Founding Product Engineer

About the Role We're a seed-stage, AI-native healthtech startup building an operating system that empowers nurse practitioners to launch and run independent clinical practices. We're hiring a Founding Product Engineer to own and shape the clinician-facing product experience end-to-end. You'll work closely with founders, designers, and clinicians to transform complex clinical workflows into polished, reliable software that directly improves care delivery. This is a high-ownership, high-impact role at a small, fast-moving team — you'll have an outsized influence on both the product and the engineering culture from day one. What You'll Do Own major clinician-facing workflows from whiteboard through production — including implementation, testing, rollout, and iteration. Collaborate with designers, founders, and clinicians to define product behavior; you won't be waiting for finished specs. Drive frontend architecture and technical direction across provider and patient applications. Influence APIs, data models, and overall system design while primarily owning the frontend. Iterate quickly from rough concepts to polished production experiences alongside a product designer. Debug complex production issues spanning browsers, APIs, third-party integrations, and infrastructure. Contribute to engineering culture through thoughtful code reviews, technical discussions, and pragmatic decision-making. Leverage AI development tools as a core part of your workflow while maintaining full ownership of system design and production quality. What We're Looking For Required: Demonstrated experience leading significant technical initiatives or owning major product areas end-to-end. Strong hands-on experience with React and Next.js (TypeScript familiarity assumed). Proven track record of owning user-facing features from concept through production. Comfortable collaborating across the frontend/backend boundary — working with APIs and debugging backend behavior. Experience working directly with designers, customers, or domain experts to shape product direction. Strong product intuition, engineering judgment, and debugging skills. Comfortable in a fast-moving startup environment and experienced using AI development tools responsibly. Able to commute to our Midtown Manhattan office 3 days per week (hybrid). Nice to Have: Experience in healthcare, with FHIR, or in other regulated-software environments. Prior experience as an early or founding engineer at a startup. Experience building products used throughout the workday, where usability and workflow matter as much as correctness. Experience evolving and maintaining a design system. Note: Visa sponsorship is not available for this role. Compensation & Benefits Salary: $180,000 – $220,000 per year Early-stage equity Opportunity to shape engineering culture and product direction as a founding team member Location This is a hybrid role based in New York City, NY . Candidates should be able to commute to our Midtown Manhattan office at least 3 days per week.