Founding Engineer (Backend/ Infra)

D24 Search is a seed funded startup focused on building a personal health operating system that transforms healthcare into proactive prevention and optimization. They are seeking a Founding Engineer (Backend/Infra) to own the backend infrastructure and health data pipelines in a HIPAA environment, working closely with experienced founders in a high-ownership role.

Responsibilities:

• Own the core health-data ingestion and processing layer — integrating wearable APIs, EHR/FHIR data, PDF extraction outputs, and other structured/semistructured inputs into clean, queryable domain objects
• Design and maintain data APIs consumed by web and mobile clients, as well as AI agents and subsystems
• Continue development of the existing Python app or guide a deliberate reboot if a different stack proves more strategic
• Lead infrastructure strategy across IaC, build+release, observability, HIPAA-aligned security posture, and scaling strategy

Requirements:

• Experience building a product or system from 0 to 1
• API design and database schema design
• Multi-language fluency (Python + 1)
• Full stack exposure
• Experience in a regulated industry (e.g., health tech, fintech)
• Health-tech or regulated data experience (HIPAA, FHIR, EHR integrations)
• Excellent written and verbal communication for async, remote work
• Demonstrated interest in personal health, longevity, or health sciences
• Significant overlap with US morning/mid-day time zones (e.g., Americas/Europe)