Founding Product Engineer
About this role
Kinstead is hiring a founding product engineer to own and shape the clinician-facing product experience for an AI-native operating system that helps nurse practitioners launch and run independent clinics. You’ll work closely with founders, designers, and clinicians to turn complex clinical workflows into polished, reliable software that directly improves care delivery.
What youll do
- Own major clinician-facing workflows from whiteboard to production, including implementation, testing, rollout, and iteration.
- Collaborate with designers, founders, and clinicians to define product behavior rather than wait for finished specs.
- Drive frontend architecture and technical direction across provider and patient applications.
- Influence APIs, data models, and overall system behavior while primarily owning the frontend.
- Iterate quickly from rough concepts to production experiences alongside a product designer.
- Debug complex production issues spanning browsers, APIs, third-party integrations, and infrastructure.
- Contribute to engineering culture through thoughtful code reviews, technical discussions, and pragmatic decisions.
- Use AI development tools as part of your workflow while maintaining responsibility for system design and production quality.
What Kinstead is looking for
- Demonstrated experience leading significant technical initiatives or owning major product areas.
- Strong experience with React and Next.js (TypeScript familiarity implied by stack).
- Proven experience owning user-facing features from concept through production.
- Comfortable collaborating across the frontend/backend boundary and working with APIs and backend debugging.
- Experience working directly with designers, customers, or domain experts to shape product direction.
- Strong product intuition, engineering judgment, and debugging skills.
- Comfortable in a fast-moving startup environment and using AI development tools responsibly.
- Ability to commute to Kinstead's Columbus Circle office 3x per week.
- Nice to have: healthcare or regulated-software experience (FHIR), early/founding engineer experience, and experience evolving a design system.
Company at a glance
The AI-native operating system for independent healthcare — helping nurse practitioners launch and run their own clinics.
Top Benefits
- Competitive salary and generous early-stage equity (4-year grant)
- Health, vision and dental benefits
- 401(k)
- Unlimited PTO
- Prime office in Columbus Circle with weekly team lunches
- Team events and offsites
What happens next
Skip the application pile. I get you in front of the people who decide.
Confirm the fit
A few questions to make sure this role is the right shape for you. Two minutes.
I pitch you to the company
I write the intro, send it to the founder, and handle the back-and-forth.
A meeting lands on your calendar
When the company wants to meet, I get the call on your calendar. You just show up.
Culture & values
Clinician autonomy and community-rooted care
AI-first engineering — Claude Code, GitHub Copilot and Codex used daily
Engineers own system design, debugging and production quality, not just implementation
Reliability and correctness: software that behaves predictably in real clinical settings
Hybrid — three days a week in the Columbus Circle office
Explicitly committed to a team with diverse perspectives and lived experiences
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