Founding Product Engineer

About the Role

We're a seed-stage, AI-native healthtech startup building an operating system that empowers nurse practitioners to launch and run independent clinical practices. We're hiring a Founding Product Engineer to own and shape the clinician-facing product experience end-to-end.

You'll work closely with founders, designers, and clinicians to transform complex clinical workflows into polished, reliable software that directly improves care delivery. This is a high-ownership, high-impact role at a small, fast-moving team — you'll have an outsized influence on both the product and the engineering culture from day one.

What You'll Do

• Own major clinician-facing workflows from whiteboard through production — including implementation, testing, rollout, and iteration.

• Collaborate with designers, founders, and clinicians to define product behavior; you won't be waiting for finished specs.

• Drive frontend architecture and technical direction across provider and patient applications.

• Influence APIs, data models, and overall system design while primarily owning the frontend.

• Iterate quickly from rough concepts to polished production experiences alongside a product designer.

• Debug complex production issues spanning browsers, APIs, third-party integrations, and infrastructure.

• Contribute to engineering culture through thoughtful code reviews, technical discussions, and pragmatic decision-making.

• Leverage AI development tools as a core part of your workflow while maintaining full ownership of system design and production quality.

What We're Looking For

Required:

• Demonstrated experience leading significant technical initiatives or owning major product areas end-to-end.

• Strong hands-on experience with React and Next.js (TypeScript familiarity assumed).

• Proven track record of owning user-facing features from concept through production.

• Comfortable collaborating across the frontend/backend boundary — working with APIs and debugging backend behavior.

• Experience working directly with designers, customers, or domain experts to shape product direction.

• Strong product intuition, engineering judgment, and debugging skills.

• Comfortable in a fast-moving startup environment and experienced using AI development tools responsibly.

• Able to commute to our Midtown Manhattan office 3 days per week (hybrid).

Nice to Have:

• Experience in healthcare, with FHIR, or in other regulated-software environments.

• Prior experience as an early or founding engineer at a startup.

• Experience building products used throughout the workday, where usability and workflow matter as much as correctness.

• Experience evolving and maintaining a design system.

Note: Visa sponsorship is not available for this role.

Compensation & Benefits

• Salary: $180,000 – $220,000 per year

• Early-stage equity

• Opportunity to shape engineering culture and product direction as a founding team member

Location

This is a hybrid role based in New York City, NY. Candidates should be able to commute to our Midtown Manhattan office at least 3 days per week.