Senior Software Engineer
2 weeks ago
Company Description
We're an early-stage, founder-led healthcare startup building secure, AI-enabled products that streamline clinical workflows, elevate patient support, and give operators real-time visibility. We work directly with provider groups and health-services companies to ship production systems with HIPAA-grade safeguards from day one.
Role Description
You'll be our first engineering hire and the technical owner from zero-to-one: shaping architecture, writing the critical path code, standing up secure infrastructure, and then recruiting and leading a small team under you. This role is deeply client-facing. You'll run discovery, translate ambiguous needs into specs, present trade-offs, and land solutions that hold up in production.
Chatbots & Agents: RAG assistants for patient support and clinician workflows with safe logging and guardrails.
Business Automations: Intake, claims/billing checks, provider ops (AI and non-AI).
Interactive Dashboards: Real-time clinical/ops KPIs with drill-downs; privacy-preserving analytics.
You will
- Lead client discovery, requirements capture, and solution design; turn stakeholder goals into crisp, testable deliverables.
 - Build secure, HIPAA-compliant backends and APIs (authZ/authN, audit trails, encryption at rest/in transit) with
 - Ship responsive, accessible dashboards in React for clinicians and ops users.
 - Design ETL/data pipelines for messy healthcare data; automate model training, evaluation, and rollout.
 - Integrate AI/ML features (chatbots, agents, workflow automations, interactive dashboards) with measurable safety and ROI.
 - Own DevOps: CI/CD, observability, cost-aware GPU/TPU workloads on AWS/GCP/Azure, Docker/Kubernetes.
 - Establish engineering standards (testing, code review, Git/GitHub workflows, security baselines).
 - Hire and mentor a team as we scale.
 
Qualifications
- 5+ years professional software engineering with end-to-end product ownership.
 - Fluent English (written & spoken)—non-negotiable; you'll lead client calls, write specs, and present to executives.
 - Python and JavaScript/TypeScript.
 - Frontend: React (or comparable modern framework).
 - Backend: and/or Django/FastAPI; strong API design (REST/GraphQL).
 - Data: PostgreSQL/MySQL/MongoDB; sound schema design and migrations.
 - Cloud & Ops: AWS/GCP/Azure; Docker; Kubernetes; Git/GitHub.
 - Testing & CI/CD: Unit/integration/E2E (e.g., PyTest/Jest/Playwright) and automated pipelines (e.g., GitHub Actions).
 - Security & Compliance: Secure coding practices, OAuth2.0/OIDC + JWT, least-privilege IAM, practical HIPAA safeguards (PHI handling, auditability, de-identification).
 
Strong plus
- Interoperability: HL7/FHIR, SMART on FHIR, EHR integration exposure (Epic/Cerner).
 - MLOps: experiment tracking, model/version governance, evals, vector search (pgvector/FAISS), guardrails.
 - Data orchestration: Airflow/Prefect, Kafka/streams, queues (Redis/RabbitMQ).
 - Infra as Code & compliance literacy: Terraform, SOC 2/ISO 27001.
 - Product/commercial acumen: cost–benefit analysis (build vs buy), persuasive proposal/POC development.
 
Why this is compelling
- Founding scope: Set the technical direction and culture; your decisions define the baseline.
 - Immediate impact: Ship to real users in a regulated environment where reliability matters.
 - Team-building runway: Budget and mandate to recruit the right people as we grow.
 - Competitive salary.
 
Skip the line
Send me an email directly -
include your CV, GitHub, and other related portfolio, and tell me why you'd be a great fit :)
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