Founding Engineer

What You’ll Do

As a Founding Engineer, you’ll report directly to the founders and likely spend 75% of your time building and 25% of your time with customers. This role is going to be engineering-first with significant exposure to product ownership and sales.

• Design, build, and maintain scalable workflows for referrals, scheduling, patient intake, prior authorizations, billing, and care management
• Architect the technical foundation: decide what to build in-house vs. buy, integrating best-in-class tools and proprietary software into a unified platform
• Develop and maintain data infrastructure to turn clinical and operational data into actionable insights for decision-making
• Work onsite with customers to iterate on the platform and rapidly implement improvements based on real-world feedback
• Lay the leadership groundwork by defining the standards, setting the culture and helping hire and mentor future engineering hires
• Tech Stack: Node/Typescript/React, SQL, FHIR, AWS
  
  

Who’s a Good Fit

• You thrive in early stage environments. We’re moving incredibly fast and operate with high intensity. We need builders who can embrace ambiguity, are high agency with a bias to ship and know how to build hard things that scale
• You are curious and ask thoughtful questions. We question everything. Most constraints are human-made so the first question to ask is, why not? We’re non consensus and our ability to succeed hinges on people seeing things that others don’t
• You are an owner. We want folks who are self-directed, obsessive and optimistic, the move the world by force of will types
• You lead with empathy and humility. You aim to win, but you’re invested in helping your team and customers succeed alongside you
• You care about doing the right thing. Nothing matters more than this. Every decision we make hinges on two questions: does this help the patient and does this help the doctor?
  
  

What to Expect

• Bachelor's degree in Computer Science, Engineering, or a related field required
• Fully in-person in New York City
• High ownership, high trust and high standards
• Intense but rewarding work and rapid pace — expect your impact to be meaningful and immediately felt
• Flat leadership, transparent, and supportive culture—candor, care, and collaboration are the norm
  
  

How You’ll Grow

• Everyone has a voice, and your ideas matter, regardless of seniority
• We approach product development as a series of experiments, giving you the freedom to explore with no “wrong” answers
• Rapid opportunities for progression, more responsibility, and continuous learning
• Our aspiration: This is a place you proudly call home for the next decade. If you leave, it’s one of two reasons:
• • To start your own company (and we support you!)
  • Failed to hit the high bar we’ve set for ourselves
    
    

The Other Fun Details

• Fully paid health, dental and vision insurance
• Generous matching contributions to employee FSA/HSA
• 401(k) with matching contributions
• Two-week company-wide winter break, plus additional paid time off
  
  

Interested in Joining Us?

Apply through the link in the job posting or email us at careers@autonomyhealth.io with your resume, LinkedIn profile, and GitHub link.