Location
In office (Hyderabad)
Experience
3+ years exp
Employment
Full-Time
First seen by Alion on Oct 11, 2026.
Overview
Company
Impact
Profile match
OptimIQ Health is one platform across the clinical care continuum: VisitIQ, RiskIQ, CareIQ, EngageIQ, and RevenueIQ. Every diagnosis gap, service gap, and care opportunity is surfaced with the chart evidence behind it, and a person accepts every finding before anything is filed.
About the Role
We are looking for a Founding Engineer to join our startup at an early stage and help build the product, technology foundation, and engineering culture from the ground up. This is a hands-on role for someone who enjoys moving fast, solving real problems, and working closely with founders to turn ideas into scalable products.
As a Founding Engineer, you will take ownership across product development, architecture, infrastructure, and engineering execution. You will play a critical role in shaping both the technical direction and the future of the company.
- The first 2 weeks will serve as a performance evaluation period, where the Founding Engineer will work hands-on and in person with the team. During this time, we will closely assess execution speed, technical capability, communication, ownership, and alignment with the team and company goals.
What you'll do
- Build and ship core product features across web, backend and mobile platforms
- Design, develop, and maintain frontend and backend systems
- Work across our stack, including:
- Next.js (typescript) for web applications
- NestJS (typescript) for backend services and APIs
- Expo / React Native (typescript) for mobile apps
- PostgreSQL for data storage and modeling
- Rust for performance-critical or specialized components where needed
- Go for network engineering
- Collaborate directly with founders and team members on product strategy, user experience, and technical roadmap
- Own architecture decisions and help establish scalable engineering patterns
- Improve application performance, reliability, and security
- Build internal tools, integrations, and automation to support product growth
- Help define engineering best practices, code quality standards, and deployment workflows
- Contribute to hiring and shaping the future engineering team as the company grows
What we're looking for
- 3+ Years experience as a full-stack engineer in fast-paced product environments
- Primary Languages to know Typescript
- Solid hands-on experience with Next.js, React, Node.js, and NestJS
- Experience building mobile apps using React Native / Expo
- Good understanding of PostgreSQL, database design, and API development
- Familiarity with Rust or willingness to work with it for selected use cases
- Ability to take ownership of features from idea to production
- Comfortable working in ambiguity and making pragmatic engineering decisions
- Strong product mindset with attention to user experience and business impact
- Startup mentality: resourceful, adaptable, and execution-focused
- Willingness to work in person for the first 2 weeks as part of onboarding and team collaboration
- Excellent communication and collaboration skills
Nice to Have
- Experience as an early engineer or founding engineer at a startup
- Experience designing scalable backend systems and cloud infrastructure
- Familiarity with DevOps, CI/CD, monitoring, and production operations
- Experience with real-time systems, offline-first mobile apps, or performance optimization
- Interest in security, reliability, and clean system design
Why join us
- Opportunity to build from the ground up and have real ownership
- Direct impact on product, technology, and company direction
- Fast-moving environment with high autonomy
- Chance to work on meaningful problems with modern technologies
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