Founding Engineer, Architect – Stealth Healthcare Startup

Role Overview

• Build the Platform From Scratch
• Partner with our founder to design and build Version 1 of the health intelligence platform. You'll make foundational technical decisions that shape the product for years to come.
• Architect the Health Intelligence Engine
• Build the backend infrastructure, APIs, and data models that power personalized health insights. Design systems that synthesize lab results, wearable data, symptoms, and medical history into actionable intelligence.
• Develop Data Integration Pipelines
• Create robust ETL pipelines to ingest data from diverse sources: lab providers (Quest, LabCorp), wearables (Oura, Apple Health, Whoop, Garmin), medical records, and user-entered data. Ensure data integrity, security, and HIPAA compliance.
• Build AI-Powered Features
• Implement the conversational AI health check-ins, treatment recommendation engine, and predictive models that surface insights and guide users through their health journey. Work with Claude and other AI tools to accelerate development.
• Own Security and Compliance
• Build with HIPAA compliance from day one. Implement encryption, access controls, audit logging, and security best practices for handling sensitive health data.
• Leverage AI-Native Development Tools
• Use Claude, Claude Code, Cursor, and other AI-assisted development tools to accelerate building. Embrace vibe coding and rapid prototyping to move quickly from concept to working product.
• Grow Into Leadership
• As we scale, mentor and guide additional engineers. Help establish engineering culture, practices, and standards. This role has a clear path to engineering leadership.

Requirements

• 10+ years of software engineering experience, with a track record of building and shipping complex products. You've worked across the stack and can own technical decisions end-to-end.
• Strong backend and infrastructure expertise. Deep experience with system architecture, APIs, databases, and building scalable, reliable systems. Comfortable with Python, Node.js, or similar.
• Experience with health data and integrations. You've worked with lab data, EHR systems, wearable APIs, or healthcare interoperability standards (HL7, FHIR). You understand the complexity of health data.
• Data pipeline and ETL experience. You've built pipelines that ingest, transform, and normalize data from multiple sources. Experience with healthcare data integration is a strong plus.
• Cloud infrastructure proficiency. Hands-on experience with AWS, GCP, or Azure. You can architect and deploy secure, compliant infrastructure.
• AI/ML implementation experience. You've built products that leverage AI—whether recommendation systems, NLP, conversational AI, or predictive models. Experience with LLMs and prompt engineering is valuable.
• Security and compliance mindset. You understand HIPAA requirements and can build systems that protect sensitive health data from the start.
• Comfortable with AI-native development workflows. You use Claude Code, Cursor, GitHub, or similar tools to accelerate your work.
• Preference on experience with Python and Typescript. Experience with Cloud platforms like AWS, JCP, etc.
• Experience in healthcare technology and an understanding of technology health data privacy regulations (HIPAA, state telemedicine laws).
• Startup mentality. You've thrived in early-stage environments where you wear many hats, move fast, and take ownership. You're energized by ambiguity and building from zero to one.
• Passion for the mission. You care about building technology that improves women's health outcomes. You're motivated by the impact this product can have on real people's lives.

Tech Stack

• AWS
• Azure
• Cloud
• ETL
• Google Cloud Platform
• JavaScript
• Node.js
• Python
• TypeScript

Benefits

• 100% employer-paid, comprehensive health care including medical, dental, and vision for you and your family.
• Paid maternity and paternity for 14 weeks at employees' normal pay.
• Unlimited PTO, with management approval.
• Opportunities for professional development and continued learning with educational reimbursements.
• Optional 401K, FSA, and equity incentives available.
• Mental health benefits through TARA Mind.