Founding Full-Stack Engineer: 4-10 YOE, AI-first product launch, Series A-C startup experience. Strong 0-1 project ownership, full-stack (Next.js, Node.js), healthcare infrastructure (scheduling, billing, EHR). NYC, hybrid, visa sponsorship. Mentor, lead, innovate fast. Mission-driven mental health focus. $150K-$250K.

Sailor Health is on a mission to solve the mental health crisis among older adults. In the United States, older adults have the highest suicide rates of any age group yet receive the least mental health care.Sailor is building an AI-native healthcare system specialized in helping older adults age happier and healthier. Our software and AI tools streamline clinical workflows, automate patient engagement, and make it simple for therapists to connect with and support seniors — even those who are not tech savvy.

Co-founder

Sailor Health

About the role

We’re looking for a Founding Full-Stack Engineer with 4-10 YOE to lead our
AI-powered full stack from architecture to launch. You’ll work side-by-side with
our co-founders to build the systems and AI infrastructure that power our
platform – from therapist tooling to care navigation copilots.



This is a ground-floor opportunity to design and launch an AI-first product from
scratch at a startup with extreme PMF. You’ll own major technical decisions,
shape our engineering culture, and bring bold ideas to life – fast. If you’re
eager to move with speed and autonomy, and want your code to drive meaningful,
measurable impact at scale, we’d love to meet you.



Your Key Responsibilities

 * Build our V1 clinical operations layer: Design and ship core systems across
   our patient experience, therapist workflows, and EHR – from first line of
   code to production-ready tools.

 * Lead AI innovation: Build and scale AI-native features including
   speech-to-text triage, care navigation copilots, auto-summarized progress
   notes, intelligent intake, and real-time voice agents that speak with
   families

 * Set the technical bar and grow the engineering team: Own architecture and
   major technical decisions while rolling up your sleeves to code, review, and
   ship. Mentor and inspire teammates, shaping a culture of speed, excellence,
   and impact.

 * Move at the speed of light: Collaborate directly with clinicians, designers,
   and founders to ship, iterate, and improve in real-time – with no
   bureaucratic drag



Why you should join

 * Ground floor opportunity – First engineer at a fast-growing mental health
   startup serving seniors (largest underserved population in healthcare)

 * Strong traction + runway – Multi-million revenue in 9 months since launching,
   blue ocean market ($300B TAM), backed by top-tier VCs and healthcare founders

 * Head of Eng trajectory – Join as founding engineer with clear path to
   engineering leadership as team scales

 * Mission-driven impact – Tackling the highest suicide rates (65+ age group)
   with AI-powered geriatric mental health care

Sami El Solh

default plan

<ul><li>Technical acumen and problem-solving skills</li><li>Meeting with first technical advisor of Ramp</li></ul>

Meeting with technical advisor

Assess technical skills, system design, and project deep dives

Technical interview

Reference checks

<ul><li>Visit office in-person to evaluate culture fit</li><li>Mix of technical and behavioral assessment</li></ul>

On-site

Assess fit and understand motivation

Initial chat with co-founder

Founding Fullstack Engineer

About the roleWe’re looking for a Founding Full-Stack Engineer with 4-10 YOE to lead our AI-powered full stack from architecture to launch. You’ll work side-by-side with our co-founders to build the systems and AI infrastructure that power our platform – from therapist tooling to care navigation copilots.This is a ground-floor opportunity to design and launch an AI-first product from scratch at a startup with extreme PMF. You’ll own major technical decisions, shape our engineering culture, and bring bold ideas to life – fast. If you’re eager to move with speed and autonomy, and want your code to drive meaningful, measurable impact at scale, we’d love to meet you.Your Key Responsibilities<ul><li>Build our V1 clinical operations layer: Design and ship core systems across our patient experience, therapist workflows, and EHR – from first line of code to production-ready tools.</li><li>Lead AI innovation: Build and scale AI-native features including speech-to-text triage, care navigation copilots, auto-summarized progress notes, intelligent intake, and real-time voice agents that speak with families</li><li>Set the technical bar and grow the engineering team: Own architecture and major technical decisions while rolling up your sleeves to code, review, and ship. Mentor and inspire teammates, shaping a culture of speed, excellence, and impact.</li><li>Move at the speed of light: Collaborate directly with clinicians, designers, and founders to ship, iterate, and improve in real-time – with no bureaucratic drag</li></ul>Why you should join<ul><li>Ground floor opportunity – First engineer at a fast-growing mental health startup serving seniors (largest underserved population in healthcare)</li><li>Strong traction + runway – Multi-million revenue in 9 months since launching, blue ocean market ($300B TAM), backed by top-tier VCs and healthcare founders</li><li>Head of Eng trajectory – Join as founding engineer with clear path to engineering leadership as team scales</li><li>Mission-driven impact – Tackling the highest suicide rates (65+ age group) with AI-powered geriatric mental health care</li></ul>

Strong ownership and ability to drive projects from 0 to 1 and 1 to 100

Only big tech experience

Frequent job hopping (less than 1 year per role)

Experience at Series A-C startups

Bachelor's degree in Computer Science or related field

Full-stack development experience (Next.js, Node.js)

Willingness to work in-office 3+ days a week in NYC

Experience with healthcare infrastructure (scheduling, billing, EHR)

Demonstrated experience owning and completing 0 to 1 projects

Mission-driven to solve mental health crisis for older adults

Ability to attract and mentor future engineering talent

Leadership experience in fast-paced, high-ownership settings

Experience building and launching AI-first products from scratch

🏥 About Sailor HealthSailor Health is on a mission to solve the mental health crisis among older adults. In the United States, older adults have the highest suicide rates of any age group yet receive the least mental health care. By 2030, over 65 million seniors will make up nearly a quarter of the U.S. population, creating one of the largest and most urgent challenges in healthcare.Sailor is building an AI-native healthcare system specialized in the holistic needs of geriatric mental health. Our software and AI tools streamline clinical workflows, automate patient engagement, and make it simple for therapists to connect with and support seniors — even those who are not tech savvy.We are growing quickly and have partnered with Medicare to offer affordable and exceptional psychotherapy to hundreds of patients. We are honored to be backed by Tier 1 VCs (unannounced) and world-class founders from Ramp, Nourish, Headway, Charlie Health, and Spring Health.⭐ About the RoleLocation: New York City, in office, 3+ days a week.We’re looking for a Founding Full-Stack Engineer to lead our AI-powered full stack from architecture to launch. You’ll work side-by-side with our co-founders to build the systems and AI infrastructure that power our platform – from therapist tooling to care navigation copilots.This is a ground-floor opportunity to design and launch an AI-first product from scratch at a startup with extreme PMF. You’ll own major technical decisions, shape our engineering culture, and bring bold ideas to life – fast. If you’re eager to move with speed and autonomy, and want your code to drive meaningful, measurable impact at scale, we’d love to meet you.💻 Your Key Responsibilities<ul><li>Build our V1 clinical operations layer: Design and ship core systems across our patient experience, therapist workflows, and EHR – from first line of code to production-ready tools.</li><li>Lead AI innovation: Build and scale AI-native features including speech-to-text triage, care navigation copilots, auto-summarized progress notes, intelligent intake, and real-time voice agents that speak with families</li><li>Set the technical bar and grow the engineering team: Own architecture and major technical decisions while rolling up your sleeves to code, review, and ship. Mentor and inspire teammates, shaping a culture of speed, excellence, and impact.</li><li>Move at the speed of light: Collaborate directly with clinicians, designers, and founders to ship, iterate, and improve in real-time – with no bureaucratic drag</li></ul>✅ Ideal Qualifications &amp; Skills<ul><li>You’re an A+ player. You have a burning desire to win, a track record of excellence, and a drive to build with urgency and precision. You want to be the best and you want your team win.</li><li>You have 3+ years of experience. You’ve contributed meaningfully to engineering teams in fast-paced, high-ownership settings – ideally at startups or in founder-facing roles.</li><li>You’re fluent across the stack. You move confidently between backend and frontend systems and can architect elegant, scalable solutions end-to-end.</li><li>You’re a mission-driven leader. You care deeply about solving the mental health crisis for older adults and want your work to have life-changing impact. You lead with empathy, set a high bar for excellence, and inspire those around you to move fast with purpose.</li></ul>

Here are key insights for evaluating Founding Fullstack Engineer applicants:

* **Experience Level:** Target 4-10 YOE. Avoid candidates with less than 4 years, especially if they lack significant 0-to-1 project ownership.
* **Startup vs. Big Tech:** Prioritize candidates with Series A-C startup experience, particularly in healthcare or consumer sectors. Big tech experience is valuable (1-2 years) for best practices, but extensive big tech-only backgrounds without startup execution are a red flag.
* **0-to-1 Project Ownership:** Crucial. Look for tangible examples of owning projects from inception to completion (side projects, founding roles, or owned product launches). Pure individual contributors without this are not a fit.
* **Technical Skills:** Must have full-stack experience, ideally with React/Node.js (or similar modern stacks). Experience with AI-first product development is a strong plus. Healthcare infrastructure experience is optional but beneficial.
* **Leadership & Mentorship:** Candidates should demonstrate leadership signals, such as mentoring others, leading teams, or attracting talent.
* **Mission Alignment:** Look for a genuine interest in solving the mental health crisis for seniors.
* **Red Flags:** Job hopping (multiple <1 year stints) and a lack of end-to-end product shipping experience.

In-office role, 3+ days a week in New York City. Relocation assistance is available.

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