About the Role
We're a small, fast-moving healthtech startup building an AI-native operating system that empowers nurse practitioners to launch and run independent clinical practices. Our platform handles the full operational complexity of running a practice — so clinicians can focus entirely on patient care.
We're looking for a Founding Product Engineer to own and shape the clinician-facing product experience end-to-end. You'll work side-by-side with founders, a product designer, and clinicians to transform complex healthcare workflows into polished, reliable software that directly improves care delivery. This is a high-ownership, high-impact role at a very early stage — you'll help define how we build, not just what we build.
What You'll Do
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Own major clinician-facing workflows from whiteboard to production — including implementation, testing, rollout, and iteration.
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Collaborate with designers, founders, and clinicians to define product behavior; don't wait 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 behavior while primarily owning the frontend.
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Iterate rapidly from rough concepts to production-quality 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 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 experience assumed).
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Proven track record of owning user-facing features from concept through production.
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Comfort 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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Experience delivering in a fast-moving, early-stage startup environment.
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Comfortable using AI-assisted development tools while maintaining responsibility for architecture and quality.
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Ability to commute to our Midtown Manhattan office 3 days per week.
Nice to Have
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Experience in healthcare software, FHIR, or other regulated software domains.
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Prior experience as an early or founding engineer at a startup.
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Experience building high-touch, workflow-critical products where usability matters as much as correctness.
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Experience evolving or maintaining a design system.
Please 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 equity commensurate with a founding engineer role
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Opportunity to shape engineering culture and product direction from day one
Location
This is a hybrid role based in New York City, NY. You'll be expected in our Midtown Manhattan office at least 3 days per week.
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