Founding Backend Engineer
Founding Backend Engineer
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1 Vacancy
Job Description
Founding Senior Backend Engineer AIPowered Healthcare Platform
Compensation: $100200k annually Equity
Location: San Francisco CA (Hybrid 3 days in office)
Who Are We
Were an earlystage startup building a nextgen AIdriven healthcare system designed to eliminate friction in patient care from scheduling and billing to provider communication and operational efficiency. Backed by toptier investors were a small highoutput team tackling one of the most complex and important industries on the planet. Youll work directly with the founding team to define the product tech and trajectory.
Whats In It For You
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Ownership: Youll own the backend architecture of a platform serving thousands of patients.
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Impact: Were using AI to improve real peoples healthcare experiences at scalethis isnt theoretical.
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Speed: No red tape. You ship fast iterate faster and your work goes live in days not quarters.
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Tech Frontier: Build AIfirst systems with LLMs realtime event processing and bleedingedge infra.
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Team: Work with a group of builders whove led at YC startups toptier tech firms and highgrowth unicorns.
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Mission: Help fix a broken system by building one that actually works.
What Will You Do
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Architect and implement an eventdriven backend using Supabase (Postgres) and AWS.
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Build realtime patient/provider workflows powered by AIthink dynamic scheduling intake and automation.
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Design event pipelines to process structured operational data like call transcripts and metadata.
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Ensure availability security and HIPAA compliance across a highthroughput system.
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Collaborate crossfunctionally with AI and frontend teams to deliver a seamless care experience.
What Will You Need
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5 years of backend engineering experience using TypeScript and PostgreSQL.
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Deep experience with eventdriven systems and realtime data processing (Kafka RabbitMQ webhooks).
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Strong grasp of distributed system architecture and messaging infrastructure.
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Bonus points if youve worked with LLMs or in AIintegrated environments.
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Securityforward mindset experience in HIPAA or other regulated industries is a huge plus.
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Highvelocity mindset ideally from YC startups FAANG or similarly fastpaced environments.
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Signs of technical depth: opensource contributions fast career growth or math/CS accolades (e.g. Olympiad MIT/Harvard CS).
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Youre comfortable in chaos allergic to bureaucracy and thrive with autonomy.
This is not your typical backend role. Its architecture strategy velocity and mission wrapped into one. If youve built highscale systems at companies like Netflix Amazon or Spotify or wish you had youll feel right at home.
Founding Engineer
Location: San Francisco
Compensation: $100200k annually
Whats in it for you
- Own the architecture of a nextgen AIdriven healthcare system.
- Work directly with the founding team to shape the companys technical direction.
- Build realtime eventdriven systems that power AI automation across scheduling billing and patient interactions.
- Scale a secure HIPAAcompliant backend that supports thousands of patients.
- Be at the forefront of AI in healthcare working with LLMs and realtime data pipelines.
Employment Type
Full Time
