Founding Engineer
Confirmed on the employer's own hiring board on Sep 27, 2026. First seen by Alion on May 12, 2026.
Founding Engineer @ Alden Labs
About Alden
Alden is re-architecting how America delivers care. Caregiving is the largest job in the U.S., yet the system still runs on sticky notes, spreadsheets, and late-night calls. Families wait weeks for help. Patients miss visits. Caregivers churn at 65% each year.
We’re building the AI coordination layer for care. Agents that reason through ambiguity, motivate caregivers, and turn informal workflows into reliable systems. Starting in home care, we’re expanding into senior living, hospice, disability, and beyond - creating the connective tissue for a distributed healthcare system.
For payers, Alden unlocks real-time visibility across fragmented providers: ensuring members get the right care at the right time, while reducing cost and administrative burden.
This isn’t just better software. It’s infrastructure that wasn’t possible until now. We’re looking for mission-driven builders to solve one of the hardest, highest-impact coordination problems in the world.
More about us here: Joining the Alden team
About the Role
Location: NYC (In-person)
Type: Full-time
At Alden, we're hiring a full-stack software engineer to help us shape the future of healthcare. You'll be on the front lines of our most ambitious product bets, owning development of core features like EHR integrations, intelligent workflows, and cutting-edge voice AI infrastructure. Your work will unlock major revenue opportunities by enabling Alden to onboard more customers and expand contracts with powerful new use cases.
We're looking for a sharp, high-ownership builder who’s experienced in building great products, comfortable with moving fast, and excited to work at the intersection of healthcare and AI.
What You’ll Be Working On
Owning large projects from 0 to 1: You’ll be building core pieces of the Alden technology, including defining product requirements, designing systems, building both back-end and front-end, and testing and iterating with customer feedback. Example projects include:
Building new use cases that leverage agentic workflow automation and application software, especially to support recruiting, onboarding, and compliance workflows for our customers.
Building internal infrastructure for AI voice applications, moving critical functions in-house (inference, transcription, voice, telephony) for scalability.
Deploying existing use cases for customers onboarding onto Alden, including building internal tools and integrations with EHRs, HR systems, and communications platforms.
Establishing and improving engineering processes
Engaging directly with customers
Working closely with the CEO and CTO to define Alden’s team culture
What You Bring
Strong programming skills and proficiency across full-stack web development
Tech stack: React (NextJS), Express, PostgreSQL
Track record of moving quickly and excitement to wear many hats across engineering, product, and working directly with customers
Curiosity around experimenting with cutting-edge AI technologies, including LLMs and voice AI applications
Ideally 3+ years of experience as a software engineer
Compensation & Benefits
Compensation: $170K - $200K+ base salary, plus competitive equity grant (flexible for exceptional candidates)
Insurance: Fully covered medical, vision, and dental insurance; One Medical membership
Time off: Unlimited paid time off
And more: Team off-sites & weekly catered lunch from top NYC restaurants!