Hybrid Founding Engineer – AI-Native Ops Infrastructure

Posted last week

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About the role

  • Founding Engineer to own core backend and agent systems for AI-native ops infrastructure. Focus on enhancing mental health care operations through innovative technology solutions.

Responsibilities

  • Own our event-driven backend – Architect and scale our Node.js / TypeScript / Supabase (Postgres) / AWS stack.
  • Build real LLM agents as coworkers – Implement tool use, retries, memory, and safety rails.
  • Shape human + AI ops UX – Build internal tools used by both humans and agents.
  • Define world-state & simulation – Model the canonical state of a patient’s journey across time.
  • Own data, safety & compliance – Engineer HIPAA-compliant pipelines for transcripts, events, and EHR data.
  • Drive architecture & strategy – Work directly with me to debate tradeoffs, define new primitives, and decide what we build next.

Requirements

  • You’ve owned real systems 0→1 or 1→N, not just tickets.
  • You think in events, state, and invariants, not just CRUD endpoints.
  • You’re either already LLM-fluent or a strong systems/backend engineer who can get dangerous fast.
  • You care about velocity and correctness—moving quickly while keeping things understandable and robust.
  • You like small, high-candor teams and direct feedback.
  • You want to see your work go live in production weekly, not sit on a roadmap.
  • Experience with Node.js / TypeScript, Postgres, or Supabase.
  • Experience with LLMs, agents, tool-calling, or RAG.
  • Experience in healthcare, fintech, or other regulated / high-stakes domains.
  • Experience in early-stage startups or founding teams.

Benefits

  • Health Insurance: Medical, dental, and vision benefits
  • Early-Stage Equity: 0.2%–0.8% meaningful early ownership
  • Additional Perks: In-person retreats, meal stipends, etc.
  • Time Off: Flexible, unlimited vacation policy
  • Work Hours: Flexible but demanding because we're literally saving lives
  • Autonomy and Learning: Ownership over your projects with the freedom to set priorities, shape processes, and drive outcomes end-to-end.

Job title

Founding Engineer – AI-Native Ops Infrastructure

Job type

Experience level

Mid levelSenior

Salary

$130,000 - $190,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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