ABOUT THE COMPANY
Pediatric therapists are drowning in insurance credentialing, billing, and documentation — most spend nearly half their time on admin, not patients. We're building an AI-native platform to fix that, and 80+ practices are already running on it.
THE ROLE
This is a true founding-engineer seat. You'll work directly with therapists, ship real features that land in production, and own problems end-to-end — from the first line of code through the customer conversation that follows. You'll help shape the stack, the product roadmap, and the engineering culture from the ground up.
The platform automates insurance credentialing, billing, and clinical documentation, and uses agents to handle scheduling and patient-provider coordination. There are already 80+ therapists actively using the product — meaning your work will hit real workflows on day one.
WHAT YOU'LL DO
- Ship production features across the full stack — not a narrow slice
- Build and maintain AI agents that run real clinical workflows end-to-end
- Talk directly to therapists and translate their pain into product decisions
- Help define the engineering culture, hiring bar, and technical direction
- Evolve the stack as the product and team grow
WHO WE'RE LOOKING FOR
We're open to two profiles:
Experienced founding engineer (3-8+ years): Full-stack or backend-leaning, with a history of owning products — not just contributing to one layer of them.
Exceptional junior engineer (1-3 years): From a strong CS program or early career, with visible AI agent projects (GitHub, writeups, demos) that show you've built systems that actually run in production — not just tutorials.Across both profiles, we're looking for:
- Engineers who have built real products end-to-end — not just contributed to a slice
- Hands-on AI agent experience: You've built agents that handle ambiguity and run in production loops — not just wrappers around an LLM API. If your only AI experience is using Copilot, this probably isn't the right fit yet.
- Strong CS fundamentals: data structures, system design, live coding
- High ownership mindset — energized by undefined problems, not slowed down by them
THE STACK
TypeScript, React, LangChain. The founding engineer will help decide where it goes from here. If you're strong in another language or framework, that's fine — fluency in JavaScript is not a requirement.
COMPENSATION AND BENEFITS
- Base salary: $160,000 - $210,000
- Equity: 1.5% - 2.0%
- Health, dental, and vision
- 401(k)
- Daily lunch and gym membership
- Relocation support for candidates outside SF