What You’ll Do
As a Founding Engineer, you’ll report directly to the founders and likely spend 75% of your time building and 25% of your time with customers. This role is going to be engineering-first with significant exposure to product ownership and sales.
- Design, build, and maintain scalable workflows for referrals, scheduling, patient intake, prior authorizations, billing, and care management
- Architect the technical foundation: decide what to build in-house vs. buy, integrating best-in-class tools and proprietary software into a unified platform
- Develop and maintain data infrastructure to turn clinical and operational data into actionable insights for decision-making
- Work onsite with customers to iterate on the platform and rapidly implement improvements based on real-world feedback
- Lay the leadership groundwork by defining the standards, setting the culture and helping hire and mentor future engineering hires
- Tech Stack: Node/Typescript/React, SQL, FHIR, AWS
Who’s a Good Fit
- You thrive in early stage environments. We’re moving incredibly fast and operate with high intensity. We need builders who can embrace ambiguity, are high agency with a bias to ship and know how to build hard things that scale
- You are curious and ask thoughtful questions. We question everything. Most constraints are human-made so the first question to ask is, why not? We’re non consensus and our ability to succeed hinges on people seeing things that others don’t
- You are an owner. We want folks who are self-directed, obsessive and optimistic, the move the world by force of will types
- You lead with empathy and humility. You aim to win, but you’re invested in helping your team and customers succeed alongside you
- You care about doing the right thing. Nothing matters more than this. Every decision we make hinges on two questions: does this help the patient and does this help the doctor?
What to Expect
- Fully in-person in New York City
- High ownership, high trust and high standards
- Intense but rewarding work and rapid pace — expect your impact to be meaningful and immediately felt
- Flat leadership, transparent, and supportive culture—candor, care, and collaboration are the norm
How You’ll Grow
- Everyone has a voice, and your ideas matter, regardless of seniority
- We approach product development as a series of experiments, giving you the freedom to explore with no “wrong” answers
- Rapid opportunities for progression, more responsibility, and continuous learning
- Our aspiration: This is a place you proudly call home for the next decade. If you leave, it’s one of two reasons:
- To start your own company (and we support you!)
- Failed to hit the high bar we’ve set for ourselves
The Other Fun Details
- Fully paid health, dental and vision insurance
- Generous matching contributions to employee FSA/HSA
- 401(k) with matching contributions
- Two-week company-wide winter break, plus additional paid time off
Interested in Joining Us?
Apply through the link in the job posting or email us at
careers@autonomyhealth.io
with your resume, LinkedIn profile, and GitHub link.