Founding Engineer

Founding Engineer – AI & Full Stack

Location: New York City | 5 Days Onsite

Compensation: $180K–$250K Base + Founding-Level Equity

We're partnering with a fast-growing, post-Series A healthcare technology startup that's reimagining how complex care is coordinated through software and AI.

They're building an AI-native platform that combines intelligent automation, contextual knowledge systems, and human expertise to simplify fragmented healthcare workflows.

They're looking for a Founding Engineer to join a very small, high-caliber engineering team and take significant ownership over the product, architecture, and technical direction.

The Opportunity

This is a hands-on, high-impact engineering role spanning full-stack product development, complex backend systems, and production AI workflows.

You'll help build an intelligent, continuously learning platform that transforms real-world interactions into actionable knowledge and supports increasingly sophisticated agentic workflows.

What You'll Do

• Architect and build scalable backend services, APIs, and data models.
• Develop polished, user-facing applications using TypeScript, React, and Next.js.
• Build AI-powered workflows, retrieval systems, and agentic capabilities.
• Design reliable systems for complex, context-rich data and operational workflows.
• Work directly with users and help shape product and technical decisions.
• Establish engineering best practices as the team scales.

What We're Looking For

• 3+ years of strong software engineering experience, or an exceptional track record.
• Full-stack expertise with particularly strong backend and systems design fundamentals.
• Experience building and owning complex products end to end.
• Strong understanding of databases, APIs, and modern cloud infrastructure.
• Experience with LLMs, AI tooling, or agentic applications.
• Strong product instincts, technical judgment, and comfort operating with autonomy.
• Excitement about working in a fast-moving, early-stage environment.

Why Join?

This is an opportunity to join at the founding-engineer level, with meaningful equity and the ability to shape both the technical foundations and future direction of the company.

About People in AI

People in AI is a specialist recruitment partner connecting exceptional AI, machine learning, and software engineering talent with some of the most ambitious technology companies in the world.