Founding Software Engineer

Location: San Francisco, California, United States

Workplace: on_site

Description

Here’s the fully anonymized version with “Alden” removed and the flow tightened while keeping everything warm, clear, and professional:

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Rockstar is recruiting on behalf of a pioneering healthcare technology company that is transforming how care is delivered across America. This client is focused on solving one of the largest coordination challenges in healthcare by building an AI-driven platform that streamlines caregiving workflows, improves patient outcomes, and reduces administrative burdens for payers and providers. Their innovative approach spans home care, senior living, hospice, disability services, and beyond—creating a connected and efficient distributed healthcare system.

This company is re-architecting how America delivers care. Caregiving is the largest job in the U.S., yet the system still runs on sticky notes, spreadsheets, and late-night calls. Families wait weeks for help. Patients miss visits. Caregivers churn at 65% each year.

They’re building the AI coordination layer for care—agents that reason through ambiguity, motivate caregivers, and turn fragmented workflows into reliable systems. Starting in home care and expanding into senior living, hospice, disability, and more, they’re creating the connective tissue for a distributed healthcare system.

For payers, this platform unlocks real-time visibility across fragmented providers: ensuring members get the right care at the right time, while reducing cost and administrative burden.

This isn’t just better software. It’s infrastructure that wasn’t possible until now—and they’re looking for mission-driven builders to solve one of the hardest, highest-impact coordination problems in the world.

They are hiring a full-stack software engineer to help shape the future of healthcare. This engineer will be on the front lines of the most ambitious product bets—owning development of core features like EHR integrations, intelligent workflows, and cutting-edge voice AI infrastructure. The work won’t just ship fast—it will unlock major revenue opportunities by enabling the company to onboard more customers and expand contracts with powerful new use cases.

They’re looking for a sharp, high-ownership builder who’s experienced in building great products, comfortable moving fast, and excited to work at the intersection of healthcare and AI.

What you’ll be working on

- Owning large projects from 0 to 1: Building core pieces of the technology across defining product requirements, designing systems, building the back-end and front-end, and testing and iterating with customer feedback. Examples of projects could include:

- Building out new use cases, leveraging a combination of agentic workflow automation and application software — as the company expands to support more functionality in recruiting, onboarding, and compliance workflows for customers, helping to build out the core AI and platform layer to support this in a scalable way

- Building out internal infrastructure for AI voice applications — customers rely on AI agents to handle inbound and outbound communications with providers. While third party platforms have been leveraged to integrate between the inference layer, transcription (text to speech), voice (speech to text), and telephony, this will be moved in-house to support customers at scale.

- Deploying existing use cases for customers who are onboarding — this may include building out internal tools to more quickly deploy the platform in a customer’s workflows, or creating integrations with critical software vendors that customers use, including EHRs, HR systems, and text/phone systems

- Establishing and improving engineering processes

- Engaging directly with customers

- Working closely with the CEO and CTO to define the team culture

What you bring

- Strong programming skills and proficiency across full-stack web development

- Tech stack includes React (NextJS), Express, PostgreSQL, data pipelines in Python

- Track record of moving quickly and excitement to wear many hats across engineering, product, and working directly with customers

- Curiosity around experimenting with cutting-edge AI technologies, including LLM and AI voice applications

- Ideally 3+ years of experience as a software engineer

Compensation & benefits

- Compensation: $150,000 - $250,000 base salary and competitive equity grant

- Insurance: Fully covered medical, vision, and dental insurance, and membership to One Medical

- Time off: Unlimited paid time off every year

- And more: Team off-sites & weekly lunch from some of the best restaurants!

(CID 2411)