Founding Engineer ($150k-$180k + Equity) at mission-driven AI healthtech startup

About the role

As the first engineering hire, you will build a revolutionary system of record for senior care from the ground up. You will own the architecture and technical execution of an AI-powered platform that unifies fragmented healthcare data. This 0-1 role involves developing ingestion pipelines, intelligence layers, and agentic systems to transform senior health records into actionable care.

Why this role is remarkable

• Build a core platform from scratch as the first engineering hire with significant ownership.
• Backed by top-tier VCs to tackle the complex, high-impact problem of senior care navigation.
• Work directly with the founder in-person in NYC to shape the product and technical culture.

What you will do

• Architect and build the core data ingestion, intelligence, and compliance layers of the platform.
• Design agentic systems that translate complex senior health records into coordinated navigation actions.
• Make high-stakes technical decisions that define the company's long-term engineering foundation and scalability.

The ideal candidate

• Proven experience as a founding engineer or early employee at a fast-growing startup.
• Deep technical expertise across the full stack, including backend systems, data engineering, and AI/ML.
• High-agency problem solver with a coherent career path and a desire for mission-driven work.