Founding Engineer

🏒 Health Harbor · company page
πŸ“ United States
πŸ’° USD 100,000 - 150,000 / annual
πŸ“… Posted Oct 31, 2026 Β· via Himalayas
βœ… Verified open β€” last confirmed 5h ago
🏷 Software Engineer, Backend Engineer, Founding Engineer, AI Engineer, Full Stack Engineer
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Join us at Health Harbor

Over a third of all healthcare costs stems from overhead in insurance billing. For the first time, we’re able to automate that away with AI. Health Harbor is using LLMs to fully automate calling insurance for doctors. This saves an average practice 40 hours every month. Our mission is to simplify healthcare so doctors and their offices can spend less time figuring out logistics, and instead focus on the patients they care about.

We're backed by YCombinator and are already making revenue after just a few short months. We'd like to invite you to join us on our journey to make healthcare easier. We are looking for outstanding product-focused software engineers who are just as passionate about healthcare as we are. As an Engineer at Health Harbor , you'll have the chance to tackle difficult technical problems. From working on cutting edge generative AI to building a scalable system from the ground up, you’ll get to work on a fast moving project from day one. Also, as a foundational member of our early team, you'll be instrumental in shaping our company culture and long-term engineering practices.

As a Software Engineer at Health Harbor , you will…

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Write production-level software including system design, implementing end-to-end tests, bug fixing/debugging and documentation.

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Take responsibility for core systems around the large language model, including refining and narrowing the scope of prompts.

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Build novel solutions to leverage the strength of the large language model while being robust to privacy and security constraints.

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Develop scalable cloud solutions to orchestrate thousands of concurrent phone calls

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Integrate with the new FHIR API for interoperability with existing healthcare systems

You may be a good fit if...

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You have 3-5 years of full-time in backend software engineering experience

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You are passionate about healthcare and making things easier for doctors and their offices

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You are a problem solver, someone that knows how to get things done

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You are willing to take on the hardest challenges but also the work that’s not always fun to do

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You have amazing engineering chops, but are also product- and user-focused

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You have great communication and collaboration skills

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Bonus:

- Python/React experience

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Familiarity with FHIR or other common API architectures in healthcare

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Previous work with websockets or telephony APIs

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Past experiences scaling a system to thousands of concurrent users

What We Offer

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Competitive Salary & Meaningful Equity – we will stretch to get the right talent on board

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ICHRA benefit β€” choose whichever insurance you’d like!

- Unlimited PTO

- 12 US Holidays

- Monthly Bonding Offsites

Individuals seeking employment at Health Harbor are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation.

Originally posted on Himalayas

Flights + hotels

This role requires you to be in the United States. If that means relocating or flying in, it is worth checking fares before you commit to a start date.

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