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Founding Engineer

Founding Engineer

iksa.aiDelhi, India
4 days ago
Job description

About iksa.ai

iksa.ai is rethinking how healthcare systems work together. Our Clinical Context Platform connects fragmented health data like EHRs, labs, claims, and devices into a single intelligent layer that lives inside healthcare organizations’ cloud environments.

We’re a team of clinicians and AI engineers who’ve :

  • Led clinical trials with 65,000+ patients
  • Published 30+ peer-reviewed studies
  • Managed chronic-care programs for 20,000+ patients
  • Delivered measurable outcomes, including a 2× increase in follow-ups and a 0.8% HbA1c reduction in a recent trial

Our mission is to make healthcare effortless, reducing administrative overhead for clinicians and improving patient outcomes through safe, compliant AI.

The Role

We’re looking for a Founding Full Stack Engineer (6+ years of experience) to help build the core of iksa.ai’s platform. This is one of our earliest technical hires, someone who can balance hands-on engineering with strategic architectural thinking.

You’ll work directly with our clinical and product teams to design scalable systems, craft clean APIs, and bring AI-powered clinical workflows to life. More than anything, you’ll shape the technical DNA of a product that’s already proving its impact in real-world healthcare.

What You’ll Do

As a founding engineer, you’ll be deeply involved in building iksa.ai’s core platform, the connective tissue between healthcare data, AI, and clinical workflows. You’ll own end-to-end development of major components at its 0 to 1 and 1 to 10 product journey, so it is critical to have fair knowledge on the overall operations

Platform Architecture & Backend Systems

  • Design and implement microservices and APIs using Python (FastAPI / Flask) and Node.js, enabling interoperability between EHRs, labs, and other data systems.
  • Build secure, high-throughput data pipelines that ingest and process sensitive healthcare data in real time.
  • Develop data models and schemas optimized for healthcare data complexity (patients, providers, outcomes, interventions).
  • Integrate AI services and decision engines safely into production environments, ensuring reliability and auditability.
  • Data & Intelligence Layer

  • Work with MongoDB and Neo4j to structure both transactional and relational clinical data.
  • Build proprietary model knowledge graphs that link patients, diagnoses, and interventions for driven engagement.
  • Contribute to the development of AI-powered automation, such as triage routing, clinical documentation, or alert systems.
  • Security, Compliance & Reliability

  • Design infrastructure that complies with HIPAA, GDPR, and ISO 27001 standards.
  • Implement end-to-end encryption, access control, and data auditing features.
  • Set up monitoring, logging, and alerting for mission-critical systems in AWS / Azure environments.
  • Technical Leadership & Culture

  • Make foundational decisions about architecture, tools, and development practices.
  • Establish code quality standards, testing pipelines, and CI / CD workflows.
  • Collaborate directly with founders and domain experts to define the technical roadmap.
  • Help build and mentor the next generation of the engineering team as we grow.
  • Who You Are

  • You think like an owner, not just a contributor
  • You’re mission-driven, with genuine motivation to improve healthcare
  • You balance speed and quality, knowing when to build for scale and when to move fast
  • You communicate clearly and can collaborate with clinicians, designers, and business teams
  • You thrive in ambiguity, adapting quickly as the product and company evolve
  • Why Join iksa.ai

  • Shape the foundation : Join as a founding engineer with meaningful equity and a voice in every major decision
  • Make real impact : Your work directly improves patient outcomes and clinician experience
  • Solve deep technical challenges : Work at the intersection of AI, data systems, and healthcare compliance
  • Grow with the company : Build the engineering culture, lead projects, and help scale the team
  • Flexible and global : Remote-friendly, with a core team in India and collaborators in the US and SEA
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    Engineer • Delhi, India

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