Founding Engineer
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Before you apply
Salary$120k – $220k
LocationSan Francisco, United States
Work modeon-site
Typefull-time
SeniorityLead
DepartmentTechnology
EquityIncluded
Company size1–10 people
PostedJun 9, 2026 · 4mo ago
Verified live2d ago
At a glanceSummarised by Seekless from the posting.
Full-stack or backend engineering
Building reliable, production-grade AI systems
Integrated AI systems into legacy systems in the past
Move fast and take ownership
Excited by using AI to automate healthcare, clinical trials, or regulated data workflows
Willing to join at earliest stage and help define engineering culture
Skills
React
TypeScript
LangChain
Prompt Engineering
AI Agents
About the role
We are looking for a founding engineer who wants to build deeply technical AI systems in one of the most important and regulated industries in the world.
Responsibilities
You will work directly with the founders to:
•
Build agentic workflows for clinical trial automation
•
Design reliable systems for document ingestion, data transformation, validation, and auditability
•
Own core product surfaces across frontend, backend, data infrastructure, and AI orchestration
•
Work closely with clinical teams to turn messy real-world workflows into production software
•
Ship quickly while maintaining the rigor required for regulated healthcare environments
Requirements
You might be a fit if you:
•
Are an exceptional full-stack or backend engineer
•
Care about building reliable, production-grade AI systems and can/have integrated into legacy systems in the past
•
Move fast, take ownership, and like ambiguous technical problems
•
Are excited by using AI to automate healthcare, clinical trials, or regulated data workflows
•
Want to join at the earliest stage and help define the engineering culture
We care less about credentials and more about raw ability, taste, speed, and ownership. This is a high-agency founding role for someone who wants to build category-defining software.
Compensation: $120K - $220K salary and 0.50% - 2.00% equity.
Location: San Francisco, CA, US. Onsite.
Employment type: Full-time.
Visa sponsorship: Available.
Hiring process
About the interview:
1.
Send us any relevant information: resume, background, GitHub.
2.
30-minute technical interview with Sanmay (CTO) and engineering.
3.
Live coding session with the engineering team.
4.
30-minute culture interview.
5.
Paid work trial on a realistic Astraea engineering problem, designed to evaluate how you think, build, communicate, and handle ambiguity. Can accommodate online if needed.
6.
Offer.
Skills: React, TypeScript, Prompt Engineering, AI Agents, LangChain.
Compensation
The base pay range for this role is $120,000 – $220,000 per year.