remote

CTO/Founding Engineer

As a CTO/Founding Engineer, you will architect the backbone of a global healthcare platform, transforming complex workflows into automated voice experiences and building scalable systems. You will also establish engineering best practices and play a key role in product direction and technical legacy.

About the role

About the Company

We are solving a trillion-dollar problem in one of the world's most essential industries erasing the administrative burden in healthcare. With global enterprise backing and a clear path to expansion, this is a rare chance to join as a founding member with "day one" impact and "year five" stability. We’ve secured major agreements with three conglomerate healthcare groups across the US, UK, and KSA.

About the Role

As our Founding Engineer, you won’t just be writing code; you’ll be architecting the backbone of a global healthcare platform. You will have a massive stake in the product direction, the culture, and the technical legacy.

Responsibilities

Ship 0 → 1: Transform complex healthcare workflows into seamless, automated voice experiences.
Architect for Scale: Build systems capable of serving hundreds of thousands of patients across three continents.
Product Engineering: Act as a true partner in product discovery—knowing when to build for perfection and when to ship for speed.
Set the Standard: Establish engineering best practices, from CI/CD pipelines to AI integration patterns, ensuring the team up-levels with every sprint.

Qualifications

You have 5+ years of experience building production software, with at least 2 years in the "move fast and break things" (but fix them faster) world of startups. Must have Healthcare experience!

Required Skills

The Architect: You’ve built at scale before. You understand the nuances of serving large enterprise clients and high-volume end-user bases.
The AI Enthusiast: You stay current with AI/ML developments and are excited to implement them in practical, high-impact ways.
The Owner: You are opinionated about code quality and user experience. You don't need a roadmap—you help draw it.

Preferred Skills

We move fast with a modern, scalable toolkit:

Frontend: React, Next.js
Backend: Node.js (TypeScript)
Data & Infrastructure: Postgres, Redis, AWS, Terraform
Intelligence: Leading-edge LLMs and Voice AI integration

The demand is massive, the contracts are signed, and we need to build—fast.