Founding Engineer

Founding Engineer San Francisco, CA · On-site · Full-time Compensation: $180,000–$230,000 + equity About the Company Our client is an early-stage (pre-seed) healthcare AI company building referral infrastructure that helps patients move from a primary or urgent care visit to the right specialist quickly and seamlessly. Their platform is already live across dozens of urgent care locations and piloting with a major U.S. health system, with deep EMR integration at the core of the product. It's a small, fast-moving founding team taking on a long-standing gap in coordinated patient referrals. Founded 2024 · 1–10 people · Industry: Healthcare The Role This is our client's first engineering hire — a full-stack founding engineer who will own the entire technical surface alongside the technical co-founder, building and shipping across front end, back end, and cloud infrastructure while helping shape product direction as the company grows. What you'll be doing Own the full technical stack end to end — front end, back end, and cloud infrastructure. Design and ship EMR integrations connecting the referral platform to urgent care, ER, and specialist workflows. Build and refine the core referral flow so patients are routed to the right specialist quickly and reliably. Partner with the founders on product decisions, turning clinical and operational needs into engineering priorities. Set the engineering foundations, patterns, and practices as the first engineer on the team. Tech stack: Python backend, modern front end, cloud infrastructure; EMR / healthcare data integrations. Requirements 3–5 years of software engineering experience (standout candidates with a little less will be considered; typically not a fit beyond roughly seven years) Strong Python with production backend experience, plus front-end and cloud comfort across the full stack A track record of taking a product or project from zero to one with end-to‑end accountability Undergraduate degree from a U.S. university Authorized to work in the U.S. without visa sponsorship Able to work on-site in San Francisco five days a week at startup intensity Nice to Haves Experience at a healthcare startup EMR integration or healthcare data standards experience A strong academic record or a standout early‑career engineering track record Why Join Be the first engineer, with genuine ownership of the whole stack and architecture from day one Work directly with the founders on a product that already has real traction in the market Meaningful equity in an early‑stage company backed by experienced investors Details Location — San Francisco, CA Work policy — On-site, 5 days/week, startup hours Compensation — $180,000–$230,000 + equity Visa sponsorship — None available Employment type — Full‑time #J-18808-Ljbffr David Joseph & Company