Founding Engineer jobs in United States
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HartleyCo · 1 day ago

Founding Engineer

HartleyCo is a YC-backed healthcare AI startup that is rapidly scaling and already live in hospitals. They are seeking a Founding Engineer to take ownership of core systems and influence the technical direction of the company while building autonomous AI voice agents for healthcare operations.

Staffing & Recruiting
Hiring Manager
Josh Kelly
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Responsibilities

Own critical parts of the stack: AI voice agents, backend infrastructure, and EHR integrations
Build and ship production systems quickly, including LLM pipelines and real-time services
Work directly with clinics to prototype, deploy, and iterate on live products
Help define engineering standards, architecture, and technical direction
Build 0→1 systems in a fast-moving, high-trust environment

Qualification

TypeScriptNode.jsAWSSQLLLMsEHR integrationsVoice systemsHealthtechWorkflow automationSoft skills

Required

2-4 years of experience in fast-paced startups (ex-YC experience is a plus)
Backend-leaning engineer comfortable working full stack when needed
Strong with TypeScript, Node.js, AWS, and SQL
Experience with or strong interest in LLMs (RAG, fine-tuning, pipelines)
Thrive in ambiguity and enjoy owning problems end-to-end
Care about building products with real-world impact

Preferred

Voice or audio systems
Healthtech or EHR integrations
AI agents or workflow automation

Benefits

Meaningful equity and true ownership
Hybrid setup from a Menlo Park HQ

Company

HartleyCo

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Founded in 2019, HartleyCo is a boutique Technology and Finance Search Firm.

Funding

Current Stage
Early Stage
Company data provided by crunchbase