About the Role
We're a seed-stage, AI-native healthtech startup building an operating system that empowers nurse practitioners to launch and run independent clinical practices. We're hiring a Founding Product Engineer to own and shape the clinician-facing product experience end-to-end.
You'll work closely with founders, designers, and clinicians to transform complex clinical workflows into polished, reliable software that directly improves care delivery. This is a high-ownership, high-impact role at a small, fast-moving team — you'll have an outsized influence on both the product and the engineering culture from day one.
What You'll Do
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Own major clinician-facing workflows from whiteboard through production — including implementation, testing, rollout, and iteration.
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Collaborate with designers, founders, and clinicians to define product behavior; you won't be waiting for finished specs.
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Drive frontend architecture and technical direction across provider and patient applications.
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Influence APIs, data models, and overall system design while primarily owning the frontend.
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Iterate quickly from rough concepts to polished production experiences alongside a product designer.
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Debug complex production issues spanning browsers, APIs, third-party integrations, and infrastructure.
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Contribute to engineering culture through thoughtful code reviews, technical discussions, and pragmatic decision-making.
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Leverage AI development tools as a core part of your workflow while maintaining full ownership of system design and production quality.
What We're Looking For
Required:
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Demonstrated experience leading significant technical initiatives or owning major product areas end-to-end.
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Strong hands-on experience with React and Next.js (TypeScript familiarity assumed).
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Proven track record of owning user-facing features from concept through production.
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Comfortable collaborating across the frontend/backend boundary — working with APIs and debugging backend behavior.
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Experience working directly with designers, customers, or domain experts to shape product direction.
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Strong product intuition, engineering judgment, and debugging skills.
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Comfortable in a fast-moving startup environment and experienced using AI development tools responsibly.
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Able to commute to our Midtown Manhattan office 3 days per week (hybrid).
Nice to Have:
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Experience in healthcare, with FHIR, or in other regulated-software environments.
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Prior experience as an early or founding engineer at a startup.
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Experience building products used throughout the workday, where usability and workflow matter as much as correctness.
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Experience evolving and maintaining a design system.
Note: Visa sponsorship is not available for this role.
Compensation & Benefits
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Salary: $180,000 – $220,000 per year
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Early-stage equity
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Opportunity to shape engineering culture and product direction as a founding team member
Location
This is a hybrid role based in New York City, NY. Candidates should be able to commute to our Midtown Manhattan office at least 3 days per week.
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