As the first engineering hire, you will build a revolutionary system of record for senior care from the ground up. You will own the architecture and technical execution of an AI-powered platform that unifies fragmented healthcare data. This 0-1 role involves developing ingestion pipelines, intelligence layers, and agentic systems to transform senior health records into actionable care.
Founding Engineer at mission-driven AI healthtech startup
Join a mission-driven AI healthtech startup as their first engineering hire and build the definitive system of record for senior care. This is a true 0-1 opportunity to own architecture and develop agentic systems that transform fragmented health data into life-changing navigation for families. If you are an NYC-based engineer with previous founding experience looking to make a massive impact on the aging population, this role offers significant founder equity and the chance to lead technical direction from day one alongside the founder in a high-growth environment.
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Location
New York, United States
Compensation
$150k-$180k + Equity
Company
Confidential company
Role overview
About the company
Mission-driven AI healthtech startup
What you will do
- Architect and build the core data ingestion, intelligence, and compliance layers of the platform.
- Design agentic systems that translate complex senior health records into coordinated navigation actions.
- Make high-stakes technical decisions that define the company’s long-term engineering foundation and scalability.
Who this is a fit for
- Proven experience as a founding engineer or early employee at a fast-growing startup.
- Deep technical expertise across the full stack, including backend systems, data engineering, and AI/ML.
- High-agency problem solver with a coherent career path and a desire for mission-driven work.
Why this role is remarkable
- Build a core platform from scratch as the first engineering hire with significant ownership.
- Backed by top-tier VCs to tackle the complex, high-impact problem of senior care navigation.
- Work directly with the founder in-person in NYC to shape the product and technical culture.
How Jack & Jill work together
I get to know what you’re great at, then find roles you’d never find yourself.Ok, I'll go first. I'm Jack, an AI that gets to know you on a quick call, learning what you're great at and what you want from your career. Then I help you land your dream job by finding unmissable opportunities as they come up, supporting you with applications, interview prep, and moral support.
I recruit from Jack’s network and make the intro when I spot a great match.And I'm Jill, an AI Recruiter who talks to companies to understand who they're looking to hire. Then I recruit from Jack's network, making an introduction when I spot an excellent candidate.
Jack gets to know what you're great at and what you want next, then searches 15 million jobs daily and helps you discover roles at companies like this.
Meet Jack
What happens next?
Jack’s an AI agent for job searching and career coaching. He works for you.
Jill is the AI recruiter working for the company. She recruits from Jack’s network.
If your profile’s a match and Confidential company wants to meet, Jill will make the intro. In the meantime, Jack will send you excellent alternatives.