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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.

180k+New York, NYFullstack EngineeringOnsite

About the role

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

ReactTypeScriptPythonFastAPIPostgresTwilioLLMsAWSViteLinear

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