Founding Full Stack Engineer
TLDR
Own architecture and end-to-end implementation across four integrated products, building AI-driven workflows and enterprise-grade infrastructure.
About the Role
Join an early-stage healthtech SaaS startup as a Founding Full Stack Engineer, where you'll own architecture and implementation across multiple integrated products serving complex, multi-hospital enterprise customers. This is a senior, hands-on role where you'll build core infrastructure, data models, and AI-driven workflows — and help set the engineering standards that enable secure, enterprise-grade SaaS at scale.
What You'll Do
Own architecture and end-to-end implementation across four integrated products.
Design data models that support multi-hospital and multi-unit organizational structures.
Build AI workflows for document authoring, evidence organization, and document retrieval.
Implement enterprise infrastructure including SSO/SAML, RBAC, audit logging, and HRIS integrations.
Translate customer calls and domain knowledge into shipped product features.
Define and maintain CI/CD pipelines, testing strategies, and architectural standards.
Collaborate with product teams and non-technical stakeholders to align engineering with clinical and operational needs.
What We're Looking For
5+ years building production SaaS products with end-to-end ownership.
Strong full-stack experience with TypeScript, React, and Node.js.
Proven backend design experience for multi-tenant, workflow-heavy applications — this is a dealbreaker requirement.
Experience implementing enterprise auth systems (SSO/SAML) and integrations (RBAC, audit logging, HRIS) — dealbreaker requirement.
Hands-on experience with AI-assisted workflows for writing, evidence organization, or document retrieval.
Demonstrated ability to own architecture and execution in an early-stage startup environment.
Strong communicator comfortable working with non-technical domain experts and customers.
Experience defining CI/CD, testing strategies, and standards for growing engineering teams.
Nice to have: Familiarity with Next.js, PostgreSQL, Supabase, Vercel, or AWS S3.
Please note: Visa sponsorship is not available for this role.
Compensation & Benefits
Salary: $135,000 – $155,000 USD annually
Early-stage equity opportunity
Location
This is an on-site role based in San Francisco, CA. Candidates must be based in or willing to relocate to the San Francisco Bay Area.
Clera harnesses the power of artificial intelligence to match high-growth startups with exceptional talent, streamlining the entire headhunting process. This innovative approach simplifies the job search for candidates while providing startups with access to a curated pool of skilled professionals who align with their needs.
- Founded
- Founded 2024
- Industry
- Internet Software & Services