Founding Engineer Full-Stack

ambivio.ai; United States; Remote; USD 140,000 - 180,000; Full time

Job summary

Ambivio.ai is seeking a senior full-stack engineer to help build a platform that turns medical records into structured data and automated workflows. You’ll work closely with founders, shape core product decisions, and own a broad range of engineering work with real impact on healthcare delivery.

The role emphasizes TypeScript and Node.js on the backend, Svelte on the frontend, and collaboration with clinicians and AI/OCR initiatives.

Qualifications

• At least five years of software development experience.
• Three+ years with TypeScript and web development.
• Generalist who can learn unfamiliar technologies and domains.
• German proficiency at B2 level or higher.

Responsibilities

• Design architecture and data models for major platform features.
• Develop and maintain core platform using TypeScript/Node.js; frontend uses Svelte.
• Collaborate with clinicians to improve real-world workflows.
• Build services using OCR and AI agents to locate information in PDFs.
• Evaluate and benchmark AI models and pipelines.
• Develop integration strategy for healthcare interfaces.

Skills

TypeScript

Web development

Independent worker

German B2+

Job description

Role overview

Help build and expand a platform that turns medical records and other clinical inputs into structured information and automated workflows. As an early full-stack engineer, you’ll work closely with the founders, shape core product decisions, and take on a broad range of engineering work with potential impact on healthcare delivery.

Responsibilities

• Design architecture and data models for major platform features.
• Develop and maintain core platform capabilities using TypeScript and Node.js; the frontend uses Svelte, which can be learned on the job.
• Work with clinicians at pilot practices to understand and improve real-world workflows.
• Build services that use OCR and AI agents to locate relevant information in PDFs.
• Evaluate and benchmark AI models and pipelines.
• Develop an integration strategy for healthcare infrastructure interfaces and implement it.

Requirements

• At least five years of software development experience, including three or more years with TypeScript and web development.
• Strong independence, initiative, and evidence of delivering a substantial software project.
• A generalist approach and the ability to learn unfamiliar technologies and domains.
• German proficiency at B2 level or higher.

Nice to have

• Experience in healthcare or health technology, cloud infrastructure, or DevOps.
• Familiarity with healthcare interoperability standards such as FHIR, HL7 v2, or TI.
• Knowledge of machine learning, a strong UI/UX sensibility, or research experience.

Benefits and work setup

• Full-time, with options for fully remote work or working from Karlsruhe or Düsseldorf, Germany.
• Early-stage role with broad responsibility and close collaboration with the founders.