Founding Product Engineer

New York City, New York

Development - Full Stack

Permanent

Our client, an AI-driven healthcare organization, are hiring a Founding Product Engineer to join their team in New York. The successful candidate will become a key member of an early-stage team, taking ownership of high-impact initiatives and delivering end-to-end features relied upon daily by hundreds of thousands of clinicians and healthcare operators.

Responsibilities

Design, build and deploy AI-powered features, including intelligent agents that audit medical records and flag issues that may jeopardize treatment approval.
Take full ownership of projects from discovery and requirements through to deployment and iteration.
Deliver high-quality solutions while leveraging a fast, reliable CI/CD pipeline to ship with confidence.
Identify workflow bottlenecks by working closely with users.
Measure impact through back-office time saved, improved case review accuracy and increased treatment approvals.
Contribute to and shape engineering culture, influencing architecture decisions, tooling, code review standards and team practices.

Skillset

At least 2 years of product engineering experience, preferably in an early-stage environment.
Strong proficiency in TypeScript and React, with the ability to confidently work across complex codebases.
Solid experience with SQL and relational databases, including writing efficient queries, designing well-structured schemas and applying sound data modelling principles.
Experience with AI-native development, including shipping production LLM-powered features, prompt engineering, tool integration and retrieval-augmented generation (RAG).
Demonstrated systems thinking, with a clear understanding of cloud tooling and architecture, and the ability to evaluate technical trade-offs effectively.