Founding Engineer
A senior, hands-on engineer joining a small team that is already shipping a live platform. You own whole features end to end, from a rough problem to something running in production that a hospital relies on. You will not wait for a spec, and you help set the bar for how we build as we grow.
What you'll own
- Whole feature verticals across frontend, backend, data, and cloud: the auditable AI record, the workflows around it, and the ingestion behind them.
- The reliability of what you ship, including incidents on your own code.
- Local architecture and tooling calls, made without escalating everything.
- The engineering-quality bar a small team compounds on: review, testing, and the habits later hires inherit.
What we're looking for
- 5 to 9 years shipping production software, with at least one seed to Series B stint where you owned a system end to end rather than a ticket queue.
- Full-stack breadth over narrow depth. Modern TypeScript, React, Node, and a major cloud with containers. You are AI-native: you build, test, and ship with AI coding and agents, and stay in control of what you ship.
- You scope your own work and have shipped where real users or revenue were on the line. Resume tell: employee #2 to #10 somewhere, "built X from scratch."
- You can hold a conversation with hospital IT without hiding behind jargon.
Nice to have
- Healthcare or health-tech exposure.
- ML, data-pipeline, or model-monitoring experience.
- Prior early-hire or founding-engineer experience.
About Grid Health
Grid Health is a venture-backed health-technology company on a mission to make it safe for healthcare to adopt AI. We build a clinical-AI governance platform that helps hospitals and health systems inventory, monitor, and govern every AI tool and model they deploy — giving governance committees the visibility and evidence they need to sign off with confidence. Our buyers are hospital CISOs, CIOs, CMIOs, and AI governance committees. US HQ in Boston; R&D hub in Tel Aviv.
How we hire
Four steps: a short screen, an executive conversation, a paid or credited working session on a real problem from our roadmap, and a final round with the team you'd work with. We don't believe in take-homes that go nowhere — every exercise is a real conversation about real work.
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Send us your CV or LinkedIn and one line on why this role. No cover letter required.
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