Senior Engineer

The Role

Demand is outpacing our ability to ship, and we’re looking for an engineer who moves fast, owns systems end-to-end, and thrives on autonomy. You’ll be our third non-founder technical hire, deploying to production in your first week and shaping the engineering culture as we scale.

This isn’t a corporate “senior” role. It’s a hands-on building role where your decisions directly impact clinicians and patients every day. You’ll work directly with the founders to design, ship, and scale systems used by clinicians every day. No PM layers, no red tape.

• Architect, build, and deploy across our core stack (Next.js 15/Typescript, Supabase/Postgres, AWS Sage Maker, GCP Vertex AI, vLLM, AWS ECS, Terraform, React Native/Expo)
• Own key features and workflows end-to-end
• Design with ownership in mind, from deployment and monitoring to debugging in production
• Extend and integrate our internal AI capabilities into user-loved features in our apps
• Collaborate on system design decisions for enterprise-grade performance, ensuring observability, scalability, security, and high availability.

• You’ve built and shipped production systems solo or in small teams
• You have depth in full-stack Type Script + Python and love debugging across boundaries
• You like autonomy: given a direction, you’ll write elegant and working code with confidence
• You care about velocity and correctness: your code reads like design docs
• Experience optimizing LLM inference pipelines or integrating AI features into production systems
• Familiarity with healthcare or regulated environments

• Impact: Directly shape a transformative product in the home healthcare space.
• Ownership: Influence both technical direction and company culture from day one.
• Traction: Work alongside founders with deep industry expertise and vision.
• Speed: No bureaucracy, just builders.

Please send Git Hub/portfolio, resume, and a short note on what you’ve built and are proud of to