Founding Engineer

TerrariumNew York, NY

About The Position

Wayfind creates the coordination the system never provided. We give every senior a dedicated advocate team led by a registered nurse and powered by purpose-built AI. The team manages appointments and follow-ups, reconciles medications across doctors, appeals denied claims, and catches issues early. The right specialist gets the full history in advance. Because Medicare covers Wayfind, most older adults can now get what only the wealthy have long had: a team whose whole job is making their care work. We're launching pilots with providers in Q3 2026, targeting a 25% reduction in avoidable hospitalizations and ED visits.

Requirements

  • You've personally built and shipped hard software from zero. Not managed it. Built it.
  • You write code today, and you want to keep writing it for a long time
  • You have product taste — you take an ugly real-world workflow and make it simple
  • You've worked close enough to users to know how software fails in the field, and you fix it fast
  • You can build useful AI workflow automation now, or learn fast enough to close the gap in weeks
  • You're pragmatic about AI: outcomes over novelty, every time
  • You're comfortable in a regulated, high-stakes environment (healthcare, CMS, PHI)
  • Pass if you need a PM, a spec, a big team, a perfect integration, or months of architecture before you ship anything.

Responsibilities

  • Build the AI-native advocate platform. Agents that schedule follow-ups, call clinics, chase pharmacies, check portals, prep notes, summarize patient context, and flag risk — each one moving admin off the advocate and onto software.
  • Ship the operating system underneath it. Patient queue, advocate workflow, communication, records access, task and time tracking, documentation, audit trail, QA dashboard, reporting — the compliant foundation everything compounds on.
  • Sit with the advocates. Watch the software break, fix it the same day, treat user friction as a P0.
  • Own architecture, stack, and what's next. No committees. Set the bar on security and compliance early — auditable documentation is how the company gets paid.
  • Build the team when it's time. Hire the first engineers and grow into Head of Engineering or CTO as the platform widens.

Benefits

  • Real founder equity and a founding seat. Genuine ownership, upside, and decision rights from day one.
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