Own our event-driven backend – Architect and scale our Node.js / TypeScript / Supabase (Postgres) / AWS stack.
Build real LLM agents as coworkers – Implement tool use, retries, memory, and safety rails.
Shape human + AI ops UX – Build internal tools used by both humans and agents.
Define world-state & simulation – Model the canonical state of a patient’s journey across time.
Own data, safety & compliance – Engineer HIPAA-compliant pipelines for transcripts, events, and EHR data.
Drive architecture & strategy – Work directly with me to debate tradeoffs, define new primitives, and decide what we build next.

Requirements

You’ve owned real systems 0→1 or 1→N, not just tickets.
You think in events, state, and invariants, not just CRUD endpoints.
You’re either already LLM-fluent or a strong systems/backend engineer who can get dangerous fast.
You care about velocity and correctness—moving quickly while keeping things understandable and robust.
You like small, high-candor teams and direct feedback.
You want to see your work go live in production weekly, not sit on a roadmap.
Experience with Node.js / TypeScript, Postgres, or Supabase.
Experience with LLMs, agents, tool-calling, or RAG.
Experience in healthcare, fintech, or other regulated / high-stakes domains.
Experience in early-stage startups or founding teams.

Benefits

Health Insurance: Medical, dental, and vision benefits
Early-Stage Equity: 0.2%–0.8% meaningful early ownership
Additional Perks: In-person retreats, meal stipends, etc.
Time Off: Flexible, unlimited vacation policy
Work Hours: Flexible but demanding because we're literally saving lives
Autonomy and Learning: Ownership over your projects with the freedom to set priorities, shape processes, and drive outcomes end-to-end.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Node.jsTypeScriptPostgresSupabaseLLMsevent-driven architecturedata pipelinesHIPAA compliancebackend engineeringsystem design

problem-solvingcollaborationadaptabilityfeedback receptivenessvelocity focuscorrectness emphasisteamworkcommunicationcritical thinkingownership