Join an early-stage healthtech SaaS startup as a Founding Full Stack Engineer, where you’ll own architecture and implementation across multiple integrated products serving complex, multi-hospital enterprise customers. This is a senior, hands-on role where you’ll build core infrastructure, data models, and AI-driven workflows — and help set the engineering standards that enable secure, enterprise-grade SaaS at scale.
What You’ll Do
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Own architecture and end-to-end implementation across four integrated products.
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Design data models that support multi-hospital and multi-unit organizational structures.
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Build AI workflows for document authoring, evidence organization, and document retrieval.
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Implement enterprise infrastructure including SSO/SAML, RBAC, audit logging, and HRIS integrations.
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Translate customer calls and domain knowledge into shipped product features.
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Define and maintain CI/CD pipelines, testing strategies, and architectural standards.
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Collaborate with product teams and non-technical stakeholders to align engineering with clinical and operational needs.
What We’re Looking For
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5+ years building production SaaS products with end-to-end ownership.
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Strong full-stack experience with TypeScript, React, and Node.js.
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Proven backend design experience for multi-tenant, workflow-heavy applications — this is a dealbreaker requirement.
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Experience implementing enterprise auth systems (SSO/SAML) and integrations (RBAC, audit logging, HRIS) — dealbreaker requirement.
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Hands-on experience with AI-assisted workflows for writing, evidence organization, or document retrieval.
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Demonstrated ability to own architecture and execution in an early-stage startup environment.
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Strong communicator comfortable working with non-technical domain experts and customers.
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Experience defining CI/CD, testing strategies, and standards for growing engineering teams.
Nice to have: Familiarity with Next.js, PostgreSQL, Supabase, Vercel, or AWS S3.
Please note: Visa sponsorship is not available for this role.
Compensation & Benefits
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Salary: $135,000 – $155,000 USD annually
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Early-stage equity opportunity
Location
This is an on-site role based in San Francisco, CA. Candidates must be based in or willing to relocate to the San Francisco Bay Area.