Founding Full Stack Engineer
About the Role
This is a founding engineering role at an early-stage healthtech SaaS company building the system of record for nursing excellence. The platform helps large health systems improve nurse retention and patient outcomes by centralizing professional governance, digital clinical ladder programs, clinical inquiry (EBP, QI, Research), and ANCC designation management - replacing fragmented spreadsheets and shared drives with a unified, enterprise-grade product.
You'll be the first or among the first engineers, working directly with the founding team to own architecture, set standards, and ship production features across four integrated products. This is a high-ownership, high-impact role in a massive and underserved healthcare vertical.
No visa sponsorship is available. Candidates must be authorized to work in the United States without company sponsorship.
What You'll Do
Own end-to-end architecture and ship production features across a suite of four integrated SaaS products
Design data models and backend services for complex multi-hospital, multi-unit organizational structures
Build AI workflows for exemplar writing, evidence organization, and document retrieval across large program datasets
Implement enterprise infrastructure including SSO/SAML, role-based access control (RBAC), audit logging, and HRIS integrations
Join customer calls, hear problems firsthand, and translate feedback into shipped product within tight timelines
Define and establish engineering standards, CI/CD pipelines, testing strategies, and scalable architectural patterns for a growing team
What We're Looking For
Required:
5+ years of experience building production SaaS products
Strong full-stack development skills: TypeScript, React, and server-side JavaScript (Node.js)
Experience designing backend systems for multi-tenant or multi-unit, workflow-heavy applications
Hands-on experience with enterprise authentication (SSO/SAML), RBAC, audit logging, and HRIS integration
Experience building AI-powered workflows for document generation, evidence organization, or large-dataset retrieval
Proven ability to own both architecture and implementation in an early-stage, fast-moving environment
Ability to engage directly with non-technical domain experts and customers, and translate feedback quickly into product
Clear written and verbal communicator who collaborates well across functions
Tech stack in use: Next.js, React, TypeScript, PostgreSQL, Supabase, Vercel, AWS S3
Compensation & Benefits
Salary: $135,000 - $155,000 USD annually
Equity and stock options with clear career progression
401(k) with company match
Learning & development stipend (tuition, certifications, conferences)
Comprehensive wellness program and mental health resources
Generous paid parental leave (including adoption and surrogacy)
Commuter benefits and Employee Assistance Program (EAP)
Location
This role is fully remote (US-based). The company is headquartered in San Francisco, CA.