Founding Engineer
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Reach the decision-maker — $5About the role
### **About the Role**
We're a small, fast\-moving seed\-stage healthtech startup building AI\-powered software that modernizes billing and operations for Emergency Medical Services (EMS) agencies. Our platform automates denial resolution, appeal generation, payer outreach, and compliance workflows — helping paramedics get paid and protecting 911 services across the country.
We're looking for a **Founding Engineer** to join as one of the earliest technical hires. This role blends hands\-on, end\-to\-end engineering with direct customer engagement — you'll talk to billers, fire chiefs, and ops leaders as often as you write code. If you thrive in a high\-ownership environment and want your work to have immediate, measurable impact, this role is for you.
### **What You'll Do**
* Own architecture, development, deployment, and on\-call responsibilities across the full stack. * Build and ship customer\-facing features informed by direct conversations with EMS billers and agency operators. * Design and implement automation that eliminates manual work and drives meaningful revenue recovery for agencies. * Make thoughtful product and design tradeoffs with a strong UX sensibility. * Iterate rapidly: deploy, gather customer feedback, and continuously improve. * Collaborate closely with the founding team in a hybrid in\-person setting (San Francisco, 2–3 days per week).
### **What We're Looking For**
**Required:**
* 1–3 years of experience building full\-stack products end\-to\-end, with demonstrated ownership of complete features. * Proficiency in **React** and a track record of delivering polished, customer\-facing UIs with strong UX sensibility. * Experience translating customer needs into technical deliverables and building features that interact with external APIs. * Hands\-on experience with **LLMs and Retrieval\-Augmented Generation (RAG)** architectures — this is a dealbreaker requirement. * Strong CS fundamentals, high attention to detail, fast learner, and clear communicator.
**Nice to Have:**
* Backend and infrastructure experience with **Go, PostgreSQL, and Google Cloud**. * Background in EMS, 911 dispatch, healthcare, or insurance billing. * NREMT certification (a significant plus). * Prior experience as a founder or founding engineer at an early\-stage startup.
**Visa:** OPT and STEM OPT candidates are welcome; the team will work with you on next steps. Formal visa sponsorship is not available at this time.
### **Location**
This is a **hybrid role based in San Francisco, CA**. You'll be expected in the office 2–3 days per week to work closely with the founding team. Remote candidates are not being considered for this position.
### **Compensation \& Benefits**
* **Salary:** $120,000 – $190,000 USD annually, depending on experience. * Early\-stage equity as a founding team member. * High\-impact, high\-ownership role at the ground floor of a mission\-driven healthtech company.
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