Founding Full Stack Engineer
$135,000–$155,000 year
On-siteSan Francisco, California, United States
Job Summary
Own architecture and implementation across four integrated product areas, designing data models for complex multi-hospital structures and building AI-assisted workflows for document authoring and evidence retrieval. Implement enterprise-grade infrastructure including SSO/SAML, RBAC, audit logging, and HRIS integrations while defining CI/CD pipelines and architectural standards for the growing engineering team. Translate customer conversations and domain knowledge into shipped features by collaborating closely with product and non-technical stakeholders to align engineering work with clinical needs. This senior, hands-on founding role involves shaping technical direction from the ground up for an early-stage healthtech SaaS company focused on measuring nursing excellence ROI.
Required Qualifications
- 5+ years building and delivering production SaaS products with end-to-end ownership
- Strong full-stack proficiency with TypeScript, React, and Node.js in production environments
- Proven backend design experience for multi-tenant, workflow-heavy applications
- Hands-on experience implementing enterprise auth systems (SSO/SAML) and integrations such as RBAC, audit logging, and HRIS
- Demonstrated ability to own architecture and execution in an early-stage startup environment
- Experience defining CI/CD pipelines, testing strategies, and architectural standards for growing teams
- Strong communicator — comfortable working directly with non-technical domain experts and enterprise customers
- Candidates must be authorized to work in the United States
Desired Qualifications
- Hands-on experience with AI-assisted workflows for writing, evidence organization, or document retrieval
- Familiarity with Next.js, PostgreSQL, Supabase, Vercel, or AWS S3
- Experience with data modeling for multi-hospital or multi-unit organizational structures
- Background in healthcare, clinical workflows, or regulated industries
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