Posted Apr 4, 2026
As a Founding Tech Lead, you will report directly to the CEO and be responsible for owning the technical vision and execution across the platform. Your daily tasks will involve writing code for Python services, agent orchestration, and production-grade systems. You will drive architectural decisions, establish engineering standards, and lead the team's growth from 3 engineers to 10. Your role will also include translating healthcare revenue cycle requirements into clear technical solutions and roadmap priorities. Additionally, you will lead hiring for critical technical roles, set the engineering culture, and build processes that can scale effectively. Taking end-to-end responsibility for system reliability, performance, and compliance in revenue-critical environments will also be a key aspect of your role. Key Responsibilities:
Qualifications Required:
Minimum 5-7 years of experience building production systems with real users
Previous experience as a founder or in a strong early-stage startup environment (pre-Series A)
Demonstrated ability to build at least one independent project in AI/automation
Strong fundamentals in distributed systems, databases, and cloud infrastructure
Expertise in Python, AWS ecosystem, and workflow orchestration tools
Experience in hiring and managing top engineering talent
Comfortable working in healthcare/fintech-level regulated environments
Bonus: Experience with Temporal, agentic AI frameworks, or healthcare technology In this role, you will face various technical challenges, including:
Building reliable agent orchestration using Temporal and agentic frameworks for handling healthcare billing, insurance claims, and optimization
Designing systems for 99.9% uptime, where every bug costs money and every outage impacts care
Architecting for HIPAA compliance, regulations, and audits in regulated environments
Owning full-stack responsibilities, including browser/voice agents, Python backends, JS frontends, and AWS infrastructure with Terraform shaping the entire stack from day one
Starting with dozens of clinics and architecting for scaling to thousands with complexity and volume This job offers a unique opportunity to lead the technical aspects of a growing platform in a challenging and rewarding environment. As a Founding Tech Lead, you will report directly to the CEO and be responsible for owning the technical vision and execution across the platform. Your daily tasks will involve writing code for Python services, agent orchestration, and production-grade systems. You will drive architectural decisions, establish engineering standards, and lead the team's growth from 3 engineers to 10. Your role will also include translating healthcare revenue cycle requirements into clear technical solutions and roadmap priorities. Additionally, you will lead hiring for critical technical roles, set the engineering culture, and build processes that can scale effectively. Taking end-to-end responsibility for system reliability, performance, and compliance in revenue-critical environments will also be a key aspect of your role. Key Responsibilities:
Write code daily for Python services, agent orchestration, and production-grade systems
Drive architectural decisions, establish engineering standards, and scale the team from 3 to 10 engineers
Translate healthcare revenue cycle requirements into technical solutions and roadmap priorities
Lead hiring for critical technical roles, set the engineering culture, and build scalable processes
Take end-to-end responsibility for system reliability, performance, and compliance in revenue-critical environments
Qualifications Required:
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