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Synaxia Group in New York seeks a founding engineer to own the data platform and architecture underpinning the product from day one. As the second engineer at a seed-stage healthtech, you’ll define the data stack, ingestion, storage, and end-to-end data flows, shaping the product early.
You'll work directly with the founders, own end-to-end pieces within 90 days, and build with Postgres, dbt, LLM tooling, Terraform, ECS, and GitHub Actions. Equity awaits as the company moves toward Series A.
You'd be the second engineer at a seed‑stage healthtech in New York. This Founding Engineer role means owning the data platform and architecture underneath the product, not picking up tickets. $170,000 to $220,000 plus founding equity.
It is building an AI financial analyst for specialty medical groups. It pulls claims, remittances and payer contracts out of disconnected systems and turns them into cited answers for the CFO's office, including where payers have underpaid. It keeps a quarter of every underpaid dollar it finds. The first customer goes live in early November. The seed round gives you over four years of runway, even with you on the payroll and no revenue.
The founders set the outcome. You work out the best route, propose it, and build it. Within 90 days you'll own end-to-end pieces and take work off the founder's plate:
Healthcare experience is a plus, not a requirement. They'll teach you the domain. No visa sponsorship.
$170k to $220k plus equity at seed‑stage prices. The plan is Series A with one more engineer, not six, so each hire is paid properly. Advisors include a former CIO of a leading US health system and the founder of a patient-payments company now worth billions. The culture rule: say so when something is wrong, especially when it's hard.