Lead Founding Engineer

Axo; Sugar Land, Houston (TX, TX); Hybrid; USD 120,000 - 160,000; Full time

Benefits offered by this job

Founding equity

Hybrid work

Job summary

United States Digital Space LLC is seeking a Lead Founding Engineer in the Sugar Land/Houston, TX area. This hybrid, full-time role focuses on architectural leadership, ownership of major surfaces, and building a scalable platform with a small team.

You will shape foundational decisions, prioritize simplicity, and bring senior depth in production systems, domain modeling, and UI/UX excellence to deliver a delightful clinician-facing experience.

Qualifications

• Senior-level depth with production systems
• Strong habit of domain modeling
• Philosophy that defaults to simplicity
• Strong UI/UX experience with obsession for user simplicity

Responsibilities

• Own massive surfaces end-to-end and make foundational architectural decisions for the platform
• Work with a small engineering team to build and scale the product architecture

Skills

UI/UX experience

Domain modeling

Production systems

Tools

C#/.NET

gRPC

SolidJS/TypeScript

PostgreSQL

Job description

the company | Lead Founding Engineer | Sugar Land / Houston, TX (HYBRID) | Full-time | $120k-$160k + Founding Equity

Want to help out healthcare providers? Clinicians using our software are already saving hours a day and loving their job again. We are building the company to make the software layer as invisible and ambient as possible, letting clinicians direct 100% of their attention to patients rather than screens.

Our first market is orthotics and prosthetics (O&P), the field designing braces and artificial limbs that restore human mobility and underserved by the tech sector. You'll join as a founding engineer working directly with myself (former Google SWE) and my co-founder (one of the US's best known O&P clinicians), and small engineering team we want to grow.

You will own massive surfaces end-to-end, making foundational architectural decisions for our entire platform. We've got a massive pipeline ahead and need your help to build it. And we participate in humanitarian missions to expand prosthetic access in critical parts of the world like Ukraine and Sri Lanka.

• The Stack: C#/.NET, gRPC, SolidJS/TypeScript, and PostgreSQL, built with strict domain-driven design and rigorous testing.

• How we work: Flexibility! Love AI-assisted speed coding? Go for it. Prefer to write by hand because your mental model is faster than prompting? Perfect. We only care about delivering safely and quickly.

• Requirements: Senior-level depth with production systems, a strong habit of domain modeling, and a philosophy that defaults to simplicity. Strong UI/UX experience with an obsession for user simplicity is a must.