About the Role

This is an early, high-ownership engineering position on a small product team at a well-funded healthtech startup. You'll be one of the first engineers focused on chat and real-time features, working directly alongside founding stakeholders to shape core systems that define the user experience and product direction. This is a rare opportunity to have lasting technical impact from day one.

What You'll Do

• Design and implement core chat and real-time features for a production healthtech product.

• Collaborate closely with a small, cross-functional founding team to define and execute technical direction.

• Build reliable, scalable services and iterate quickly based on real user feedback.

• Participate in architecture and design discussions, balancing speed-to-ship with long-term maintainability.

• Own components end-to-end — from implementation and testing through to monitoring and observability.

What We're Looking For

• Proven track record delivering production software in real-time or chat-related systems.

• Strong engineering fundamentals with practical, full-stack experience building scalable, reliable services.

• Comfort operating with high autonomy in a fast-moving, early-stage environment.

• Experience collaborating effectively in remote or distributed teams.

• Must be a U.S. citizen or Green Card holder — visa sponsorship is not available now or in the future.

Compensation & Benefits

• Base salary: $135,000 – $155,000 per year

• Equity: ~0.5% – 1.5%

• Opportunity to shape the technical foundation of a high-growth healthtech product

Location

Fully remote within the United States. Candidates must be based in the U.S. and authorized to work without visa sponsorship.