{"id":3135509,"url":"https://alion.io/job/hirevouch-founding-engineer-2","title":"Founding Engineer","company":{"id":4415880,"name":"hireVouch","domain":"hirevouch.com","url":"https://alion.io/company/hirevouch","size_band":null,"is_staffing_agency":true,"employer_type":"agency","is_intermediary":false,"listed_via":null,"ats_vendor":"CATS","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"junior","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":null,"salary_estimate":{"min_usd":110000,"max_usd":224000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1037},"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AWS","optional":false},{"name":"CI/CD","optional":false},{"name":"Cursor","optional":false},{"name":"FHIR","optional":false},{"name":"GraphQL","optional":false},{"name":"HIPAA","optional":false},{"name":"Node JS","optional":false},{"name":"OpenAI Codex","optional":false},{"name":"Vercel","optional":false},{"name":"JavaScript","optional":true},{"name":"React.js","optional":true},{"name":"TypeScript","optional":true}],"status":"live","first_seen_at":"2026-10-23T05:34:23Z","employer_posted_date":"2026-10-23","last_verified_at":"2026-10-24T20:28:38Z","board_verified":true,"closed_at":null,"days_open":1,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":1},"description":"Founding Engineer\nJob title: Founding Engineer\nLocation: San Francisco, CA (in-person only, relocation available)\nAbout the Company\nThey help speech, occupational, and physical therapists build their own private practices. Their AI-powered “business-in-a-box” handles everything from business setup and insurance to marketing and software, so therapists can focus on what they do best: helping children.\nThey are a small team in San Francisco backed by industry-leading investors who share their vision to reimagine the shape of pediatric care in the US. If you’re ready to build something big, you’re in the right place.\nRole Overview\nThey are hiring our Founding Engineer (Full-Stack) to work in-person, 5 days/week, in San Francisco as a member of the founding team. The office is currently in Mission.\nThis is not a 9-to-5 role. This is a chance to join an early-stage startup, work incredibly hard to build something massive, and get unmatched career growth and learning along the way. What they are building matters - to families, to therapists, and to the kids waiting for care.\nYou’ll be an equal thought partner in product and engineering - making foundational decisions on the stack, infrastructure, and development practices. You’ll work directly with co-founders to bring the AI-powered software to life and evolve it into a scalable, secure, and delightful platform used by real clinicians and families.\nThis role is ideal for an engineer who wants to build from zero, shape culture and architecture, and leave a tangible mark on an early healthcare startup.\nWhat You’ll Do\nLead end-to-end development of the core web applications - from architecture to deployment\nDesign and implement AI-powered product features\nCollaborate on product and technical design, shaping how the systems, APIs, and data models evolve\nBuild and ship features rapidly while maintaining strong engineering quality (testing, observability, CI/CD)\nEstablish early engineering processes, infrastructure standards, and documentation\nOwn technical decisions around scalability, security, and maintainability - especially given HIPAA-compliant requirements\nContribute to (and debate!) product direction, tradeoffs, and long-term technical vision\nHelp define the early engineering culture and assist with future technical hires\nOur Technical Environment\nThey use TypeScript and React with modern tooling - but they expect our architecture to evolve. You’ll have major input into how the stack, process, and infrastructure are shaped as they scale.\nYou Might Be a Fit If You…\nHave 2+ years of professional experience building and scaling modern web applications\nAre fluent in TypeScript, React, and modern backend frameworks (Node.js, or similar)\nHave experience with Vercel/AWS and CI/CD pipelines\nMove fast - Proficient with AI coding tools like Cursor, Codex, etc.\nHave strong opinions on architecture, testing, and developer experience - but value pragmatism over perfection\nAre excited by early-stage ambiguity and want to build real systems, not just prototypes\nThrive working in-person with a small team, iterating quickly on product and design\nBonus:Experience with healthcare, regulated environments, or automation workflows\nFamiliarity with FHIR standard and GraphQL APIs","description_format":"text","description_chars":3262,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":true,"industries":[],"lifecycle":[{"event":"open","at":"2026-10-23T05:34:23Z"}],"visa":[],"liveness":{"score":54,"band":"ok","label":"Likely open","p_open":1,"p_active":0.542,"p_room":1,"age_days":1,"expected_fill_days":20,"reasons":["conf:1","agency","velocity","win:early","comp:junior,brand"],"computed_at":"2026-10-24T06:02:35Z"},"pay":null,"html_url":"https://alion.io/job/hirevouch-founding-engineer-2","json_url":"https://alion.io/job/hirevouch-founding-engineer-2.json","meta":{"generated_at":"2026-10-24T20:32:19Z","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":29947,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-25T00:00:00Z"}},"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":4415880},"rest":"https://alion.io/mcp/rest/get_company?id=4415880"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fhirevouch-founding-engineer-2"},{"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%2Fhirevouch-founding-engineer-2"},{"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%2Fhirevouch-founding-engineer-2"},{"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/hirevouch-founding-engineer-2\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhirevouch-founding-engineer-2"}]}