Founding Backend Engineer
- San Francisco, CA
- $170,000-225,000 per year
- Permanent
- Full-time
Location: San Francisco, CA (Onsite)
Company Stage of Funding: Early-Stage, Venture Backed (Profitable, backed by top VCs)
Office Type: Onsite, Full-time
Salary: $170,000 – $225,000 + EquityCompany DescriptionWe are partnering with a rapidly growing, venture-backed healthcare technology company that is on a mission to transform access to life-saving treatments. In just a few months, this team has signed seven-figure contracts and achieved profitability—something that typically takes years in the healthcare industry.Backed by some of Silicon Valley’s most respected investors (the same firms behind companies like DoorDash and Lyft), this company combines healthcare expertise with cutting-edge AI to automate the complex processes that stand between patients and the medications they need. Joining now means becoming part of a founding team shaping the next generation of enterprise healthcare automation.What You Will DoServe as one of the first engineering hires, taking full ownership of backend initiatives.Lead projects end-to-end: defining requirements, proposing solutions, and executing across large, distributed systems.Design, build, and maintain APIs and backend services that power enterprise clients.Work across multiple layers of the platform to improve performance, reliability, and scalability.Contribute to engineering culture, tooling, and best practices while mentoring others as the team grows.Ideal Candidate Background4+ years of software engineering experience at high-growth startups or scale-ups.Proven ability to lead projects across large codebases with minimal supervision.Strong technical foundation in backend systems, distributed architectures, and system design tradeoffs.Proficiency with Node.js, TypeScript, and Python.Strong documentation, testing, and communication skills.Ownership mindset—someone who thrives in fast-paced, self-directed environments.PreferredExperience with DevOps, CI/CD pipelines, and containerized environments (Kubernetes, microservices).Familiarity with AI-assisted coding tools (GitHub Copilot, Cursor, Claude, etc.).Background in healthcare, enterprise SaaS, or other highly regulated industries.Degree in Computer Science, Engineering, or related field.Compensation, Benefits, and Other DetailsBase Salary: $170,000 – $225,000Competitive equity package (founding team level)Health, dental, and vision benefits36+ months of financial runway securedWork directly with exited founders, YC/MIT alumni, and former engineers from Tesla, Google, and other top companiesOpportunity to shape a mission-driven company at the intersection of healthcare and AI