Founding Data Engineer

Status: To Hire
Target Start: February 16 2026
Location: San Francisco (5 days/week in-person)
Comp: $145000 - $.1%-0.4% equity

We are building the first AI-first medical practice from the ground up. Were reimagining primary care and providing patients with deep insights and immediate diagnosis and treatment in ways not previously possible.

Unlike most health AI startups we deliver actual care our clinical team writes prescriptions orders labs and manages patients. Youll build the data infrastructure that powers real medical decisions not a demo.

Founders have built and scaled a previous telemedicine company to over $100M in revenue and were funded by top investors.

Youll own data foundation the pipelines that ingest normalize and deliver patient health records to our AI and clinical team. Healthcare data is notoriously messy (FHIR bundles CCDAs scanned PDFs lab feeds) and youll turn that chaos into clean structured data our AI can reason over.

Youll work directly with our clinical team physicians and nurse practitioners who depend on what you build to treat real patients every day.

• Build pipelines to ingest medical records from HIEs EHRs and patient uploads

• Process FHIR bundles HL7 messages and CCDAs into normalized data models

• Extract structured data from unstructured sources (PDFs scanned documents XML HTML JSON)

• Handle webhook processing for real-time data feeds

• Build robust error handling and data validation

• Design and maintain data models optimized for AI retrieval and clinical workflows

• Build efficient storage and retrieval systems on AWS (S3 DynamoDB)

• Implement data compression strategies for large medical records

• Create data sanitization and PII handling pipelines

• Monitor data quality and pipeline health

• Ensure compliance with FHIR/HL7 standards

• Map between different healthcare data formats

• Stay current on healthcare interoperability requirements

• Work with external data partners and APIs

• Backend: Python

• Data Formats: FHIR HL7 CCDAs PDF XML JSON

• Cloud: AWS

• Database: PostgreSQL

• 5 years software engineering with significant experience processing healthcare data

• Deep knowledge of FHIR bundles HL7 and healthcare data standards

• Strong Python skills for data processing workflows

• Experience with document extraction from messy sources (PDF XML HTML JSON)

• AWS experience (S3 DynamoDB)

• Understanding of data sanitization and PII handling in healthcare

• AI-native (uses Claude/Cursor daily)

• Built ETL pipelines at scale for healthcare organizations

• Experience with medical document parsing and text extraction

• Familiarity with HIE integrations and health data networks

• Built webhook-based real-time data systems

• Understanding of HIPAA technical requirements

• Ship code that affects real patient health outcomes

• Make architectural decisions for an AI-first medical practice

• Work directly with CTO on technical strategy

• High-performance founding team at the forefront of healthcare AI

• Work alongside clinicians our medical team delivers real care (prescriptions lab orders referrals) so youll see your data pipelines impact patient outcomes directly

• In-person collaboration in San Francisco (5 days/week)

• No bureaucracy ship fast

Component

Range

Base Salary

$145000 - $215000

Equity

0.1% - 0.4%

Benefits

Health insurance standard benefits

• First engineering hires opportunity to become engineering managers as team scales

• Ownership of entire domains (data AI product platform)

• Work with cutting-edge AI and healthcare technology

1. Intro call (30 min) Meet founding team learn about our mission

2. Technical screen (60 min) Domain-specific challenge

3. Onsite (4 hours) System design code pairing team fit

4. Reference checks offer

In your first months youll be building the data backbone that makes our AI possible integrating with health data networks to pull patient medical records in seconds processing messy FHIR bundles and CCDAs into clean structured data and building pipelines for lab results and clinical documents. Youll wrangle healthcare data in all its chaotic forms: scanned PDFs XML feeds JSON payloads and webhook streams. Every pipeline you build feeds directly into our AI and clinical workflows so youll see the impact immediately when a doctor reviews a patients complete medical history that your code assembled.

As we scale your responsibilities will evolve. Youll have the opportunity to grow into engineering leadership architect data systems for millions of patients mentor new hires and own increasingly complex integrations with health networks and wearables. The data challenges you solve today will look different from the scale problems you tackle in a year and thats exactly what makes this a founding role.

We will assist with relocation and work visas for the right candidate.

Interested Reach out to and

Required Experience:

IC