Founding Engineer :
You'll be one of the first 3 engineers, owning core infrastructure that powers AI agents handling millions in healthcare revenue.
What you'll do :
- Core Infrastructure : Build backend systems orchestrating AI agents, healthcare data workflows, and clinic integrations.
- Production Systems : Design scalable Python services with 99.9%+ uptime for revenue-critical ops.
- Agent Orchestration : Implement workflow systems (Temporal, agentic frameworks) to coordinate voice agents, browser agents, and data pipelines.
- Healthcare Integrations : Build secure APIs and EHR / insurance integrations with compliance in mind.
- Data Pipelines : Architect systems for claims processing, billing logic, and revenue optimization at scale.
The Technical Challenge
You'll take ownership of zero-to-one AI agent infrastructure :
Production-ready AI agents orchestrated through Temporal and agentic frameworks.Revenue-critical systems with every bug costing real money.Architecting for HIPAA compliance and audits.Full-stack ownership : backend (Python), workflows, browser / voice agents, frontend (JS), AWS infra (Terraform).Scaling from dozens to thousands of clinics.Requirements
2–5 years building production systems solving real-world problems.Strong engineering fundamentals (distributed systems, databases, cloud infra).Experience with Python, AWS, workflow orchestration.At least one indie project with AI / automation.Early-stage startup or founding experience strongly preferred.Comfortable with regulated industries (healthcare / fintech-level).Bonus : Familiarity with Temporal, agentic AI frameworks, healthcare tech.
Why this role
Shape the entire tech stack & engineering culture from day one.Work on one of the first agentic AI systems in a high-value, regulated space.Build systems where uptime directly impacts patient care and revenue .Early-stage equity, ownership, and the chance to define a market.Show more
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Skills Required
Apis, Terraform, Python, Aws