Founding Engineer

This is a fully remote position, open to applicants in Brazil.

📋 Description

• Take ownership of features from inception to completion, collaborating directly with clinicians and operators.

• Define requirements, scope ambiguous challenges, write specifications, and launch initial versions.

• Design and develop AI agents along with automated workflows for insurance benefits verification, prior authorizations, patient intake, claims, and clinical documentation.

• Create web and mobile functionalities for clinicians, patients, families, and internal operations teams.

• Architect services, data models, and APIs.

• Manage infrastructure as code.

• Deploy, monitor, and address incidents for the production services you oversee.

• Conduct evaluations for model-facing features and monitor workflow metrics.

• Safeguard protected health information by employing least-privilege access, avoiding PHI in logs, and ensuring auditable changes.

• Develop and maintain skills, plugins, MCP integrations, and review bots utilized with Claude Code and Codex.

• Collaborate across the platform within a flat engineering team without sub-teams.

⛳️ Requirements

• Over 5 years of experience in building and delivering production software.

• Recent hands-on experience utilizing or developing AI harnesses beyond merely calling a model API, including project instructions, tools and MCP servers, skills, hooks, subagents, or evaluations.

• At least one personal project that is live and accessible online; preferably a SaaS with functioning payments such as Stripe.

• Strong full-stack proficiency in Python and TypeScript across frontend, backend, databases, and cloud infrastructure.

• Experience managing products or features from inception to production, addressing unclear problems.

• Comfort in navigating a large, established codebase.

• Hands-on experience with LLMs, including tool usage, agent orchestration, structured outputs, retrieval, and evaluations.

• Regular use of AI coding agents like Claude Code, Codex, or Cursor, including configuring project instructions, skills, MCP servers, hooks, and subagents; executing parallel tasks; and reviewing outputs.

• Strong product sense with the capability to make UI decisions independently of a dedicated designer.

• High agency, ability to self-unblock, seek context, and ask relevant questions.

• Clear written communication skills in a distributed, cross-time-zone team environment.

• Nice to have: experience in healthcare or regulated industries, including HIPAA, payer and claims workflows, EHR integrations, or HL7/FHIR.

• Nice to have: familiarity with Temporal or other durable workflow engines.

• Nice to have: experience with React Native.

• Nice to have: production-level LLM evaluations or safety checks.

• Nice to have: personal agent harness, MCP server, or coding-agent plugin.

• Nice to have: contributions to open-source projects or internal tools utilized by others.

🏝️ Benefits

• Remote work opportunity from Brazil.

• Contract engagement.

• Chance to work with AI coding agents and cutting-edge AI development tools.

• Opportunity to develop healthcare technology that serves clinicians, patients, families, and clinic operations teams.