Who is Recruiting from Scratch:

Recruiting from Scratch is a specialized talent firm dedicated to helping companies build exceptional teams. We partner closely with our clients to deeply understand their needs, then connect them with top-tier candidates who are not only highly skilled but also the right fit for the company’s culture and vision. Our mission is simple: place the best people in the right roles to drive long-term success for both clients and candidates.

https://www.recruitingfromscratch.com/

Title of Role: Founding Backend / Infrastructure Engineer

Location: Remote (U.S. time zone overlap preferred)

Company Stage of Funding: Venture-backed Startup (Seed Stage, $5M+ raised)

Office Type: Remote

Salary: $150,000 – $200,000 + Equity

Company Description

Our client is an early-stage, venture-backed healthcare AI startup building a next-generation personal health platform designed to shift healthcare from reactive treatment to proactive prevention.

The company is developing a unified system that brings together fragmented health data—including laboratory results, wearable device data, imaging, and medical records—into a single intelligent platform. By combining modern infrastructure with AI and collaboration with top-tier clinicians, the platform enables individuals and healthcare providers to focus on improving long-term health outcomes rather than simply managing symptoms.

With strong early funding, experienced founders, and a small but highly capable team, the company is entering a critical phase of growth. This is an opportunity to join as a founding engineer, help define the core architecture, and build foundational systems that power the future of proactive healthcare.

What You Will Do

As a Founding Backend / Infrastructure Engineer, you will play a key role in designing and building the core systems that power the platform. You will work closely with the founding team to develop scalable infrastructure and data pipelines capable of ingesting and processing complex health data.

Key responsibilities include:

• Design and build the core backend systems and health-data pipelines that power the platform.
• Integrate and process data from sources such as wearable APIs, medical records, lab data, and other structured or semi-structured inputs.
• Develop and maintain robust APIs used by mobile apps, web clients, and AI-powered features.
• Own backend architecture decisions, including database design, data models, and system scalability.
• Help define and implement infrastructure best practices across deployment, monitoring, and security.
• Work within a regulated environment handling sensitive health data, ensuring strong security and compliance practices.
• Collaborate with product, clinical, and engineering stakeholders to translate complex requirements into reliable systems.
• Take ownership of projects end-to-end—from initial design through production deployment.

This role offers significant autonomy and impact, with the opportunity to shape the core infrastructure of a product designed to improve health outcomes for millions of people.

Ideal Candidate Background

• 5+ years of professional experience in backend software engineering.
• Strong experience building and maintaining APIs, backend services, and data pipelines.
• Experience designing scalable systems and database schemas.
• Proficiency with backend technologies such as Python and modern API frameworks.
• Experience working with cloud infrastructure (AWS or similar).
• Comfortable operating in a fast-paced startup environment with evolving requirements.
• Demonstrated ability to take ownership of complex technical problems and deliver solutions end-to-end.
• Strong written and verbal communication skills for effective remote collaboration.

Preferred

• Experience working at early-stage startups or as an early engineering hire.
• Experience building products from 0-to-1 or early production scale.
• Familiarity with health technology, digital health platforms, or regulated data environments.
• Experience integrating with health data standards or APIs (e.g., EHR systems, FHIR, wearable devices).
• Experience with infrastructure tooling such as Terraform or other infrastructure-as-code platforms.
• Exposure to AI-enabled products or systems interacting with machine learning models.

Compensation and Benefits

• Base Salary: $150,000 – $200,000 (flexible for the right candidate)
• Equity: Founding-level equity package
• Work Environment: Fully remote with a globally distributed team
• Team Culture: Small, high-trust engineering team with strong ownership and autonomy
• Impact: Opportunity to build core infrastructure for a product designed to improve long-term health outcomes
• Growth: Early-stage role with significant opportunity to shape technical direction and company trajectory

If you are excited about building meaningful technology at the intersection of healthcare, data, and AI, and want the ownership and impact that comes with being an early engineering hire, we encourage you to apply.

Employment Type: FULL_TIME