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Software EngineeringFull-time$160,000 – $220,000

Founding Full-Stack Engineer

New York, NY (Hybrid) · Posted October 8, 2026

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Job description

Join as an early engineer at a seed-stage healthcare AI company automating specialty medication access: prior authorization, benefits verification, and patient assistance enrollment across providers, pharmacies, and payers. You will build product from zero with the founders.

What you'll do

  • Build full-stack, backend-leaning, with the founding team
  • Work on integration-heavy backend: third-party APIs, data pipelines, workflow and browser automation, and legacy systems
  • Ship product from zero rather than maintaining a mature system
  • Partner directly with the founders on what to build

Compensation

$160,000 to $220,000 base, plus 0.5% to 1.5% equity.

Location

Hybrid in New York, NY (Flatiron), 3+ days a week. No visa sponsorship.

Requirements

  • 4 to 8 years as a software engineer, full-stack but backend-leaning
  • Python strongly preferred (Ruby, Java, or Go backend also count), with React, PostgreSQL, Redis
  • Has built products from zero at a high-growth startup, or shipped enterprise AI products
  • Integration-heavy backend experience: third-party APIs, data pipelines, workflow automation
  • Nice to have: health tech (EHR/EMR, HL7, FHIR, pharmacy, payer, claims), production LLM or agent features
  • U.S. work authorization (no sponsorship)

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