Founding Engineer
About the Role
This is a founding engineering role at an early-stage healthtech startup building AI-powered revenue cycle management software for Emergency Medical Services (EMS) agencies. You'll be a core member of a small, fast-moving team — shaping architecture, shipping product, and talking directly with customers to help EMS agencies recover denied insurance claims and protect critical 911 services.
What You'll Do
Own end-to-end development: architecture, code, deployment, and on-call responsibilities.
Build customer-facing features informed by direct conversations with billers, fire chiefs, and operations leaders.
Ship automation that reduces manual work and saves agencies significant revenue.
Make product and design tradeoffs with a strong UX sensibility.
Iterate quickly — deploy, gather customer feedback, and continuously improve.
Collaborate closely with the founding team in a hybrid in-person cadence (SF 2–3 days/week).
What We're Looking For
1–3 years of experience building full-stack products end-to-end.
Strong CS fundamentals, high attention to detail, and clear communication skills.
Proficiency in React with demonstrated product and UX sensibilities.
Experience with customer-facing feature development and translating customer needs into technical deliverables.
Backend and infrastructure experience with Go, PostgreSQL, and Google Cloud.
Familiarity with APIs, LLMs, and Retrieval-Augmented Generation (RAG) architectures.
Background in EMS, 911 services, healthcare, or insurance billing is a strong plus.
NREMT certification is a bonus.
Prior experience as a founder or founding engineer is a plus.
Comfortable with a hybrid in-person schedule in San Francisco.
Compensation & Benefits
Salary range: $120,000 – $190,000 USD annually. Visa sponsorship is not available for this role; OPT and STEM OPT candidates are welcome and the team will work with you on next steps.
Location
Hybrid — San Francisco, California, USA (2–3 days per week in-person).