Founding Engineer (Fullstack/AI)
Role overview
Our small product squad (2 fullstack engineers + PM) ships quickly, but customer demand is growing faster than we can build. We’re looking for a senior, product‐minded engineer who can wear many hats — architecture, data, fine-tuning & RAG, with a bit of product taste and help lay the technical and cultural foundations of the company.
What you’ll do
● Own features end‐to‐end: design, build, ship, and iterate on backend services, web front‐end, and internal tooling.
● Scale our gen‐AI stack: productionize retrieval‐augmented generation pipelines, implement evaluation harnesses, and harden monitoring/alerting.
● Shape engineering culture: introduce best‐in‐class CI/CD, code quality standards, security, and mentoring practices.
● Collaborate: work with product and sales to translate real patient pain points into elegant solutions.
● Influence roadmap: participate in product discovery, weigh technical trade‐o s, and keep us focused on what moves the needle.
Required technical skills
Our core technologies: Python, Postgres, MySQL, NextJS, LangSmith, AWS. We’re flexible—use the right tool for the job.
● 5+ years building and operating production software.
● U.S. work authorization & residency required.
● Proven experience shipping LLM or conversational‐AI products at scale (LLM-APIs, vector stores, agent frameworks)
● Proficiency in Python and modern JS; familiarity with SQL and schema design.
● Comfort with cloud infrastructure (AWS preferred) and IaC.
● Working knowledge of agents, vector search, embeddings, and RAG performance tuning.
● Product taste: you sweat the UX details.
● Good communication skills; you can explain complex trade‐os to non‐engineers.
● Prior healthcare experience.
● Understanding of HIPAA, SOC‐2, or other security/compliance frameworks.
● Performance and cost‐optimization of ML workloads.
● Remote-first culture (US only)
● Opportunity to shape the technical and cultural foundation of the company