Founding Engineer

hireVouch • San Francisco, CA

17h • Hybrid

About The Position

The role We’re hiring a Founding Full‑Stack Engineer to build V1 products end to end. You’ll work in a fast, hands‑on environment, iterating quickly with customers to solve real clinical workflow problems. Key responsibilities: Own the product lifecycle end to end: design, build, test, deploy, and iterate. Partner with founders on product vision, roadmap, and technical strategy. Architect scalable, secure systems across backend and frontend. Own cloud deployments; monitor reliability and performance. Make pragmatic technical choices on frameworks, tooling, and best practices. Establish engineering standards and help hire and mentor the early team. Prototype and productionize LLM-powered features responsibly. Ship quickly with customers; measure impact and refine. Hold a high quality bar while executing autonomously. Our tech stack: Turborepo (monorepo) Frontend Core app: React Native + Expo (Web, Android, iOS) Admin portal: Next.js Backend: NestJS Database: PostgreSQL Infrastructure: GCP AI: LangChain

Requirements

• Expertise in TypeScript and React.
• Proven experience building and scaling infrastructure.
• Hands-on with DevOps, CI/CD, and containers.
• Able to take products from 0→1, concept to production.
• Startup mindset: bias to action, high ownership, impact focus.
• Interest in healthcare and motivation to improve patient outcomes.
• In‑person in the San Francisco Bay Area 3 days/week.

Nice To Haves

• Early startup or founder experience.
• Scaled an engineering team to 10+ with a strong culture.
• Shipped a production app using LLMs.
• Experience in highly regulated environments.

Responsibilities

• Own the product lifecycle end to end: design, build, test, deploy, and iterate.
• Partner with founders on product vision, roadmap, and technical strategy.
• Architect scalable, secure systems across backend and frontend.
• Own cloud deployments; monitor reliability and performance.
• Make pragmatic technical choices on frameworks, tooling, and best practices.
• Establish engineering standards and help hire and mentor the early team.
• Prototype and productionize LLM-powered features responsibly.
• Ship quickly with customers; measure impact and refine.
• Hold a high quality bar while executing autonomously.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed