Founding Product Engineer

### About the Role We're building an AI-native operating system that helps nurse practitioners launch and run independent clinical practices — and we're looking for a **Founding Product Engineer** to own and shape the clinician-facing product experience. This is a high-impact, early-team role at a seed-stage healthtech company where you'll work directly with founders, designers, and clinicians to turn complex clinical workflows into polished, reliable software that improves care delivery. You'll be a defining voice in engineering culture, product direction, and technical architecture — not just an executor of finished specs. If you thrive at the intersection of strong engineering craft and genuine product ownership, this role is for you. ### What You'll Do * Own major clinician-facing workflows end-to-end — from whiteboard through implementation, testing, rollout, and iteration. * Collaborate closely with designers, founders, and clinicians to define product behavior rather than waiting for finished specs. * Drive frontend architecture and technical direction across provider and patient applications. * Influence APIs, data models, and overall system behavior while primarily owning the frontend. * Iterate quickly from rough concepts to production-quality experiences alongside a product designer. * Debug complex production issues spanning browsers, APIs, third-party integrations, and infrastructure. * Contribute to engineering culture through thoughtful code reviews, technical discussions, and pragmatic decision-making. * Leverage AI development tools as part of your workflow while maintaining full ownership of system design and production quality. ### What We're Looking For ### Must-haves: * Demonstrated experience leading significant technical initiatives or owning major product areas. * Strong hands-on experience with **React** and **Next.js** (TypeScript familiarity expected). * Proven track record of owning user-facing features from concept through production. * Comfort collaborating across the frontend/backend boundary — including working with APIs and debugging backend behavior. * Experience working directly with designers, customers, or domain experts to shape product direction. * Experience delivering workflows in a fast-moving, early-stage startup environment. * Strong product intuition, engineering judgment, and debugging skills. * Willingness to commute to a Midtown Manhattan office **3 days per week** (hybrid). * Comfort using AI-assisted development tools responsibly while maintaining ownership of what you build. ### Nice to haves: * Experience in healthcare, with **FHIR**, or other regulated software environments. * Prior experience as an early or founding engineer at a startup. * Experience building products used throughout the workday, where usability and workflow continuity matter as much as correctness. * Experience evolving or maintaining a design system. ### Compensation & Benefits * **Salary:** $180,000 – $220,000 annually * Early-team equity commensurate with a founding engineer role * **Visa sponsorship:** Not available ### Location This is a **hybrid role** based in **New York City, NY**. You'll be expected in the office 3 days per week. Remote-only candidates will not be considered for this position. Originally posted on [Himalayas](https://himalayas.app)