{"id":2664019,"url":"https://alion.io/job/global-placement-firm-founding-engineer","title":"Founding Engineer","company":{"id":4423659,"name":"Global Placement Firm","domain":"globalplacementfirm.com","url":"https://alion.io/company/globalplacementfirm","size_band":null,"is_staffing_agency":true,"employer_type":"agency","is_intermediary":false,"listed_via":null,"ats_vendor":"Manatal","truth_index":null},"role":"Backend","role_family":"Backend","seniority":null,"employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Francisco, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":160000,"max":210000,"currency":"USD","period":"year","gross":null,"usd_annual":210000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-16T01:48:56Z","employer_posted_date":"2026-10-16","last_verified_at":"2026-10-21T06:10:15Z","board_verified":true,"closed_at":null,"days_open":5,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":5},"description":"Founding Engineer\nGlobal Placement Firm is conducting a confidential search for Founding Engineers to join a small, high-growth healthcare technology company in San Francisco focused on transforming how speech, occupational, and physical therapists deliver care.\nThis is a high-ownership, product-minded engineering opportunity for a builder who wants to shape the product, technology stack, and engineering culture from the ground up.\nThe ideal candidate is someone who moves quickly, enjoys working directly with users, makes strong product decisions, and is comfortable owning problems from initial idea through production and user adoption.\nPosition Overview\nAs a Founding Engineer, you will be one of the core technical contributors responsible for building and scaling a technology platform designed to help therapists operate their own private practices.\nYou will work directly with therapists to understand their workflows, identify problems, and determine what should be built. This role goes beyond traditional software engineering-you will have a direct voice in product strategy, technical architecture, user experience, and company direction.\nYou will be expected to ship continuously, use AI aggressively to accelerate development, and prioritize learning and real-world user impact over unnecessary perfection.\nKey Responsibilities\nBuild and ship product features rapidly from concept through production.\nOwn technical and product problems end-to-end, from identifying the opportunity to measuring user adoption.\nWork directly with therapists to understand their workflows, challenges, and needs.\nObserve users in their day-to-day environments and translate real-world problems into product solutions.\nMake critical product and technical decisions that determine what the company builds.\nDesign, develop, test, deploy, and continuously improve the product.\nUse modern AI tools and technologies aggressively to accelerate software development.\nExplore ways AI can improve the product and create better experiences for therapists and their clients.\nWork closely with founders and other early team members on product strategy and technical direction.\nHelp establish the company's engineering practices, architecture, and technology stack.\nMove quickly through experimentation, iteration, and deployment.\nBalance speed and simplicity with reliability and long-term scalability.\nContinuously gather user feedback and incorporate it into product development.\nTake ownership beyond narrowly defined engineering assignments.\nRequired Qualifications\nStrong professional software engineering experience with demonstrated ability to build and ship production products.\nProven track record of taking ownership of projects from idea through launch.\nStrong product instincts and ability to make decisions beyond purely technical considerations.\nExperience working in a startup, early-stage, or highly entrepreneurial environment.\nDemonstrated ability to move quickly and iterate based on real-world user feedback.\nStrong communication and collaboration skills.\nComfortable interacting directly with customers and users.\nExperience using AI-assisted development tools and/or AI technologies to accelerate development.\nStrong understanding of modern software development practices.\nAbility to operate with significant autonomy and limited process.\nMust be based in or willing to relocate to San Francisco.\nMust be comfortable working on-site five days per week in the San Francisco Mission District.\nProduct-Minded Engineering\nThis role is specifically designed for an engineer who wants to participate in what gets built, not simply how it gets built.\nWe're Looking For Someone Who:\nThinks like a product builder, not just a software developer.\nStarts with the user problem before designing the technical solution.\nEnjoys talking directly with customers.\nIs comfortable observing users and learning how they actually work.\nCan turn ambiguous problems into simple, useful products.\nMakes pragmatic decisions and moves quickly.\nPrioritizes shipping and learning over unnecessary perfection.\nTakes ownership of outcomes rather than individual tickets.\nIs comfortable changing direction when user feedback indicates a better path.\nHas strong technical judgment without becoming overly attached to a particular technology or architecture.\nIs excited about using AI to fundamentally accelerate how software is built.\nIdeal Candidate Profile\nThe ideal candidate is a high-agency, entrepreneurial engineer who wants to help build a company from an early stage.\nYou should be comfortable operating without extensive documentation, established processes, or large engineering teams.\nYou will have the opportunity to influence nearly every aspect of the technology organization and should be excited by the responsibility that comes with being one of the first engineers.\nStrong candidates will have experience:\nBuilding products from scratch.\nWorking directly with customers or end users.\nShipping rapidly in startup environments.\nMaking product decisions alongside technical decisions.\nUsing AI tools to dramatically accelerate development.\nIterating based on real-world user feedback.\nTaking ambiguous problems and turning them into shipped solutions.\nWorking closely with founders and small teams.\nStartup & Ownership Experience\nThis is a founding-stage engineering role, so recruiters should prioritize candidates who demonstrate meaningful ownership and entrepreneurial behavior.\nCandidates should be able to clearly describe:\nProducts they personally helped build.\nTheir specific ownership within those products.\nExamples of taking a product from idea to production.\nSituations where they made product decisions rather than simply executing specifications.\nExamples of working directly with users or customers.\nHow they have used AI to improve their development workflow.\nExamples of working successfully in small, resource-constrained teams.\nCandidates who require highly structured environments, narrowly defined responsibilities, or extensive organizational support may not be aligned with this opportunity.\nTechnical & Product Environment\nThe role offers exposure across:\nModern web and application development\nAI-assisted software development\nArtificial intelligence\nHealthcare technology\nInsurance and healthcare operations\nProduct development\nUser experience\nWorkflow automation\nBilling and operational systems\nPractice management\nCustomer-facing applications\nData and integrations\nThe successful candidate will have the opportunity to influence the technology stack rather than simply inherit an established architecture.\nWork Environment\nThis is a small, highly collaborative, in-person startup environment based in San Francisco's Mission District.\nThe team works closely together and expects engineers to participate actively in product discussions, user research, technical decisions, and day-to-day problem solving.\nThis is not a traditional engineering organization with multiple layers of management. Engineers are expected to communicate directly with founders and users, make decisions independently, and take ownership of meaningful business outcomes.\nCompensation & Benefits\nBase Salary: $160,000 - $210,000 annually\nEquity: 1.5% - 2.0%\nEmployment Type: Full-Time\nOpen Positions: 2\nWork Arrangement: On-Site\nLocation & Schedule\nLocation: San Francisco, California - Mission District\nWork Arrangement: On-Site\nIn-Office Requirement: 5 days per week\nCandidates must be based in or willing to relocate to San Francisco and comfortable working in the office five days per week.\nVisa Sponsorship\nThe company is open to visa transfers, including qualified candidates currently on OPT or H-1B who are eligible for transfer.\nWhy Join\nThis is an opportunity to join an early-stage healthcare technology company working to address a major problem affecting children, families, and therapists.\nA significant number of children need speech, occupational, or physical therapy, while therapists spend substantial time dealing with administrative work rather than providing care.\nThe platform is designed to help therapists build and operate their own practices while handling complex operational challenges such as insurance, billing, and administrative workflows.\nAs a Founding Engineer, you will have the opportunity to:\nShape the product, technology stack, and engineering culture from the ground up.\nBuild products directly around real therapist needs.\nWork directly with users and founders.\nMake meaningful product and technical decisions.\nShip continuously and see your work adopted by real users.\nUse AI to dramatically accelerate development and product innovation.\nHelp build technology that can improve access to therapy for children and families.\nJoin a small team at an early stage with significant opportunity for individual impact.\nWork at the intersection of healthcare, AI, software, and entrepreneurship.\nCandidate Profile: What We're Not Looking For\nThis opportunity is best suited for engineers who are product-minded, entrepreneurial, and highly autonomous.\nCandidates may not be the right fit if their experience consists primarily of:\nHighly structured engineering environments with limited individual ownership.\nRoles where product decisions are exclusively made by product management.\nLimited interaction with customers or end users.\nWorking exclusively from predefined technical specifications.\nReluctance to move quickly or iterate based on user feedback.\nLimited interest in AI-assisted development.\nA preference for narrowly defined technical responsibilities.\nCandidates unwilling or unable to relocate to San Francisco.\nCandidates unwilling to work five days per week in the office.\nConfidential Search\nThis position is being presented by Global Placement Firm on behalf of a confidential client. Additional client and company information will be shared with qualified candidates during the recruitment process.","description_format":"text","description_chars":9942,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Equity"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":true,"industries":[],"lifecycle":[{"event":"open","at":"2026-10-16T01:48:56Z"}],"visa":[],"liveness":{"score":53,"band":"ok","label":"Likely open","p_open":1,"p_active":0.534,"p_room":1,"age_days":5,"expected_fill_days":23,"reasons":["conf:3","agency","velocity","win:early","comp:brand"],"computed_at":"2026-10-21T05:46:15Z"},"pay":{"stated_usd_annual":210000,"is_top_pay":true},"html_url":"https://alion.io/job/global-placement-firm-founding-engineer","json_url":"https://alion.io/job/global-placement-firm-founding-engineer.json","meta":{"generated_at":"2026-10-21T08:31:19Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":12064,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-22T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":4423659},"rest":"https://alion.io/mcp/rest/get_company?id=4423659"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fglobal-placement-firm-founding-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fglobal-placement-firm-founding-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fglobal-placement-firm-founding-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/global-placement-firm-founding-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fglobal-placement-firm-founding-engineer"}]}