Founding Full Stack Engineer

About the Role This is a founding engineering role at an early-stage healthtech SaaS company building the system of record for nursing excellence. The platform helps large health systems improve nurse retention and patient outcomes by centralizing professional governance, digital clinical ladder programs, clinical inquiry (EBP, QI, Research), and ANCC designation management — replacing fragmented spreadsheets and shared drives with a unified, enterprise-grade product. You'll be the first or among the first engineers, working directly with the founding team to own architecture, set standards, and ship production features across four integrated products. This is a high-ownership, high-impact role in a massive and underserved healthcare vertical. No visa sponsorship is available. Candidates must be authorized to work in the United States without company sponsorship. What You'll Do Own end-to-end architecture and ship production features across a suite of four integrated SaaS products Design data models and backend services for complex multi-hospital, multi-unit organizational structures Build AI workflows for exemplar writing, evidence organization, and document retrieval across large program datasets Implement enterprise infrastructure including SSO/SAML, role-based access control (RBAC), audit logging, and HRIS integrations Join customer calls, hear problems firsthand, and translate feedback into shipped product within tight timelines Define and establish engineering standards, CI/CD pipelines, testing strategies, and scalable architectural patterns for a growing team What We're Looking For Required: 5+ years of experience building production SaaS products Strong full-stack development skills: TypeScript, React, and server-side JavaScript (Node.js) Experience designing backend systems for multi-tenant or multi-unit, workflow-heavy applications Hands-on experience with enterprise authentication (SSO/SAML), RBAC, audit logging, and HRIS integration Experience building AI-powered workflows for document generation, evidence organization, or large-dataset retrieval Proven ability to own both architecture and implementation in an early-stage, fast-moving environment Ability to engage directly with non-technical domain experts and customers, and translate feedback quickly into product Clear written and verbal communicator who collaborates well across functions Tech stack in use: Next.js, React, TypeScript, PostgreSQL, Supabase, Vercel, AWS S3 Compensation & Benefits Salary: $135,000 – $155,000 USD annually Equity and stock options with clear career progression 401(k) with company match Learning & development stipend (tuition, certifications, conferences) Comprehensive wellness program and mental health resources Generous paid parental leave (including adoption and surrogacy) Commuter benefits and Employee Assistance Program (EAP) Location This role is fully remote (US-based) . The company is headquartered in San Francisco, CA . Find Jobs in Germany on Arbeitnow