Job Title: Founding Engineer

Company Name: Founding Engineer

Job Url: https://hirevouch.catsone.com/careers/95532-General/jobs/16782212-Founding-Engineer

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Founding Engineer
San Francisco, California · Computer/Software
The role
We’re hiring a Founding Full‑Stack Engineer to build V1 products end to end. You’ll work in a fast, hands‑on environment, iterating quickly with customers to solve real clinical workflow problems.

Key responsibilities:

Own the product lifecycle end to end: design, build, test, deploy, and iterate.

Partner with founders on product vision, roadmap, and technical strategy.

Architect scalable, secure systems across backend and frontend.

Own cloud deployments; monitor reliability and performance.

Make pragmatic technical choices on frameworks, tooling, and best practices.

Establish engineering standards and help hire and mentor the early team.

Prototype and productionize LLM-powered features responsibly.

Ship quickly with customers; measure impact and refine.

Hold a high quality bar while executing autonomously.

Our tech stack:

Turborepo (monorepo)

Frontend

Core app: React Native + Expo (Web, Android, iOS)

Admin portal: Next.js

Backend: NestJS

Database: PostgreSQL

Infrastructure: GCP

AI: LangChain

Who we’re looking for
Must haves:

Expertise in TypeScript and React.

Proven experience building and scaling infrastructure.

Hands-on with DevOps, CI/CD, and containers.

Able to take products from 0→1, concept to production.

Startup mindset: bias to action, high ownership, impact focus.

Interest in healthcare and motivation to improve patient outcomes.

In‑person in the San Francisco Bay Area 3 days/week.

Nice to haves:

Early startup or founder experience.

Scaled an engineering team to 10+ with a strong culture.

Shipped a production app using LLMs.

Experience in highly regulated environments.

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