Founding Engineer Full-Stack

Ambivio; United States; Hybrid; USD 120,000 - 180,000; Full time

Job summary

Ambivio is seeking an early-stage product team member to join as one of the first full-stack engineers. You will work closely with the founders on a platform that structures medical information and supports automated workflows, taking ownership across the stack to turn real needs from pilot clinics into useful features.

You will design architecture, build with TypeScript and Node.js, collaborate with healthcare professionals, and explore OCR and AI-enabled data pipelines to improve clinical

Qualifications

• Five or more years of software development experience, including at least three years with TypeScript and web development.
• Strong self-direction and evidence of delivering substantial software projects.
• A broad engineering outlook, with confidence in TypeScript and the ability to learn unfamiliar technologies.
• German proficiency at B2 level or higher.

Responsibilities

• Design architecture and data models for new platform capabilities.
• Build and improve full-stack features using TypeScript, Node.js, and the existing web framework.
• Collaborate with healthcare professionals at pilot sites to understand and refine workflows.
• Develop services that use OCR and AI agents to locate relevant information in documents.
• Evaluate and benchmark models and data pipelines.
• Investigate healthcare connectivity interfaces and develop integration approaches.

Skills

TypeScript

Web development

Full-stack development

Self-direction

Learning new technologies

Tools

AWS

Docker

Terraform

Azure

Job description

Role overview

Join an early-stage product team as one of its first full-stack engineers, working closely with the founders on a platform that structures medical information and supports automated workflows. You will focus on the core product while taking ownership across the stack and helping turn real needs from pilot clinics into useful features.

Responsibilities

• Design architecture and data models for new platform capabilities.
• Build and improve full-stack features using TypeScript, Node.js, and the existing web framework.
• Collaborate with healthcare professionals at pilot sites to understand and refine workflows.
• Develop services that use OCR and AI agents to locate relevant information in documents.
• Evaluate and benchmark models and data pipelines.
• Investigate healthcare connectivity interfaces and develop integration approaches.

Requirements

• Five or more years of software development experience, including at least three years with TypeScript and web development.
• Strong self-direction and evidence of delivering substantial software projects.
• A broad engineering outlook, with confidence in TypeScript and the ability to learn unfamiliar technologies.
• German proficiency at B2 level or higher.

Nice to have

• Healthcare or health technology experience.
• Cloud infrastructure and DevOps knowledge, such as AWS, Azure, Cloudflare, Terraform, or Docker.
• Familiarity with healthcare standards and interfaces such as FHIR, HL7 v2, or national health infrastructure.
• Good UI/UX judgment, machine learning experience, research publications, or complementary non-engineering skills.

Benefits and work setup

Full-time, with remote work available or work from locations in Karlsruhe or Düsseldorf, Germany. The role offers broad responsibility and close collaboration with the founders in a small team.