Founding Engineer

Open Roles • New York City, NY

11h

About The Position

VIM is building Health Management Medicine, a proactive, longitudinal, and personal approach to health in which a physician manages a patient’s health like a wealth manager manages a portfolio. The company is live in Boston with more than 100 patients and is growing. Its ambition is to build a community of practice in preventive medicine, create a unique data repository from physician learning, and use AI and agents to extend concierge-level care to more people.

The Founding Engineer will build VIM’s AI-native platform and the tools that support physicians and patients. The role involves working closely with physicians and the care team to understand their workflows, building day-to-day tools, automating administrative work, developing AI-driven care workflows, and designing a patient data platform that supports safe and efficient collaboration between humans and AI. The engineer will help establish the engineering culture and team, and work with the CEO to shape the technology and product roadmap.

Requirements

• At least 5 years of engineering experience, including time at an early-stage company as one of its first builders.
• A track record of using AI effectively in personal work and experience with the challenges of running agent-driven systems in production.
• Full-stack engineering skills and strong data instincts, including modeling messy real-world data, designing durable schemas, and building trustworthy pipelines for health records.
• Experience taking ideas from whiteboard to production and hardening them for real-world usage.
• Ability to make pragmatic build-versus-buy decisions and adapt as circumstances change.

Nice To Haves

• Experience working with healthcare data, such as EHR integrations, FHIR, claims, or wearables.

Responsibilities

• Partner with physicians and the care team to understand their workflows, design and build their day-to-day tools, and automate work that takes time away from patient care.
• Prototype the company’s first AI-driven care workflows and, over time, a patient experience that VIM fully controls.
• Design a data platform that maintains a complete, living picture of each patient and enables humans and AI to work together safely and efficiently.
• Establish a rigorous, collaborative engineering culture and help build the team.
• Work alongside the CEO to shape the roadmap as VIM advances technology-enabled healthcare.

Benefits

• Meaningful founding-team equity.
• Competitive cash compensation and benefits.
• Opportunity to grow with the company and shape engineering culture and technical direction from the beginning.
• Opportunity to work closely with clinicians and healthcare experts and learn how healthcare works from the inside.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed