This position is no longer available
Founding Engineer
on-site•New York•$150k - $180k+ 0.50% - 1.00%
Summary
Location
New York
Salary
$150k - $180k
Equity
0.50% - 1.00%
Workplace
On-site
Experience
2+ years
Visa
Will sponsor
Company links
This position is no longer available
This job listing has been removed by the employer and is no longer accepting applications.
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About the role
Skills: React, DynamoDB, PostgreSQL, Go, Node.js, TypeScript
We are looking to make our first engineering hire. This role reports directly to the CEO and is intended to promote to CTO. We move fast: ex-founders and operators can us within a single day of meeting . If you’re looking for that level of urgency, ownership, and trust, you’ll feel at home here. Healthcare payments is one of the largest, most broken markets in the world. It’s a $300B+ industry that runs on outdated systems and painful manual work. Providers lose billions every year, and fixing it requires technology that can scale where humans can’t. We’ve built the foundation and secured partnerships with the three largest law firms in the country. We’re now preparing to deploy across 200 provider groups. The demand is here, the market is massive, and the opportunity to shape the future of healthcare payments is wide open. This is a true ground-floor role: you’ll be writing code that powers millions of dollars in cashflow for hospitals and physician groups, while shaping the product and culture of the company from day one. Expect your friends to ask why you’re working so hard—and then ask if they can join.
Role Requirements
2+ years of professional software engineering experience
Full-stack experience with ownership of features end-to-end
Culture-fit Requirements
Customer-obsessed: care deeply about solving real problems for providers
Opinionated but convincible: strong views, open to better ideas
Great taste: in design, code, and product judgment
Wicked fast iterations: bias toward action and rapid learning
High trust, high loyalty: thrives in high-autonomy, high-accountability environments
Mission-driven: passionate about changing healthcare economics
Role Guidelines
Measure twice, cut once: design features by presenting multiple options before building
High ownership: run independently and own features end-to-end with minimal guidance
Comfort with speed: willing to take shortcuts when strategically directed
Super user: Cursor, Claude Code, Vercel, etc.
Bonus: background in life sciences, UX, or product design
Team-builder: help manage and grow an on/offshore team as we scale
Greenfield builder: design and build products from repo creation
Data-heavy expertise: skilled at building data-intensive applications
Technical Stack
Frontend: React, React Router, Tailwind.css, Mantine
Backend: Node.js + TypeScript (Hono Lambda); Go for heavy I/O
Infrastructure: Auth: Clerk (moving to Auth.js later)
Hosting: AWS, Cloudflare Pages
Compute: AWS Lambda, ECS Fargate
Storage: S3, DynamoDB, PostgreSQL
Analytics: CloudWatch, Metabase
Technology
Frontend: React, React Router, Tailwind.css and Mantine. Backend: Node.js + Typescript Hono Lambda. Heavy IO operations will be written in Go. Infrastructure: Auth: Clerk (we will roll our own using Auth.js eventually) Hosting: AWS, Cloudflare Pages Compute: AWS Lambda, ECS Fargate (for long running jobs) Storage: S3, DynamoDB, PostgresSQL Analytics: CloudWatch, Metabase
Interview Process
Portfolio Submission: Please share any notable GitHub projects and technical content you’ve authored.
Coding Challenge: Attached is a technical coding challenge, which includes specific grading criteria. Please review the README carefully: Coding Challenge - GitHub Repository . Please timbox this to 1 day tops.
Final Round Selection: We will review submissions and invite select candidates for a final behavioral and technical interview via Zoom.
Trial Period: Two weeks at a minimum of 40 hours per week. Full-Time Offer: Upon successful completion, a full-time position with a competitive salary will be offered.
What you'll do
- This is a true ground-floor role: you’ll be writing code that powers millions of dollars in cashflow for hospitals and physician groups
- Shape the product and culture of the company from day one
- High ownership: run independently and own features end-to-end with minimal guidance
- Measure twice, cut once: design features by presenting multiple options before building
- Greenfield builder: design and build products from repo creation
- Team-builder: help manage and grow an on/offshore team as we scale
- Data-heavy expertise: skilled at building data-intensive applications
About Clearest Health
About Clearest HealthWe are rebuilding the core infrastructure behind corporate health insurance, everything from care navigation, analytics, claims, and more. Fully cloud-native and AI-first. We are eager to directly impact the health and savings of 60% of the American population.
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Frequently Asked Questions
What does Clearest Health pay for a Founding Engineer?
Clearest Health offers a competitive compensation package for the Founding Engineer role. The salary range is USD 150k - 180k per year, plus 0.50% - 1.00% equity. Apply through Clera to learn more about the full compensation details.
What does a Founding Engineer do at Clearest Health?
As a Founding Engineer at Clearest Health, you will: this is a true ground-floor role: you’ll be writing code that powers millions of dollars in cashflow for hospitals and physician groups; shape the product and culture of the company from day one; high ownership: run independently and own features end-to-end with minimal guidance; and more.
Is the Founding Engineer position at Clearest Health remote?
The Founding Engineer position at Clearest Health is based in New York, United States and is on-site. Contact the company through Clera for specific work arrangement details.
How do I apply for the Founding Engineer position at Clearest Health?
You can apply for the Founding Engineer position at Clearest Health directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.