Founding Engineer
$180kPeople 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
$140k - $180k
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$200k
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$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...RelocationFlexible hours- ...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 timeWork at office
- ...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...
$120k - $180k
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...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 workVisa sponsorship$180k - $230k
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$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 placementInternship- ...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
- ...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 office2 days per week3 days per week
$200k
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$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 workNight shift$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 time10 hours per weekFlexible hours
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