.net

    San Francisco, CA
    2 days ago
  •  ...claims, and automated denials software to fix it. About the Team Founded by two operators who've lived this problem from both sides: one a former healthcare investor and EMT, the other a founding engineer who built voice and AI products across several healthcare startups... 
    Work at office
    2 days per week
    3 days per week

    Ovise

    San Francisco, CA
    2 days ago
  • $200k

     ...of products for private market investing. As a Senior Software Engineer on Meridian, you’ll own the technical design and delivery of major...  ...sequencing trade‑offs through launch and iteration. This is a founding engineer role on a zero‑to‑one product with meaningful... 
    Work at office
    2 days per week

    AngelList Venture

    San Francisco, CA
    3 days ago
  •  ...the company | Founding Engineer | San Francisco, CA | Company: We are building an executive voice engine (the company). This is a multi‑agent AI system that learns how a leader thinks and produces content indistinguishable from what they'd write. Think: a specialized... 

    United States Digital Space LLC

    San Francisco, CA
    1 day ago
  • $350k

     ...conversations consistent and personalized across all channels. Reverse engineering legacy healthcare systems that don’t have public APIs to...  ...who desperately need them. We’re looking for exceptional founding engineers to help us realize this ambition. If you’re an engineer... 
    Contract work
    Night shift

    Alleviate Health

    San Francisco, CA
    3 days ago
  • $100k - $200k

     ...innovation. Learn more at voicecursor.ai. Role Description This is a full-time, on-site role based in the San Francisco Bay Area. As a Founding Engineer, you will play a pivotal role in shaping the technical foundation of Voice Cursor. Your day-to-day responsibilities will... 
    Full time
    10 hours per week
    Flexible hours

    Voice Cursor

    San Francisco, CA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Founding Engineer. Be the first to apply!