Founding Tech Lead:
- Report directly to the CEO and own the technical vision and execution across the platform
- Write code daily: Python services, agent orchestration, and production-grade systems
- Drive architectural decisions, establish engineering standards, and scale from a 3-engineer team to 10+
- Translate healthcare revenue cycle requirements into clear technical solutions and roadmap priorities
- Lead hiring for critical technical roles, set the engineering culture, and build processes that scale
- Take end-to-end responsibility for system reliability, performance, and compliance in revenue-critical environments
Technical Challenges
- Production AI Agents: Build reliable agent orchestration using Temporal and agentic frameworks to handle healthcare billing, insurance claims, and optimization
- Revenue-Critical Systems: Design for 99.9%+ uptime where every bug costs money and every outage impacts care
- Regulated Environments: Architect for HIPAA compliance, regulations, and audits
- Full-Stack Ownership: Browser/voice agents, Python backends, JS frontends, AWS infra with Terraform shaping the entire stack from day one
- Scalability: Start with dozens of clinics, architect for thousands scaling with complexity as well as volume
Requirements:
- 57 years building production systems with real users
- Former founder or strong early-stage startup experience (pre-Series A)
- Built at least one independent project in AI/automation
- Strong fundamentals in distributed systems, databases, and cloud infrastructure
- Expertise in Python, AWS ecosystem, and workflow orchestration tools
- Experience hiring and managing top engineering talent
- Comfortable working in healthcare/fintech-level regulated environments
Bonus: Experience with Temporal, agentic AI frameworks, or healthcare tech
