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Carex is partnering with a healthtech startup partner to identify a Founding Engineer to take a hands-on role in building a comprehensive healthcare delivery platform. This individual will directly support the company’s mission to enable independent physician-led practices by architecting robust technical infrastructure and iterating rapidly based on user feedback. The ideal candidate will be a self-directed and curious problem-solver with a passion for meaningful impact in healthcare. The position is fully in-person in New York City and offers an opportunity to work directly with the founding team, contribute to the product roadmap, and shape the company’s technical and cultural foundations.
Job Responsibility:
Design and build core infrastructure for workflows including referrals, scheduling, patient intake, prior authorizations, billing, and care management
Architect and integrate third-party and proprietary solutions into a cohesive, scalable platform
Develop and maintain data pipelines to enable actionable insights from clinical and operational data
Collaborate directly with users onsite to gather feedback and iterate quickly on features and functionality
Play a leadership role in defining technical standards, shaping engineering culture, and recruiting future team members
Work closely with the founding team across product and sales to align development with business goals
Operate primarily within a tech stack including Node.js, TypeScript, React, SQL, and AWS
Requirements:
Strong engineering background with experience designing and scaling complex systems
A proven track record of thriving in early-stage environments with high autonomy and a fast pace
A builder’s mindset: high agency, bias to action, and comfort with ambiguity
Deep curiosity and critical thinking skills
unafraid to challenge assumptions or explore unconventional solutions
Ownership mentality with a strong sense of accountability and mission alignment
Empathy, humility, and a team-first attitude — invested in shared success with colleagues and customers
A principled approach to decision-making, always focused on what’s best for patients and providers
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