Staff Engineer

Experience in healthcare or another regulated industry (HIPAA, PII/PHI handling, auditability).

Experience with real-time systems, voice, or event-driven architectures.

Experience as an early engineer at a startup that scaled — you know which foundations mattered and which were premature.

Python and TypeScript — our stack is FastAPI, Next.js, and Postgres.

Beyond technical skills, we're looking for someone who embodies the attributes that make great engineers at an early-stage company:

Proactive. You move quickly and take a forceful stand without being abrasive. You act without being told what to do and bring new ideas to the company.

Analytically sharp. You structure and process qualitative or quantitative data and draw penetrating insights. You learn quickly and absorb new information with ease.

High standards with attention to detail. You expect nothing short of the best from yourself and your team. You don't let important details slip through the cracks or derail a project.

Passionate and open. You exhibit enthusiasm and a can-do attitude over your work. You solicit feedback often and react calmly to criticism or negative feedback.

Everything we do is guided by a set of leadership principles that define how we operate:

Patient First. We start with the patient and work backwards. Every decision — what we build, who we partner with, how we operate — is filtered through one question: does this make the patient's life better?

Sense of Urgency. Every day a patient goes unnavigated is a day someone needing help couldn't get the support they needed. We move fast, make decisions with conviction, and carry urgency toward the long-term vision: an AI nurse concierge in every patient's corner.

Ownership. We see things through. We don't ship and walk away — we own outcomes, not just tasks. We act on behalf of the entire company, beyond just our own area of responsibility. We never say "that's not my job."

Insist on the Highest Standards. We hold ourselves and our teams to nothing short of the best — in clinical quality, in operational execution, in how we show up for patients and partners. We raise the bar continuously.

Question Everything, Unapologetically. We reason from first principles, not precedent. We challenge requirements regardless of who set them, dig until we reach the root of the problem, and resist the pull of "that's how it's always been done."

Mission with massive impact. Every system you build puts a dedicated health advocate in someone's corner. We're building one of the largest AI-first companies in healthcare.

Define the technical DNA. This role exists to set the bar. The architecture, standards, and harness you put in place now are what the company will run on for years — and what determines how fast everyone else can move.

Breadth you won't get elsewhere. Real-time voice, agentic AI, and mission-critical integrations in one company — small enough that you can hold all of it in your head.

Learn fast, build fast. We believe in experimentation, measurement, and steady improvement. You'll ship in days, not quarters.

Meaningful early equity. Competitive compensation and real ownership in what we're building.