Founding Product Engineer

5 hours ago

San Francisco, California, United States Nestmed Full time

Healthcare documentation is broken. Nestmed is fixing it with an AI platform that gives clinicians their time back.

In just one year, we've scaled to support tens of thousands of clinicians across more than a million patient visits. We're now the trusted partner for over 60 home health agencies, including 7 of the top 10 enterprises in the US.

Our founding team—hailing from Stanford, YC, Google, and Meta—is backed by the founders of PayPal and Plaid to build the essential infrastructure for the future of the $500B home healthcare industry.

About the Role

We're seeking a Founding Product Engineer to help shape the technical foundation of our AI documentation platform. This is a rare opportunity to join as one of our first full-stack hires at a seed-stage company with clear product-market fit and explosive growth. You'll work directly with our CEO and CTO to build user-facing features end-to-end and become a future tech lead as we scale.

What You'll Own

As a founding product engineer, you'll take end-to-end ownership of major product areas from backend to frontend:

  • Voice agent for in-visit documentation

  • Coding agent workflows and automation

  • Analytics dashboards and data pipelines for clinicians and administrators

  • Dynamic visit guides with real-time prompting

  • Customer-editable documentation behavior and rules

You'll work across the full stack—designing APIs, building backend systems, and creating intuitive user interfaces that clinicians love.

Your Impact (First Year)

  • Successfully scale our platform to support increased enterprise demand, delivering 20%+ productivity gains for clients.

  • Build and ship complete user-facing features autonomously

  • Implement infrastructure that supports real-time documentation processing

  • Establish engineering best practices for our growing team

  • Own product areas end-to-end that directly impact thousands of clinicians

What We're Looking For

Must-haves:

  • Senior-level experience in full-stack engineering with a solid knowledge of product development.

  • Comfortable owning user-facing features from backend to frontend

  • Experience scaling platforms in high-growth environments

  • Robust database modeling, API design, and systems architecture skills

  • Ability to turn ambiguous product ideas into shipped features

  • Care deeply about UX, iteration velocity, and real-world usage

  • Comfortable with founding engineer responsibilities and thriving in ambiguity

  • Can work quickly and urgently to show results and iterate on products

What makes you extraordinary:

  • AI/ML platform experience (especially audio processing or NLP)

  • Experience at seed to Series B startups

  • Previous founding engineer experience

  • Healthcare or regulated industry background

  • Enterprise B2B SaaS experience

  • Real-time systems expertise

  • Proficient frontend development skills

If you're passionate about building high-impact products that solve real-world problems, we'd love to hear from you. Apply today

  • Founding Product Engineer

    2 hours ago

    San Francisco, California, United States Nestmed Full time

    Healthcare documentation is broken. Nestmed is fixing it with an AI platform that gives clinicians their time back.In just one year, we've scaled to support tens of thousands of clinicians across more than a million patient visits. We're now the trusted partner for over 60 home health agencies, including 7 of the top 10 enterprises in the US.Our founding...

  • Founding Product Engineer

    5 hours ago

    San Francisco, California, United States Staffana Full time

    Founding Product EngineerYC-Backed Developer Tools Startup | San Francisco (Onsite)Key Job InformationEmployment Type: Full-TimeExperience Level: Any (New grads welcome)Work Authorization: U.S. onlyVisa Sponsorship: Not availableAbout the CompanyWe are a YC-backed, seed-stage developer tools startup building software that helps engineering teams move...

  • Founding Product Engineer

    2 hours ago

    San Francisco, California, United States Candid Intelligence Full time

    What We're BuildingCandid is building the software that industrial engineers use to run and review pre-construction workflows for compute and energy infrastructure.These tools support decisions that cost millions of dollars, so they need to be fast, inspectable, and safe to use in production.What You'll DoBuild high-quality React/TypeScript interfaces for...

  • Founding Product Engineer

    3 hours ago

    San Francisco, California, United States Candid Intelligence Full time

    What We're BuildingCandid is building the software that industrial engineers use to run and review pre-construction workflows for compute and energy infrastructure.These tools support decisions that cost millions of dollars, so they need to be fast, inspectable, and safe to use in production.What You'll DoBuild high-quality React/TypeScript interfaces for...

  • Founding Product Engineer

    1 hour ago

    San Francisco, California, United States Planbase Full time

    Planbase is building the AI-native operations layer that will power every modern clinic in the U.S.We're already the operational backbone for multiple healthcare organizations valued at over $1B.5,000+ doctors delivering care to 100M+ patients are scheduled weekly through Planbase.Customers love us. Our top sales channel is unprompted referrals.We're hiring...

  • Founding Product Engineer

    2 hours ago

    San Francisco, California, United States San Francisco Tensor Company Full time

    About SF TensorAt The San Francisco Tensor Company, we believe the future of AI and high-performance computing depends on rethinking the entire software and infrastructure stack. Today's developers face bottlenecks across hardware, cloud, and code optimization that slow progress before ideas can reach their full potential. Our mission is to remove those...

  • Founding Product Engineer

    5 hours ago

    San Francisco, California, United States Nowadays (YC S23) Full time

    About NowadaysNowadays is the first AI platform for planning corporate events. For example, our AI can contact venues by email and phone to get availability, deal with back-and-forth negotiations, and present the best options.We've proudly planned events ranging from Amazon's intimate executive dinners in New York, to Quantstamp's product launch in Turkey,...

  • Founding Engineer

    3 hours ago

    San Francisco, California, United States 1821 Talent Group Full time

    The Role: Founding Engineer (Stealth & Pre-Seed)1821 Talent Group is a direct placement firm representing a curated portfolio of high-growth technology startups in the Bay Area. We specialize in connecting "Ex-FAANG" caliber engineering talent with Seed and Series A companies building their core product teams.We are currently pipelining Senior and Staff...

  • Full Stack Engineer

    23 minutes ago

    San Francisco, California, United States Tenex Engineer Full time

    Full Stack Engineer (AI Clinical Agents / Voice & Agentic Systems)Menlo Park, CA (Hybrid)| $150K–$170K + Competitive Equity (0.7%–1.1%)| Visa sponsorship not availableWe're partnered with an early-stage health-tech startup building AI clinical agents for end-to-end care delivery—from patient intake to post-visit documentation. The goal: deploy...

  • Founding Engineer

    29 minutes ago

    San Francisco, California, United States UMATR Full time

    About UsUMATR are partnered with an early-stage AI startup building a next-generation interface for how people interact with computers. Cofounded by experienced AI and entrepreneurial leaders, our product enables users to describe an outcome and have an AI perform the workflow end-to-end. The system embeds a lightweight on-device presence to diagnose issues,...