Senior Founding Engineer, Platform

Senior Founding Engineer, Platform

Lead architecture and execution of core platform systems powering healthcare operations. Own backend systems for payouts, payroll, billing, and financial infrastructure. Design and maintain core data models, state machines, and system logic. Build production-grade backend services in Python (70–90% backend focus). Design schema migrations and evolve production systems safely. Build infrastructure for LLM-powered clinical workflows. Ensure systems are auditable, reliable, and HIPAA-compliant.

Design APIs and backend contracts for platform features. Work closely with product and clinical operations teams. Own platform stability and system correctness end-to-end. Make architectural decisions for scalability and long-term reliability. Help stabilize early-stage production systems under rapid growth.

Ideal candidate background: 4–10 years of backend or fullstack engineering experience. Strong Python backend experience in production systems. Experience in high-accuracy environments (fintech, healthcare, insurance). Strong system design and architecture experience. Experience building production APIs and backend services. Strong data modeling and database design skills. Experience at Series A–C or high-growth startups. Ability to work independently with minimal guidance.

Compensation and benefits:
Base salary: $160,000 – $200,000. Equity:
Competitive early-stage equity. Hybrid work: 3 days/week onsite in NYC or SF. Relocation support available. High ownership founding engineer role. Direct access to founders and leadership. Opportunity to define core platform architecture.