Founding Engineer at hireVouch

Founding EngineerJob title: Founding EngineerLocation: San Francisco CA (in-person only relocation available)About the CompanyThey help speech occupational and physical therapists build their own private practices. Their AI-powered business-in-a-box handles everything from business setup and insurance to marketing and software so therapists can focus on what they do best: helping children.They are a small team in San Francisco backed by industry-leading investors who share their vision to reimagine the shape of pediatric care in the US. If youre ready to build something big youre in the right place.Role OverviewThey are hiring our Founding Engineer (Full-Stack) to work in-person 5 days/week in San Francisco as a member of the founding team. The office is currently in Mission.This is not a 9-to-5 role. This is a chance to join an early-stage startup work incredibly hard to build something massive and get unmatched career growth and learning along the way. What they are building matters to families to therapists and to the kids waiting for care.Youll be an equal thought partner in product and engineering making foundational decisions on the stack infrastructure and development practices. Youll work directly with co-founders to bring the AI-powered software to life and evolve it into a scalable secure and delightful platform used by real clinicians and families.This role is ideal for an engineer who wants to build from zero shape culture and architecture and leave a tangible mark on an early healthcare startup.What Youll DoLead end-to-end development of thecore web applications from architecture to deploymentDesign and implement AI-powered product featuresCollaborate on product and technical design shaping how thesystems APIs and data models evolveBuild and ship features rapidly while maintaining strong engineering quality (testing observability CI/CD)Establish early engineering processes infrastructure standards and documentationOwn technical decisions around scalability security and maintainability especially given HIPAA-compliant requirementsContribute to (and debate!) product direction tradeoffs and long-term technical visionHelp define theearly engineering culture and assist with future technical hiresOur Technical EnvironmentThey use TypeScript and React with modern tooling but they expect our architecture to evolve. Youll have major input into how the stack process and infrastructure are shaped as they scale.You Might Be a Fit If YouHave 2 years of professional experience building and scaling modern web applicationsAre fluent in TypeScript React and modern backend frameworks ( or similar)Have experience with Vercel/AWS and CI/CD pipelinesMove fast Proficient with AI coding tools like Cursor Codex etc.Have strong opinions on architecture testing and developer experience but value pragmatism over perfectionAre excited by early-stage ambiguity and want to build real systems not just prototypesThrive working in-person with a small team iterating quickly on product and designBonus:Experience with healthcare regulated environments or automation workflowsFamiliarity with FHIR standard and GraphQL APIs Key Skills ASP.NET,Health Education,Fashion Designing,Fiber,Investigation Employment Type : Full Time Experience: years Vacancy: 1