Founding Product Engineer

About the Role We're a small, fast-moving healthtech startup building an AI-native operating system that empowers nurse practitioners to launch and run independent clinical practices. Our platform handles the full operational complexity of running a practice — so clinicians can focus entirely on patient care. We're looking for a Founding Product Engineer to own and shape the clinician-facing product experience end-to-end. You'll work side-by-side with founders, a product designer, and clinicians to transform complex healthcare workflows into polished, reliable software that directly improves care delivery. This is a high-ownership, high-impact role at a very early stage — you'll help define how we build, not just what we build. What You'll Do Own major clinician-facing workflows from whiteboard to production — including implementation, testing, rollout, and iteration. Collaborate with designers, founders, and clinicians to define product behavior; don't wait for finished specs. Drive frontend architecture and technical direction across provider and patient applications. Influence APIs, data models, and overall system behavior while primarily owning the frontend. Iterate rapidly 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 thoughtful 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 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 experience assumed). Proven track record of owning user-facing features from concept through production. Comfort 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. Experience delivering in a fast-moving, early-stage startup environment. Comfortable using AI-assisted development tools while maintaining responsibility for architecture and quality. Ability to commute to our Midtown Manhattan office 3 days per week . Nice to Have Experience in healthcare software, FHIR, or other regulated software domains. Prior experience as an early or founding engineer at a startup. Experience building high-touch, workflow-critical products where usability matters as much as correctness. Experience evolving or maintaining a design system. Please note: Visa sponsorship is not available for this role. Compensation & Benefits Salary: $180,000 – $220,000 per year Early equity commensurate with a founding engineer role Opportunity to shape engineering culture and product direction from day one Location This is a hybrid role based in New York City, NY . You'll be expected in our Midtown Manhattan office at least 3 days per week.