About the Role

This is a founding engineering role at an early-stage healthtech SaaS company building the system of record for nursing excellence. The platform serves some of the country's largest health systems, helping nursing leaders run programs around professional governance, clinical ladder advancement, evidence-based practice, and designation achievement — work that today is still largely managed on spreadsheets and shared drives.

As a Founding Full Stack Engineer, you'll own architecture end-to-end across four integrated products, set engineering standards for the team to scale on, and ship features that have a direct, measurable impact on nurse retention and patient care. You'll work closely with an experienced founder-CEO and have a seat at the table from day one.

No visa sponsorship is available. Candidates must be authorized to work in the United States.

What You'll Do

Own architecture and ship production features across four integrated products
Design data models and services for complex multi-hospital, multi-unit organizational structures
Build AI workflows for exemplar writing, evidence organization, and document retrieval across large program datasets
Implement enterprise infrastructure: SSO/SAML, role-based access control (RBAC), audit logging, and HRIS integration
Join customer calls, hear problems firsthand, and turn feedback into shipped product within days
Establish engineering standards, CI/CD pipelines, testing strategies, and scalable architectural patterns for the growing team

What We're Looking For

Required:

5+ years of experience building production SaaS products
Strong full-stack proficiency: TypeScript, React, and server-side JavaScript
Experience designing backend systems for multi-tenant or complex multi-entity organizational architectures
Hands-on experience implementing enterprise auth (SSO/SAML), RBAC, audit logging, and HRIS integrations
Experience building AI-powered workflows (document retrieval, generation, or evidence organization)
Proven ability to own both architecture and implementation in an early-stage environment
Clear communicator comfortable working with non-technical domain experts
Ability to empathize with end users and avoid over-engineering

Tech Stack: Next.js, React, TypeScript, PostgreSQL, Supabase, Vercel, AWS S3

Compensation & Benefits

Salary: $135,000 – $155,000 USD annually
Equity & stock options with clear career progression
401(k) with company match
Learning & development stipend (tuition, certifications, conferences)
Comprehensive wellness program and mental health resources
Generous paid parental leave (including adoption and surrogacy)
Commuter benefits and Employee Assistance Program (EAP)

Location

This role is fully remote within the United States. The company is headquartered in San Francisco, CA.

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