Founding Product Engineer
Note: Visa sponsorship is not available for this role.
This is a hybrid role based in New York City, NY. Candidates should be able to co
Founding Product Engineer at a seed-stage healthtech startup, owning the clinician-facing product experience from concept to production.
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.