Founding Software Engineer

Founding Software Engineer (AI-Native Healthcare Start-Up)
$200,000 - $250,000 + Equity + Benefits
Remote, US (or New York City)

Are you a full-stack engineer who's been an early employee, solo tech lead, or founder, comfortable shipping fast and owning large surface areas without a detailed roadmap? Have you built LLM agents and automation systems that run in production, not just experimented with them?

This is an opportunity to join a fast-growing healthcare services startup that redirects expensive, hospital-based specialty infusion therapy (for conditions like Crohn's, MS, and cancer support) into more convenient, lower-cost home or clinic settings. Through dedicated Care Guides and transparent, pass-through pricing, the company cuts employer drug spend by 40-50% while improving the patient experience. It already partners with some of the largest blue-chip employers and serves well over 1 million patients.

The company is hiring a Founding Software Engineer to build the AI and automation systems that power its clinical and business operations. You'll own large surface areas across product, data, infrastructure, and automation, partnering closely with Clinical Operations, Business Operations, and company leadership to identify high-value automation and ship the systems that improve care delivery. Engineers here have real input into what gets built, not just how.
If you want to build AI-driven care orchestration systems that coordinate treatment journeys across patients, providers, pharmacies, and internal teams, with the ownership and pace of an early-stage team, this is an outstanding opportunity.

The company is hiring a Founding Software Engineer to build the AI and automation systems that power its clinical and business operations. You'll own large surface areas across product, data, infrastructure, and automation, partnering closely with Clinical Operations, Business Operations, and company leadership to identify high-value automation and ship the systems that improve care delivery. Engineers here have real input into what gets built, not just how.
If you want to build AI-driven care orchestration systems that coordinate treatment journeys across patients, providers, pharmacies, and internal teams, with the ownership and pace of an early-stage team, this is an outstanding opportunity.

The Role

• Build LLM agents and automation pipelines
• Design AI-driven care orchestration across patients, providers, and pharmacies
• Ship internal and external products for clinical and growth teams
• Build shared services and HIPAA-compliant data architecture
• Ship CRM and healthcare system integrations
• Design PHI-safe LLM pipelines and agent orchestration frameworks

The Person

• 1+ years shipping production AI systems (LLMs, agents)
• TypeScript-native, full-stack across frontend, backend, data, infrastructure
• Track record shipping fast and independently, no roadmap required
• Heavy AI use in own development workflow
• Bonus: healthcare/HIPAA, data pipelines (BigQuery, ETL), CRM integrations (Salesforce, HubSpot)

Rise Technical Recruitment Inc of 1011 Centre Rd, Suite 322, Wilmington, DE 19805 act as an employer-paid private personnel agency.

The salary advertised is the bracket available for this position. The actual salary paid will be dependent on your level of experience, qualifications and skill set and will be decided by our client, the employer. Rise are not responsible or liable for any hiring decisions made by the end client.

We are an equal opportunities company and welcome applications from all suitable candidates.