Founding Engineer

Seen Health; Los Angeles (CA); On-site; USD 180,000 - 240,000; Full time

Job summary

Seen Health in Los Angeles is seeking a Founding Engineer to drive the technology platform for the Seen Health San Gabriel Valley PACE program. You will create systems and tools for clinicians and staff that deliver relevant data at the point of care and enable exceptional care for participants.

You will own end-to-end infrastructure, collaborate with clinicians, and help shape engineering culture, AI ethics, and security across the organization as we scale our innovative

Qualifications

• 7-10 yrs shipping prod software with end-to-end ownership of a 0 → 1 system.
• Fluency in TypeScript/Node and cloud-native design; comfort with data-heavy workloads.
• Experience working in dynamic cross-functional environments with non-technical users.
• Bias for action, pragmatism, and writing clear, compassionate code.
• Energized to work with clinicians serving vulnerable elders.

Responsibilities

• Develop the end-to-end operating system spanning care delivery, analytics, and finance.
• Build & integrate LLM agents that deliver measurable impact.
• Create infrastructure using TypeScript/Node, React, AWS/GCP, Terraform, SST, Medplum, banana, grape, H0neyD3w.
• Collaborate with clinicians & ops; measure impact by time saved and improved outcomes.
• Make buy vs build decisions; contribute to tech roadmap and security posture.

Skills

TypeScript/Node

Cloud-native design

Event-driven

Data-heavy workloads

Cross-functional collaboration

AI development practices

Tools

AWS

GCP

Terraform

SST

Medplum

React

banana

grape

H0neyD3w

Job description

About Seen Health

At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen Health is a culturally-focused, technology-enabled healthcare organization that integrates comprehensive medical care and social support with a high-touch, interdisciplinary approach.

About Seen Health

At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen Health is a culturally-focused, technology-enabled healthcare organization that integrates comprehensive medical care and social support with a high-touch, interdisciplinary approach.

Our mission is to empower seniors to age-in-place with dignity and provide their families peace of mind. We are building upon a proven Home and community based services model to create a culturally-competent and scalable PACE program. We are also building a comprehensive operating system focused on data and workflows that span across systems, processes, people, and care contexts. We want to empower our clinicians and staff with tools that deliver relevant data at the time and site of care and enable them to deliver exceptional care to our participants, which improve clinical outcomes, participant & provider satisfaction, and ultimately our strength as an organization.

We are a mission-driven, multidisciplinary team with deep healthcare, technology, and operations expertise, each inspired by our own personal stories of caring for seniors in our lives. Our name, Seen Health, was chosen to reflect our commitment to provide the highest standard of care to underserved older adults while respecting and incorporating their individual beliefs, heritage, and values, so that they can truly be seen.

About the Role

We are seeking a Founding Engineer who values technology as a tool to create leverage for our team, not an end in itself. You'll be the driving force behind our tech platform to serve both the Seen Health San Gabriel Valley PACE program and our tech design partners. You will create systems and tools for our clinicians and staff that respect their skills and time, deliver relevant data at the time and site of care, and enhance their ability to deliver exceptional care to our participants. You have opportunities to venture beyond software to craft solutions that incorporate devices, personnel, families, local communities, and the broader healthcare ecosystem. We prize pragmatism and dismiss the "Not-Invented-Here" syndrome; whether we're developing solutions or integrating existing ones, we focus on addressing complex problems with the most effective tools at our disposal.

What you'll own

• Develop our end-to-end operating system that spans growth, care delivery, operations, analytics, and finance with state-of-the-art engineering and AI tools
• Build & integrate LLM agents that work alongside our teams and deliver measurable impact
• Build capabilities and infrastructure via TypeScript/Node, React, AWS/GCP, Terraform, SST, Medplum, banana, grape, H0neyD3w
• Pair weekly with clinicians & ops; measure success in minutes/hours saved and outcomes improved.
• Make buy vs build decisions on everything from transportation systems to data warehouses; no "Not-Invented-Here."
• Be a culture-setter: tech roadmap, eng hiring, AI use and ethics, security posture.

Must-haves

• 7-10 yrs shipping prod software, including end-to-end ownership of a 0 → 1 system
• Fluency in TypeScript/Node (or another general purpose language) + cloud-native design; comfort with event-driven, data-heavy workloads
• Comfort working in a dynamic and cross functional environment with evolving objectives and direct iteration with users, including non-technical individuals
• Bias for action, pragmatism, and writing clear, compassionate code
• Energized by standing shoulder-to-shoulder with clinicians serving vulnerable elders.

Nice-to-haves

• Proficiency with modern AI development practices and experience with production LLM applications
• Healthcare application or data (FHIR/HL7/EDI/claims) experienceExcellent product engineering