About this role
Founding Engineer
Full time
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San Francisco, CA | New York, New York | Onsite
2 - 8 Years of Experience
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Who is Recruiting from Scratch:
Recruiting from Scratch is a premier talent firm that focuses on placing the best product managers, software, and hardware talent at innovative companies. Our team is 100% remote and we work with teams across the United States to help them hire.
Founding Engineer
Location
San Francisco, CA / New York, NY
On-site role requiring 5 days/week in the office.
Compensation
$175,000 – $250,000 Base + Competitive Founding Equity Total compensation: $175,000 – $300,000 depending on equity and candidate profile.
Visa
Open to H-1B Transfers / OPT Transfers / New H-1B / TN Open to visa transfers and new visa sponsorships.
Company Stage
Seed / Early-Stage – AI-Native Healthcare Technology Company
Industry
Artificial Intelligence, Healthcare, Health Insurance, InsurTech, Enterprise Software, AI Agents, Benefits Technology
About the Company
Our client is building an AI-native health insurance platform designed to transform how small businesses access and manage employee health benefits.
The company is replacing the traditional health insurance brokerage model with AI-powered workflows that automate complex brokerage and servicing processes while enabling human brokers to provide higher-quality, consultative guidance.
The platform uses AI agents to automate labor-intensive workflows including plan research, quoting, enrollment, and ongoing benefits servicing.
Backed by leading venture capital investors, the company operates as a small, talent-dense organization with a highly experienced founding team and a rapidly expanding engineering function.
As a Founding Engineer, you'll join a small engineering team and have significant ownership over product architecture, AI systems, user experience, and engineering culture.
This is an opportunity for a strong full-stack or backend-focused engineer who wants to build AI-native products from 0-to-1 while solving high-impact problems in healthcare and insurance.
What You'll Do
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Build and iterate on agentic AI systems that automate complex health insurance brokerage workflows
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Develop AI agents that support broker analysis and operational workflows
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Build systems that help service operators serve significantly more clients at higher quality
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Own full-stack product development from initial concept through production
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Design backend services and APIs using Python
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Build frontend applications and user experiences using TypeScript and React
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Integrate LLMs into production applications
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Build and maintain AI agent orchestration systems
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Design evaluation systems for AI agents
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Develop guardrails and reliability infrastructure for high-stakes AI workflows
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Build systems that monitor and evaluate AI agent performance
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Develop tools and workflows using MCP and modern AI infrastructure
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Translate complex insurance workflows into scalable software systems
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Work directly with brokers and internal service operators to understand operational pain points
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Build tools that improve broker productivity and customer experience
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Design systems capable of handling complex and messy real-world insurance data
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Build AI-powered workflows for plan research and comparison
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Develop systems supporting quoting and enrollment workflows
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Build automation for ongoing customer servicing
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Work across the product stack based on the highest-priority company needs
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Make architecture and technology decisions in a rapidly evolving environment
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Own technical projects from ideation through production deployment
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Build reusable infrastructure and engineering patterns as the company scales
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Help define the technical architecture for a rapidly growing AI-native product
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Establish engineering standards and development practices
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Contribute to engineering culture as the team scales
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Collaborate closely with the founding team and engineering leadership
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Balance rapid iteration with reliability and quality
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Solve ambiguous technical problems using first-principles thinking
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Work closely with internal stakeholders to rapidly validate and improve products
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Build products that directly impact how small businesses and employees access healthcare benefits
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Help shape the long-term engineering and AI strategy of the company
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Ideal Candidate Background
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Experience Requirements
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2–8 years of experience in software engineering or related technical roles
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Experience owning products or major projects end-to-end
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Experience in full-stack or backend-focused engineering roles
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Strong experience building and shipping production software
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Experience taking products from ideation through production
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Experience working in startup or high-growth environments preferred
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Experience building user-facing applications
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Experience working with AI-powered products preferred
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Experience with LLMs, AI agents, or modern AI tooling preferred
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Strong ability to operate independently
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Experience working in highly ambiguous environments
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Strong product engineering mindset
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Experience collaborating directly with users or internal stakeholders
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Experience making architectural decisions with limited precedent
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Demonstrated ability to take ownership beyond narrowly defined engineering tasks
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Technical Requirements
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Strong Python proficiency
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Strong TypeScript proficiency
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Strong backend engineering fundamentals
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Strong full-stack engineering capabilities
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Experience building production APIs
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Experience building user-facing applications
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Strong React experience
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Experience working with LLMs and AI APIs
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Experience building or integrating AI agents preferred
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Experience with agentic AI systems preferred
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Experience with AI evaluation systems preferred
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Experience designing AI guardrails and reliability systems preferred
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Experience with MCP or MCP-connected systems preferred
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Strong software architecture fundamentals
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Experience with distributed or scalable systems preferred
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Strong API design and integration skills
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Experience working with databases and data models
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Strong debugging and troubleshooting skills
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Experience building production-grade software
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Ability to rapidly learn emerging AI technologies
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Ability to evaluate and integrate new AI tooling
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Ability to build reliable applications on top of modern AI infrastructure
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Strong understanding of application architecture
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Ability to work across frontend, backend, and AI systems
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Strong systems design and engineering fundamentals
Education
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Bachelor's degree in Computer Science, Engineering, Mathematics, or related technical field preferred
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Strong computer science fundamentals
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Equivalent practical engineering experience accepted
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Candidates with strong technical pedigree through high-growth startups, leading technology companies, trading firms, or top-tier universities preferred
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Soft Skills
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Exceptional ownership and execution ability
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Highly hands-on engineering mindset
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Strong builder mentality
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Comfortable operating in ambiguous environments
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Strong first-principles problem-solving ability
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Excellent technical communication skills
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Strong product intuition
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Strong customer empathy
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Comfortable working directly with brokers and service operators
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Strong curiosity around AI and emerging technologies
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Comfortable learning rapidly
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Strong bias toward action
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Comfortable taking ownership without heavy direction
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Strong architectural judgment
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Comfortable making decisions with incomplete information
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Strong ability to prioritize competing technical and product needs
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Low-ego working style
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Strong collaboration skills
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Comfortable working closely with founders
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Strong sense of urgency
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Comfortable working in a small, talent-dense engineering team
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Strong interest in healthcare and insurance technology
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Strong interest in AI agents and AI-native products
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Comfortable working across the full product stack
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Comfortable building from 0-to-1
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Strong communication with technical and non-technical stakeholders
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High slope and learning velocity
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Strong engineering quality instincts
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Comfortable working on-site in San Francisco or New York 5 days/week
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Compensation & Benefits
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Base Salary: $175,000 – $250,000
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Total compensation: $175,000 – $300,000
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Competitive founding equity package
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Opportunity to join an early-stage AI-native healthcare company
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Founding-level ownership over product and engineering decisions
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Opportunity to shape engineering culture and architecture
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Direct collaboration with founders and senior technical leadership
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Opportunity to build AI agent systems from 0-to-1
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Exposure to LLMs, MCP, AI agents, and modern AI infrastructure
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Opportunity to solve complex healthcare and insurance workflows
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High autonomy and significant technical ownership
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Opportunity to build products directly impactin