Founding Engineer

About Wardly

Wardly is building Clinical Context Engine for outpatient care. We aggregate EHR data, external records, and referrals, then call patients via voice AI 24 hours before their appointment. The result: a structured visit brief (CC, HPI, ROS, differentials, focus areas) delivered directly into the EHR before the physician walks in the room. We have live customers across primary care, GI and psychiatry, and we're growing fast.

The Role

You'll be the first engineer on the core team working directly with the founders to own Wardly's technical architecture end-to-end. This is not a build someone else's spec role. You'll make real product and infrastructure decisions that shape how Wardly scales across hundreds of EHR integrations, voice AI pipelines, and health system deployments.

What You'll Own

• Voice AI pipeline (patient outreach calls, structured data extraction)
• EHR integrations across FHIR R4, eClinicalWorks, AthenaHealth, and new EMR targets
• Data aggregation layer: EHR + HIE + referral data
• Visit brief generation and delivery back into clinical workflows
• Infrastructure reliability, security (HIPAA), and scalability

What We're Looking For

• Full-stack or backend engineering experience
• Hands-on experience with healthcare interoperability (FHIR R4, HL7, EHR APIs, HIE) is a strong plus
• Comfort working with LLMs/AI pipelines in production
• Experience with voice or real-time communication systems (Twilio, Vapi, etc.) is a bonus
• Strong bias toward ownership. You don't wait to be told what to build next
• Ability to operate at startup speed without sacrificing reliability in a clinical context

Why Wardly

• Early-stage with real revenue and real clinical customers
• Founding engineer title and meaningful equity
• Direct line to founders. No bureaucracy, fast decisions
• Work that materially reduces physician burnout and improves patient care