Founding Product Engineer

About the Role This is a founding product engineering role at an early-stage healthtech startup building an AI-native operating system that helps nurse practitioners launch and run independent clinics. You'll work directly alongside founders, designers, and clinicians to transform complex clinical workflows into polished, reliable software — with real impact on how care is delivered. What You'll Do Own major clinician-facing workflows end-to-end — from whiteboard through implementation, testing, rollout, and iteration. Collaborate closely with designers, founders, and clinicians to define product behavior rather than waiting for finished specs. Drive frontend architecture and technical direction across provider and patient applications. Shape APIs, data models, and system behavior while primarily owning the frontend. Iterate quickly from rough concepts to production-quality experiences alongside a product designer. Debug complex production issues spanning browsers, APIs, third-party integrations, and infrastructure. Contribute to engineering culture through code reviews, technical discussions, and pragmatic decision-making. Leverage AI development tools as part of your workflow while maintaining full ownership of system design and production quality. What We're Looking For 5–10+ years of experience with a demonstrated track record leading significant technical initiatives or owning major product areas. Strong hands-on experience with React and Next.js (TypeScript assumed). Proven ability to own user-facing features from concept through production. Comfortable working across the frontend/backend boundary — debugging APIs, backend behavior, and third-party integrations. Experience collaborating directly with designers, customers, or domain experts to shape product direction. Strong product intuition, engineering judgment, and a bias toward delivering real outcomes quickly. Comfortable in a fast-moving startup environment with ambiguous, evolving requirements. Confident using AI-assisted development tools while maintaining ownership of what you build. Nice to have: experience in healthcare or regulated software (e.g. FHIR), prior founding or early-stage engineer experience, or experience evolving a design system. Compensation & Benefits Salary range: $180,000 – $220,000 USD annually . Visa sponsorship is not available for this role. Location Hybrid — New York City, NY, US. Candidates should be able to commute to the NYC office three days per week.