Founding Head of Engineering
Founding Head of Engineering
VC Funded HealthTech · San Francisco (preferred) / Remote · Full-time · Founding Team
Our client is building an AI-powered decision engine for healthcare billing disputes, automating the arbitration process between hospitals/doctors and insurance companies. We’re backed by a well known Venture Studio (with a successful track record) and are partnered with a law firm providing ~$400M of claims as both training data and initial revenue, plus early provider/hospital network partners.
Role
We’re hiring our first engineer (de-facto Head of Engineering) as a founding team member. You’ll own the end-to-end build of our initial platform and help shape the technical direction and engineering culture.
What You’ll Do
- Design and build the core platform: APIs, data models, workflow/state machine, and UI
- Implement a claims workflow supporting human-in-the-loop operations
- Gradually automate manual steps using LLMs and standard automation tools
- Contribute to the decision engine that selects which claims to contest, how, and for how much
- Establish engineering best practices (testing, monitoring, security)
- Partner closely with the founder on product decisions and future hiring
What We’re Looking For
- 7+ years software engineering experience, including:
- Strong full-stack skills (backend-heavy, competent frontend)
- Experience at a SaaS/product company
- Startup or zero-to-one experience (early-stage, high ambiguity)
- Solid grounding in:
- Databases, application architecture, distributed systems basics
- Workflow/state machines, queues, or operations-heavy systems
- 1–2+ years working with LLMs/AI features in a product (agentic or workflow automation a plus)
- Hands-on: comfortable shipping code ~50%+ of your time while owning architecture
- Bias toward startup pace and ownership over large, process-heavy environments
- Curiosity and enthusiasm for rapidly evolving AI tooling
Nice to Have
- Experience in healthcare, insurance, or regulated environments
- Prior founding/early-engineer experience