Founding Engineer – Chat & Real-Time Features

Clera· ashby· published 07/10/2026
Must-have:FullstackHealthTechRemote
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.