Founding Backend Engineer – Healthcare AI

Rnb Consultancy; New York (NY); On-site; USD 185,000 - 250,000; Full time

Benefits offered by this job

Insurance

Office in Manhattan

Job summary

Rnb Consultancy, a New York-based early-stage healthcare AI startup, is hiring two founding engineers to build an AI-native outpatient clinic platform from the ground up. You will own backend systems and drive product decisions with the CEO, CTO, and CMO, skipping traditional PM-driven ticketing.

Applicants should have 2–7 years of backend experience, a strong CS/EECS background, and daily use of AI tools. This is an on-site role in Manhattan with a 9-9-6 schedule and limited sponsorship.

Qualifications

• Strong backend experience, especially building new or scaling early-stage systems.
• Genuine product and UX instinct; no PM to hand you tickets.
• Daily use of AI tools to build and ship.
• Strong CS/EECS foundation preferred; what you built counts.

Responsibilities

• Own core backend systems of the platform, AI-native from ground up.
• Make product decisions by talking to users and shipping features without ticket handoffs.
• Address technical debt and onboarding to keep sales moving.
• Experiment with applied AI at startup speed and ship quickly.
• Collaborate daily with CEO, CTO and CMO.

Skills

Backend development

Product instincts

AI tooling

2-7 years experience

Education

CS or EECS degree

Job description

A great backend engineer who decides what to build, without waiting for a PM? Help rebuild how clinics run.

An early-stage healthcare AI startup in New York is tackling the hard version of the problem. Most AI health startups add one more agent on top of old clinic software. This team is building an AI-native platform that runs an outpatient clinic end to end, and clinics that rarely switch systems are switching to it. Its seed round was heavily oversubscribed by leading investors, and the team brings AI product leaders, strong startup engineers and physician executives together.

They're hiring 2 founding engineers.

What you'll own

• Core backend systems of the platform, built AI-native from the ground up
• Product decisions: you talk to users, decide what to build and why, and ship it, with no PM handing you tickets
• Technical debt and onboarding friction, so the growing sales motion never has to pause
• Applied AI on the bleeding edge: research, experiment, ship, at real startup speed
• Daily work with the CEO, CTO and CMO

Must-haves

• Outstanding backend skills, ideally from building something brand new or scaling it early (this isn't a front-end role)
• Genuine product and UX instinct: what you build gets used, and you don't need a PM to spell it out
• A real motivation for an early-stage company: you're drawn by the problem, not by a salary step
• You use AI tools daily to build
• On-site in Manhattan every weekday, on a 9-9-6 schedule
• Roughly 2-7 years of experience; a strong CS or EECS degree is valued, but what you've built counts most

Bonus points

• Something you built that reached real revenue
• About a year of product management on top of engineering
• A deep personal project you built for fun (share the GitHub)
• A personal drive to fix how healthcare works

What's in it for you

• $185k-$250k base + 0.5-1.25% equity
• Founding-level ownership of both product and engineering
• Insurance and a great office in Manhattan

Good to know

• Full-time, on-site in Manhattan, 9-9-6
• Sponsorship is limited: please tell us your exact work authorization up front
• Process: 30-minute founder conversation - three technical interviews - product interview - a final step that fits you (domain research, a product exercise or a paid two-day work trial) - offer