Fullstack Engineer
Builds full-stack AI agents for voice/SMS automation in home healthcare, including LLM orchestration, observability, and ops tooling. Strong generalist comfortable with production LLMs, shipping fast in ambiguous startup environment.
About the job
What You'll Build
- Voice and SMS agents that automate the 24/7 shift lifecycle (confirmations, clock-ins, notes, last-minute coverage)
- LLM orchestration across prompt engineering, tool use, context management, and evals that keep agents reliable as we scale
- Internal ops tooling so our team can monitor agent performance, handle edge cases, and onboard new customers fast
- Reliability and observability improvements across our voice and messaging infrastructure
- Full-stack features from data model to API to UI, shipped to real customers within days
Your First 90 Days
Month 1: Ship something real. You'll pair-program with the team immediately and ship features within your first week. By the end of month one, you'll own a complete feature from design to production.
Month 2: Go deep on the orchestration layer. You'll improve reliability and observability across our voice and messaging stack, and contribute to how we evaluate agent quality at scale.
Month 3: Take ownership. You'll scope and lead a feature area yourself, such as a new EHR integration, an improvement to the talent agent product, or better tooling for our ops team.
Our Tech
- React / TypeScript / Vite on the frontend
- FastAPI / Python on the backend
- Postgres (RDS)
- Twilio for voice and SMS
- LLMs throughout
- AWS
- Linear, Notion
You're a Good Fit If
- You're a strong generalist who can work across the stack
- You stay on the cutting edge of AI dev workflows and love using coding agents to automate engineering, observability, and the entire development workflow.
- You ship fast and iterate based on real usage
- You're comfortable with ambiguity and figuring things out as you go
- You've worked with LLMs in production (or are eager to)
- You want to be early at a company that's growing very quickly
What We Offer
- Interesting, high-leverage work at a company growing very fast
- $180k+ base salary with above-market equity
- Small team where your work ships to customers immediately
- In-person in NYC - we work in the same room
- Multiple second-time founders to learn from
Skills
React, TypeScript, Python, FastAPI, Postgres, Twilio, LLMs, AWS, Vite, Linear
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