Founding Engineer

New York City USA (Hybrid 2 days in office)
$125000 $200000 Equity
Healthcare / FinTech
Early-Stage VC-Backed Start-Up

Revive Recruitment are proud to be partnered with a mission-driven healthcare technology start-up building the payment intelligence infrastructure powering the future of healthcare reimbursement.

This is an opportunity to join a high-impact well-funded business at an early stage helping healthcare providers and payors eliminate billions of dollars in payment inefficiencies through modern data infrastructure analytics and automation.

The company has already secured enterprise multi-year contracts with customers generating $100M in revenue and is now looking for a Founding Full Stack Engineer to help shape both the engineering function and wider company culture.

Join an early-stage high-growth start-up with strong commercial traction
Ship production code from day one with real ownership and impact
Work directly alongside founders and senior leadership
Flat highly collaborative engineering culture
Opportunity to influence architecture product direction and technical strategy
Build solutions solving real-world healthcare and fintech challenges at scale

Develop test and deploy production-ready features across the full stack
Work across backend systems frontend applications infrastructure integrations analytics and architecture
Design and work with complex healthcare and payment datasets to surface actionable business insights
Build scalable APIs and cloud-native applications using React TypeScript and
Participate in architecture discussions code reviews and technical decision-making
Collaborate closely with product and leadership teams in a highly iterative environment
Take ownership of problems end-to-end including customer-facing challenges and product improvements

3 years of experience as a Full Stack Software Engineer with a strong backend focus
Strong production experience with React TypeScript and
Experience working within venture-backed start-ups ideally pre-Series B
Background within healthcare fintech or data-intensive environments preferred
Experience working with complex or unstructured datasets and analytics pipelines
Familiarity with cloud infrastructure infrastructure-as-code and modern data pipelines
Strong understanding of AWS and Postgres environments
High competency using AI coding tools such as Cursor Claude Code or Codex
Strong product mindset with the ability to operate in fast-moving ambiguous environments
Someone who enjoys remaining hands-on technically rather than purely managerial

Salary between $125000 $200000
Equity package included
Hybrid working model minimum 2 days per week onsite in NYC
High ownership role within a founding engineering team
Opportunity to shape engineering culture and technical direction
Work on meaningful technology modernising healthcare payments and operations

Please note: Visa sponsorship is not available for this position. Candidates must be able to work onsite in New York City.

If you are interested in hearing more please apply or reach out directly to Nicola at Revive Recruitment.