Founding Engineer

About the Role We're a small, fast-moving team building AI-powered software that modernizes billing and operations for Emergency Medical Services (EMS) agencies. Our platform automates the denial resolution and revenue recovery process — helping paramedics get paid and protecting the financial health of 911 services across the country. We're looking for a Founding Engineer who thrives at the intersection of hands-on engineering and direct customer impact. You'll be one of the earliest technical hires, shaping the product, the codebase, and the culture from the ground up. What You'll Do Own end-to-end development: architecture, code, deployment, and on-call responsibility. Build and ship customer-facing features informed by direct conversations with billers, fire chiefs, and EMS operations leaders. Develop automation that reduces manual work and delivers meaningful financial savings to agencies. Make product and design tradeoffs with a strong UX sensibility — you care as much about the experience as the implementation. Iterate quickly: deploy, gather customer feedback, and improve continuously. Collaborate closely with the founding team in person 2–3 days per week in San Francisco. What We're Looking For Required: 1–3 years of full-stack product development experience, delivering end-to-end features independently. Proficiency in React with strong product and UX sensibilities — you know what "good" looks like on the frontend. Experience translating customer needs into well-scoped, well-executed technical deliverables. Hands-on experience building and shipping features that interact with APIs. Familiarity with LLMs and Retrieval-Augmented Generation (RAG) architectures — this is a dealbreaker requirement. Strong CS fundamentals, high attention to detail, and a fast learner with clear communication skills. Nice to Have: Backend and infrastructure experience with Go, PostgreSQL, and Google Cloud . Background in EMS, 911 dispatch, healthcare, or insurance billing. NREMT certification — a meaningful differentiator. Prior experience as a founder or founding engineer at an early-stage startup. Visa: OPT and STEM OPT candidates are welcome; we will work with you on next steps. Sponsorship is not available for other visa types. Location Hybrid — San Francisco, CA, with an in-person expectation of 2–3 days per week. Compensation & Benefits Salary: $120,000 – $190,000 USD annually, depending on experience. Early-stage equity participation. Opportunity to shape the technical direction and culture of a company at day one.