Founding Engineer - AI-Native Platform for Pediatric Therapists

A small, early-stage healthcare AI company in San Francisco is hiring one of its first dedicated engineers. The team is building an AI-native platform that helps pediatric therapists run their own practices - automating insurance credentialing, billing, and clinical documentation, and using agents to handle scheduling and patient-provider coordination. There are already 80+ therapists actively using the product.

This is a true founding-engineer seat. You'll ship every day, talk directly to therapists, and own problems end-to-end. You'll help shape the stack, the product, and the engineering culture.

We're looking for:

• Engineers who have built real products end-to-end - not just contributed to a slice.
• Hands-on AI-agent experience (production or substantive side projects). Coding assistants alone are not enough.
• Strong CS fundamentals (DS&A, system design, live coding) and high ownership.
• Willingness to work on-site five days a week in San Francisco's Mission district.
• The current stack is TypeScript + React + LangChain, but the founding engineer will help decide where it evolves. JavaScript fluency is not required if you're strong elsewhere.

Discover our full range of relocation jobs with comprehensive support packages to help you relocate and settle in your new location.

Open to both experienced founding-engineer candidates (3-8 years) and exceptional recent grads from strong CS programs with visible agent side projects.

Compensation: $160,000 - $210,000 base + 1.5% - 2% equity. Health, dental, vision, 401k, lunch, gym, relocation.

Send your resume to apply. A link to your GitHub or portfolio is encouraged but not required.