Founding Engineer

Global Placement Firm•San Francisco, CA

1d•Onsite

About The Position

Global Placement Firm is conducting a confidential search for Founding Engineers to join a small, high-growth healthcare technology company in San Francisco focused on transforming how speech, occupational, and physical therapists deliver care. This is a high-ownership, product-minded engineering opportunity for a builder who wants to shape the product, technology stack, and engineering culture from the ground up. The ideal candidate is someone who moves quickly, enjoys working directly with users, makes strong product decisions, and is comfortable owning problems from initial idea through production and user adoption. Position Overview As a Founding Engineer, you will be one of the core technical contributors responsible for building and scaling a technology platform designed to help therapists operate their own private practices. You will work directly with therapists to understand their workflows, identify problems, and determine what should be built. This role goes beyond traditional software engineering—you will have a direct voice in product strategy, technical architecture, user experience, and company direction. You will be expected to ship continuously, use AI aggressively to accelerate development, and prioritize learning and real-world user impact over unnecessary perfection.

Requirements

Strong professional software engineering experience with demonstrated ability to build and ship production products.
Proven track record of taking ownership of projects from idea through launch.
Strong product instincts and ability to make decisions beyond purely technical considerations.
Experience working in a startup, early-stage, or highly entrepreneurial environment.
Demonstrated ability to move quickly and iterate based on real-world user feedback.
Strong communication and collaboration skills.
Comfortable interacting directly with customers and users.
Experience using AI-assisted development tools and/or AI technologies to accelerate development.
Strong understanding of modern software development practices.
Ability to operate with significant autonomy and limited process.
Must be based in or willing to relocate to San Francisco.
Must be comfortable working on-site five days per week in the San Francisco Mission District.

Nice To Haves

Building products from scratch.
Working directly with customers or end users.
Shipping rapidly in startup environments.
Making product decisions alongside technical decisions.
Using AI tools to dramatically accelerate development.
Iterating based on real-world user feedback.
Taking ambiguous problems and turning them into shipped solutions.
Working closely with founders and small teams.

Responsibilities

Build and ship product features rapidly from concept through production.
Own technical and product problems end-to-end, from identifying the opportunity to measuring user adoption.
Work directly with therapists to understand their workflows, challenges, and needs.
Observe users in their day-to-day environments and translate real-world problems into product solutions.
Make critical product and technical decisions that determine what the company builds.
Design, develop, test, deploy, and continuously improve the product.
Use modern AI tools and technologies aggressively to accelerate software development.
Explore ways AI can improve the product and create better experiences for therapists and their clients.
Work closely with founders and other early team members on product strategy and technical direction.
Help establish the company's engineering practices, architecture, and technology stack.
Move quickly through experimentation, iteration, and deployment.
Balance speed and simplicity with reliability and long-term scalability.
Continuously gather user feedback and incorporate it into product development.
Take ownership beyond narrowly defined engineering assignments.