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 2 days ago
Similar jobs that could be interesting for youBased on the Founding Engineer in San Francisco, CA vacancy
  •  ...Description Join Hire Hangar and work with fast-growing global companies while building a long-term career. Job Title| Founding Systems Engineer (Performance) Location | On-Site — San Francisco, CA Time Zone | PST Role Overview: We are seeking a Founding... 
    Suggested

    Hire Hangar

    San Francisco, CA
    6 days ago
  •  ...Description Join Hire Hangar and work with fast-growing global companies while building a long-term career. Job Title: Founding Production Systems Engineer Location | On-Site — San Francisco, CA Time Zone | PST Role Overview: We are seeking a Founding... 
    Suggested

    Hire Hangar

    San Francisco, CA
    6 days ago
  • Hivemind is building a social AI that talks to many people at once, with one-on-one conversations. We are seeking founding members of technical staff to co-own the foundation from day zero and shape the team as it grows. You will define technical standards, build core... 
    Suggested

    Hivemind

    San Francisco, CA
    2 days ago
  •  ...Visa sponsorship: None available. About the Role: This is a founding hardware role, and the person who fills it owns the physical...  ...hire joins the technical side alongside the CTO and lead software engineer as one of the first ten employees. The role requires someone... 
    Suggested
    Full time
    Visa sponsorship

    Thomas Talent Network

    San Francisco, CA
    11 days ago
  • $150k - $200k

     ...About the Company Our client is a seed-stage aviation-AI company (founded 2024, roughly five people today) building an in-cockpit...  ...cockpit product. You'll work directly with the CTO and lead software engineer, be deeply hands-on, and make consequential architecture and... 
    Suggested
    Full time

    David Joseph & Company

    San Francisco, CA
    5 days ago
  • $250k - $380k

    Base pay range $250-380k Needl Owner - Helping tech startups scale Founding Hardware Engineer (Stealth Robotics Startup) About Us We’re a tiny, fast-moving team building autonomous systems for heavy industrial machines. We retrofit existing equipment with a plug-and-... 
    Full time
    Live out
    Remote work
    Visa sponsorship
    Relocation package

    Needl

    San Francisco, CA
    4 days ago
  • Orchard is building an entirely new way for farmers to understand and operate their farms. As Orchard's Founding Design Engineer, you will establish the design function and own design across product, brand, marketing, software engineering, hardware, and our physical environments... 

    Quiet Capital

    San Francisco, CA
    1 day ago
  •  ...role offers greater autonomy and closer collaboration with the founding team than other positions. Required Qualifications Strong...  ...enrolled or finished MS or PhD in Operations Research, Industrial Engineering, Applied Mathematics, or a related quantitative field Domain... 
    Full time
    Local area
    Relocation

    Haladir

    San Francisco, CA
    2 days ago
  •  ...scalable internal platform on the Business Technologies team. As a founding member, you will define how infrastructure is built, automated...  ...rather than just respond to tickets. The role emphasizes an engineering-first approach: workflow automation, system integrations, and... 

    Mosaic.tech

    San Francisco, CA
    1 day ago
  • Goliath Partners is seeking a Founding AI Engineer in San Francisco (Hybrid) to own and shape the core AI architecture powering its enterprise automation platform. The role involves direct collaboration with the founders and making key technical decisions for production... 

    Goliath Partners

    San Francisco, CA
    2 days ago
  • $500 per month

     ...DESCRIPTIONThis company handles millions of calls per month and needs an engineer who has worked at that scale before and knows how to build...  ...sub-100 milliseconds.You will work on-site directly with the founding team, contributing across architecture, infrastructure, and... 
    H1b

    Affinity Executive Search

    San Francisco, CA
    2 days ago
  •  ...from across IT and security. Several design partners today and a founding team of three. Full-Time, In-person, San Francisco, CA....  ...About the Role: This is a backend- and systems-heavy founding engineering role where "full-stack" means owning the product and system end... 
    Full time
    H1b
    Visa sponsorship

    Thomas Talent Network

    San Francisco, CA
    6 days ago
  •  ...a YC S25-backed startup, is building a replayable environment engine over real enterprise history and deploying it within modern workflows...  ...you can be proud of for decades. Join us as we scale from founding team to deployment across enterprises. #J-18808-Ljbffr Ambral... 

    Ambral (YC S25)

    San Francisco, CA
    5 days ago
  • $130k - $200k

    Join us to apply for the Founding Engineer (Systems + ML) role at Partcl . Get AI-powered advice on this job and more exclusive features. This range is provided by Partcl. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more... 
    Full time

    Partcl

    San Francisco, CA
    4 days ago
  • A cutting-edge AI startup in San Francisco is seeking a Founding Engineer with 4+ years of backend experience. You will design and scale backend systems, mentor junior engineers, and tackle technical challenges in the food-tech space. Ideal candidates will have deep expertise... 

    Loop AI - Delivery Intelligence Platform

    San Francisco, CA
    3 days ago
  • Career Launch is seeking an India Founding Engineer (Computer Vision) who can move quickly in ambiguous environments, delivering clear engineering execution, strong communication, and solid analytical judgment across research, prototyping, and production. This posting is... 

    Career-Launch.net

    San Francisco, CA
    3 days ago
  •  ...distributors, embedding AI into quoting, agreements, pricing, freight, order processing and ERP-driven tasks. You will join as a Founding Engineer, working directly with the founders and customers to take product ideas from first conversations through production deployment... 

    HartleyCo

    San Francisco, CA
    2 days ago
  • A technology company in San Francisco is seeking a Founding Fullstack Engineer to build scalable systems that automate complex decisions in manufacturing. Ideal candidates will have experience with data-driven agents, strong product sense, and the ability to ship production... 
    Relocation

    Dryft

    San Francisco, CA
    2 days ago
  • Moritz, an AI-native law firm backed by YC, is hiring a Founding Engineer in San Francisco. You will join as a hands-on leader responsible for product building, scaling the team, and shaping engineering processes from day one. You will ship critical features, own delivery... 

    Antler Ltd

    San Francisco, CA
    5 days ago
  • Trajectory, based in San Francisco, is seeking a Founding Generalist Engineer to craft the product experience for continual learning. The role involves owning the SDK and API surfaces while working directly with founders and industry-leading partners. Ideal candidates... 

    Trajectory

    San Francisco, CA
    3 days ago
  • A technology startup is seeking a Founding Engineer (Systems + ML) to develop GPU-accelerated engines and build end-to-end pipelines. The ideal candidate has proven experience in C++ and GPU code, alongside a deep understanding of systems performance. You'll join as the... 
    Full time

    Partcl

    San Francisco, CA
    3 days ago
  • Truss is a regulated fintech company seeking the founding head of risk to design and lead the risk program. The role requires building production risk systems, rules engines, and decisioning platforms to catch fraud, abuse, and loss in production. You will own end-to-end... 

    Truss

    San Francisco, CA
    4 days ago
  • $250k - $380k

    A stealth robotics startup in San Francisco seeks a Founding Hardware Engineer to design and build autonomy systems for heavy industrial machines. Ideal candidates will have a proven ability to prototype hardware from scratch and thrive in fast-paced environments. Key... 

    Needl

    San Francisco, CA
    3 days ago
  • Gradient Robotics in San Francisco, CA is seeking a Founding Software Engineer to own end-to-end data flow from AI models to actuators and keep real-time pipelines running at single-digit latency. You’ll work near hardware, from kernel and firmware up through perception... 

    Gradient Robotics

    San Francisco, CA
    2 days ago
  • $7.5k

     ...Founding GTM Engineer (Series A Fintech / EdTech) Location and Commitment San Francisco, CA or Phoenix, AZ (In-Person, Full Time) | Seniority: Founding / Senior IC | Equity: Meaningful Founding Stake The Mission Architecting the Financial Rails for the $900B School Choice... 
    Full time
    Live in
    Work at office
    Work from home
    Relocation
    Visa sponsorship
    Relocation package

    EQL Tech (frontier talent)

    San Francisco, CA
    19 hours ago
  •  ...tl;dr: Interface is looking for generalist founding engineers (ml, data, full-stack) who are scrappy, push boundaries and have a need to win. We need to work hard and build quickly to win. We want people to challenge our ideas and build alternatives. LFG who you are make... 
    Work at office

    Interface

    San Francisco, CA
    20 hours ago
  •  ...technical genius. He trained the first-ever image editing AI in the world. Before Y/n, I was the founding designer at Substack. We're looking for a founding full-stack engineer to own most of the app surface and our personalized recommendations infrastructure. This is a... 
    Relocation

    Can of Soup

    San Francisco, CA
    19 hours 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
    19 hours ago
  •  ...alongside angels including Diane Greene (Founder, VMware) and Jeff Epstein (former CFO, Oracle). The Role We're looking for a founding engineer to help build the technical foundation of Syntro. The context needed to make a procurement decision is scattered across emails... 
    Part time

    Syntro Corp

    San Francisco, CA
    2 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
    5 days ago

Do you want to receive more vacancies?

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