Founding Full Stack Engineer
About the Role
We're an early-stage healthtech SaaS company building a unified platform that helps large healthcare organizations - including complex, multi-hospital systems - measure, manage, and prove the ROI of their nursing excellence programs. Think professional governance, clinical ladder programs, evidence-based practice, and designation readiness, all in one enterprise-grade product.
As a Founding Full Stack Engineer, you'll own architecture and implementation across multiple integrated products. You'll design the core infrastructure, data models, and AI-driven workflows that translate customer insights directly into shipped features - and you'll help set the engineering standards that allow us to scale securely across enterprise healthcare customers.
This is a senior, hands-on founding role with significant scope and ownership. You won't just build features - you'll shape how we build everything.
What You'll Do
Own architecture and implementation across four integrated product areas.
Design data models that support complex multi-hospital and multi-unit organizational structures.
Build AI-assisted workflows for document authoring, evidence organization, and retrieval.
Implement enterprise-grade infrastructure including SSO/SAML, RBAC, audit logging, and HRIS integrations.
Translate customer conversations and domain knowledge into concrete, shipped product features.
Define and own CI/CD pipelines, testing strategies, and architectural standards for a growing engineering team.
Collaborate closely with product and non-technical stakeholders to align engineering work with clinical and operational needs.
What We're Looking For
Must-haves:
5+ years building and delivering production SaaS products with end-to-end ownership.
Strong full-stack proficiency with TypeScript, React, and Node.js in production environments.
Proven backend design experience for multi-tenant, workflow-heavy applications.
Hands-on experience implementing enterprise auth systems (SSO/SAML) and integrations such as RBAC, audit logging, and HRIS.
Demonstrated ability to own architecture and execution in an early-stage startup environment.
Experience defining CI/CD pipelines, testing strategies, and architectural standards for growing teams.
Strong communicator - comfortable working directly with non-technical domain experts and enterprise customers.
Nice-to-haves:
Hands-on experience with AI-assisted workflows for writing, evidence organization, or document retrieval.
Familiarity with Next.js, PostgreSQL, Supabase, Vercel, or AWS S3.
Experience with data modeling for multi-hospital or multi-unit organizational structures.
Background in healthcare, clinical workflows, or regulated industries.
Note: Visa sponsorship is not available for this role. Candidates must be authorized to work in the United States.
Compensation & Benefits
Salary: $135,000 - $155,000 per year
Early-stage equity commensurate with a founding engineering role
Opportunity to shape the technical direction of a company from the ground up
Location
This role is based on-site in San Francisco, CA. Candidates should be local or willing to relocate.