Founding Engineer

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

📋 Description

• Create and develop AI agents and automated workflows to streamline clinic operations, including insurance benefits verification, prior authorizations, patient intake, claims processing, and clinical documentation.

• Develop web and mobile functionalities for clinicians, patients, families, and the operational team.

• Transform ambiguous challenges into concrete solutions by collaborating with operators and clinicians; identify the issue, draft specifications, and deliver an initial version.

• Design services, data models, and APIs while managing infrastructure as code.

• Take ownership of services in production, which includes handling deployments, monitoring, and incident management.

• Write evaluations for features interfacing with models and monitor workflow metrics.

• Safeguard protected health information by implementing least-privilege access, ensuring no PHI is logged, and maintaining auditable modifications.

• Develop and sustain skills, plugins, MCP integrations, and review bots compatible with Claude Code and Codex.

• Manage features comprehensively across the stack, from scoping and design through deployment and post-launch support.

• Engage with the entire platform within a flat engineering team structure without sub-teams.

• Work directly with clinicians and operators who utilize the products.

⛳️ Requirements

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

• Recent, practical experience in utilizing or developing AI harnesses that go beyond merely calling a model API, including project instructions, tools, MCP servers, skills, hooks, subagents, or evaluations.

• At least one personal project that is live and accessible to users on the web; preferably a SaaS with functional payment systems like Stripe.

• Proven history of taking ownership of products or features from inception to a reliable system.

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

• Comfortable working within a large, established codebase.

• Hands-on experience in building with LLMs, including tool utilization, agent orchestration, structured outputs, retrieval, and evaluations; familiarity with LangGraph, an agents SDK, or similar tools.

• Daily engagement with AI coding agents like Claude Code, Codex, or Cursor, including project instruction configuration, skills, MCP servers, hooks, subagents, running parallel tasks, and thorough output review.

• Strong product intuition and capacity to make UI design decisions independently, utilizing a component library.

• High level of agency and the ability to resolve issues independently, seek context, and ask questions when necessary.

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

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

• Nice to have: experience with Temporal or another durable workflow engine.

• Nice to have: familiarity with React Native.

• Nice to have: experience with production LLM evaluations or safety checks.

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

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

🏝️ Benefits

• No benefits, perks, or compensation extras are specified in the posting.