1,828,703open jobs
106,110companies
265,886added this week
Browse all
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
Free account
Stop reading job ads. Get the ones that fit.
One free account turns this page into a shortlist built around your stack, your level and your pay.
Match on every job. Stack, seniority, pay and location, scored against your profile.
1,828,703 open roles. Read straight off company career pages, refreshed every day.
Unlimited applications. Every one you send is tracked in one place, on-site or on a company board.
3 tailored CVs a month. Rewritten for the exact job you are applying to. Included free.
Create a free account Continue with Google
Free forever. No card. Under a minute.

Your match

How well do you fit this role?
Two answers are enough for a real match. No account needed.
Check my fit
Answers stay in this browser until you create an account.

Recommended for you based on this role

Backend
Similar stack
Same company
Hyderabad
Desarrollador .net 2 hours ago
Hybrid • 4+ years exp • Bachelor's Degree
JavaScript
TypeScript
SQL
C#
C#
.NET
Frontend
Vue.js
Angular
React.js
Mobile
Xamarin
DevOps
Rest API
Azure DevOps
Azure
Git
Management
Google Maps
Agile
Scrum
Apply
$115k – $235k per year • Equity • In office • 8+ years exp • Bachelor's Degree • Seattle
Java
C#
C++
DevOps
Terraform
Ansible
Debian
Docker
Kubernetes
Ubuntu
CentOS Stream
Linux
Apply
$106k – $235k per year • Equity • In office • Nashville
AI/ML
AI Agents
LLM Guardrails
Apply
$88k – $210k per year • Equity • In office • 4+ years exp • Bachelor's Degree • Nashville
Python
Go
Java
AI/ML
AI Agents
DevOps
Terraform
GCP
Azure
AWS
Kubernetes
Management
Agile
Apply
$97k – $306k per year • Equity • In office • Seattle
Apply
≈ $30k – $79k per year (Estimated) • In office • 8+ years exp • Bachelor's Degree • Hyderabad
Python
Go
JavaScript
C#
C++
Objective-C
Apply
Senior Java Developer 2 hours ago
≈ $16k – $38k per year (Estimated) • Hybrid • 6+ years exp • Bachelor's Degree • Hyderabad
Java
SQL
Java
Maven
Spring Boot
Databases
PostgreSQL
Apache Kafka
AI/ML
Copilot
Model Context Protocol
Vertex AI
AI Agents
RAG
DevOps
Terraform
GCP
CI/CD
Docker
Kubernetes
Google GKE
Google Cloud Run
GitHub
Cybersecurity
SonarQube
Management
Confluence
Jira
Agile
Apply
Java Senior Developer 2 hours ago
≈ $16k – $38k per year (Estimated) • Hybrid • 6+ years exp • Hyderabad
Java
Java
Spring Boot
Spring Cloud
Databases
RabbitMQ
Apache Kafka
DevOps
CI/CD
Apply
≈ $22k – $52k per year (Estimated) • Hybrid • 12+ years exp • Hyderabad
JavaScript
Java
Kotlin
TypeScript
SQL
Java
Spring Framework
Spring Boot
Kotlin
Mockito
Databases
MySQL
Cassandra
Frontend
Angular
Sass
Mobile
JUnit
DevOps
Rest API
CI/CD
Git
Docker
Kubernetes
Management
Agile
Scrum
QA
Selenium
Apply
≈ $20k – $55k per year (Estimated) • Hybrid • Full-Time • 5+ years exp • Bachelor's Degree • Hyderabad
Python
JavaScript
Java
TypeScript
SQL
Node JS
Java
Spring Boot
Databases
DynamoDB
AI/ML
Prompt Engineering
AI Agents
AWS Bedrock
LLM
Frontend
Angular
DevOps
Splunk
CloudFormation
CI/CD
AWS
Bamboo
Bitbucket
AWS Fargate
AWS Lambda
Honeycomb
GitHub
Amazon S3
IAM
Amazon ECS
Management
Confluence
UiPath
Agile
Apply
See all jobs
This is one of many
1,828,703 more open roles from verified company boards, updated every day.