Founding Engineer / Technical Co-FounderOur client is a venture-backed healthcare technology company focused on building a new paradigm for patients with chronic conditions. The company is tackling a massive and underserved problem space, where millions of individuals are left without clear treatment pathways and are forced to navigate fragmented, anecdotal information on their own.Backed by top-tier investors and founded in late 2025, the company raised a multi-million dollar seed round in an accelerated timeframe, signaling strong conviction in both the founding team and the opportunity. Despite being pre-product, there is already meaningful organic demand and early community formation around the mission.The platform sits at the intersection of AI, consumer health, and community-driven data — combining structured health tracking, intelligent reasoning systems, and patient-to-patient insights.
The goal is to build a system that learns from real-world outcomes and helps users identify effective treatment pathways through structured experimentation and personalized recommendations.This is a true zero-to-one environment with a founding team of just a few individuals. The company is building both the product and the underlying technical foundation from scratch, with significant go-to-market investment planned in the near term.Position OverviewThis is a founding technical role with full ownership over architecture, product development, and engineering direction. The individual will work directly with the Founder/CEO as a thought partner, shaping not just how the product is built, but what should be built.The role goes beyond execution — this person is expected to operate as a technical leader, bringing strong opinions, challenging assumptions, and helping define the long-term technical vision of the company.There is a clear path toward Technical Co-Founder for the right individual, including meaningful equity and shared decision-making responsibility.Key ResponsibilitiesArchitect and build the initial product from the ground up, including core systems, data models, and user-facing experiencesDevelop an intelligent system that captures both structured and unstructured health data across multiple inputs (e.g., symptoms, labs, wearables, user-reported experiences)Design and implement AI-driven recommendation and matching systems based on user data, outcomes, and patternsBuild scalable data pipelines to ingest, normalize, and utilize health-related data across sourcesEstablish engineering standards, tooling, and culture in a zero-to-one environmentCollaborate closely with the Founder across product, design, and go-to-market strategyLead hiring and development of the engineering team as the company scalesEnsure the product is ready for a planned go-to-market push in the near termQualificationsYou might be a fit if you:Are a full-stack engineer with a backend-leaning skillset and strong system design capabilitiesHave experience building and shipping products in early-stage (pre-Series B) startup environmentsOperate at a senior or staff level with the ability to independently own technical decisions and outcomesAre deeply AI-native — actively working with modern models, tooling, and agent-based workflowsAre proficient in modern languages and frameworks (e.g., Python, JavaScript/TypeScript)Have experience or interest in consumer-facing products, ideally in health, wellness, or data-driven environmentsHave experience hiring or leading engineers, or are ready to step into that responsibilityThrive in ambiguous, fast-moving environments and are comfortable building without a defined playbookAre motivated by mission-driven work, particularly in improving outcomes for individuals navigating complex health challengesThis role may not be a fit if you:Prefer structured environments with clearly defined requirements and timelinesAre looking for a standard 9-to-5 work schedule with strict boundariesAre not actively experimenting with or leveraging AI tools in your day-to-day workflowHave not built or shipped consumer-facing products end-to-endAre primarily motivated by compensation over ownership and missionPrefer stability over the intensity and ambiguity of a true founding-stage companyWhat They OfferCompetitive base salary with flexibility based on experience and cash vs.
equity preferencesSignificant founding equity, with the potential for co-founder-level ownershipFully in-office, high-collaboration environment in San FranciscoHealth benefits and daily in-office mealsOpportunity to define the technical foundation, culture, and long-term direction of the companyDirect partnership with an experienced, product-oriented founderEarly ownership in a category-defining company with strong initial investor backing