About the Role
We're a small, fast-moving team building AI-powered software that modernizes billing and operations for Emergency Medical Services (EMS) agencies. Our platform automates the denial resolution and revenue recovery process — helping paramedics get paid and protecting the financial health of 911 services across the country.
We're looking for a Founding Engineer who thrives at the intersection of hands-on engineering and direct customer impact. You'll be one of the earliest technical hires, shaping the product, the codebase, and the culture from the ground up.
What You'll Do
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Own end-to-end development: architecture, code, deployment, and on-call responsibility.
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Build and ship customer-facing features informed by direct conversations with billers, fire chiefs, and EMS operations leaders.
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Develop automation that reduces manual work and delivers meaningful financial savings to agencies.
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Make product and design tradeoffs with a strong UX sensibility — you care as much about the experience as the implementation.
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Iterate quickly: deploy, gather customer feedback, and improve continuously.
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Collaborate closely with the founding team in person 2–3 days per week in San Francisco.
What We're Looking For
Required:
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1–3 years of full-stack product development experience, delivering end-to-end features independently.
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Proficiency in React with strong product and UX sensibilities — you know what "good" looks like on the frontend.
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Experience translating customer needs into well-scoped, well-executed technical deliverables.
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Hands-on experience building and shipping features that interact with APIs.
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Familiarity with LLMs and Retrieval-Augmented Generation (RAG) architectures — this is a dealbreaker requirement.
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Strong CS fundamentals, high attention to detail, and a fast learner with clear communication skills.
Nice to Have:
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Backend and infrastructure experience with Go, PostgreSQL, and Google Cloud.
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Background in EMS, 911 dispatch, healthcare, or insurance billing.
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NREMT certification — a meaningful differentiator.
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Prior experience as a founder or founding engineer at an early-stage startup.
Visa: OPT and STEM OPT candidates are welcome; we will work with you on next steps. Sponsorship is not available for other visa types.
Location
- Hybrid — San Francisco, CA, with an in-person expectation of 2–3 days per week.
Compensation & Benefits
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Salary: $120,000 – $190,000 USD annually, depending on experience.
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Early-stage equity participation.
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Opportunity to shape the technical direction and culture of a company at day one.
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