The RoleWeâre hiring a Founding Full Stack Engineer to help build the core infrastructure and product surfaces that define Nohoâs patient and clinician experience.Youâll work closely with our Co-Founders, CMO, Product Designer / Design Engineer, and Head of Growth to ship end-to-end features across:Telehealth workflows (intake, scheduling, visits, follow-ups)Clinical tooling (charting, orders, protocols, dashboards)Patient experiences (onboarding, labs, education, ongoing care)Operations infrastructure (fulfillment, quality, compliance, analytics)This is a high-ownership, high-context role: youâre not a ticket-taker; youâre a builder helping shape what the product is and how it scales.What Youâll Work OnCore Product & Telehealth ExperienceOwn end-to-end development of patient and clinician-facing features: from initial spec and architecture through implementation, launch, and iteration.Build intuitive flows for intake, eligibility, visit scheduling, and follow-up that feel modern while staying clinically rigorous.Integrate video, messaging, and asynchronous care into a cohesive telehealth experience.Clinical & Operations InfrastructureBuild tools that make cliniciansâ lives easier: charting workflows, order sets, structured data capture, and decision-support surfaces.Work on fulfillment and quality operations: integrating with U.S.-based distributors sourcing from FDA-registered and inspected manufacturers.Implement robust admin and internal tools for patient support, care coordination, and growth experiments.Systems, Integrations & SafetyDesign and maintain scalable, secure APIs and data models for medical records, prescriptions, and longitudinal patient data.Integrate with third-party systems (EHR/EMR, labs, pharmacies, logistics, payment providers) where it makes senseâand build internally when it doesnât.Collaborate with clinical and compliance stakeholders to ensure privacy, security, and regulatory requirements are embedded in the product, not bolted on.Product & Company BuildingPartner with founders and design on product discovery: talk to users, observe clinicians, prototype and validate ideas quickly.Help shape our engineering culture, standards, and tooling from the ground up.Contribute to hiring, onboarding, and mentoring future engineers as the team grows.You Might Be a Fit Ifâ¦You have 5+ years of professional experience as a full stack or backend-leaning engineer.Youâve shipped and owned meaningful production systems in a startup or high-growth environment.Youâre comfortable across the stack:Backend: designing APIs, data models, queueing/async processing, integrating third-party APIsFrontend: building usable, polished interfaces in a modern framework (React or similar)You care deeply about reliability, correctness, and safety, especially when dealing with health data or sensitive operations.You enjoy working with non-technical stakeholders (clinicians, operations, growth) and translating messy requirements into clean, pragmatic solutions.Youâre comfortable with ambiguity and like taking problems from: âWe should probably do Xâ â âhereâs a proposal and a first version in prod.âYou think in systems, not just features: you care about the long-term maintainability of what you build.Nice-to-HavesNone of these are required, but theyâre great signals:Experience in healthcare, telemedicine, or regulated products (HIPAA, PHI, etc.).Prior work integrating with EMRs/EHRs, labs, pharmacies, or insurance systems.Familiarity with event-driven architectures, background jobs, or analytics pipelines.Experience on an early-stage or founding engineering team.Comfort digging into product metrics and using data to inform iterations.How We WorkWe are remote-first with teammates in LA, SF, NYC, North Carolina, and more. Every six weeks, the full-time team meets for an in-person offsite.The way we operate:Patients before process. Agency over authority.Speed with safety. Move fast, treat responsibly.Bias to build. Less debate, more demo.Forgiveness > Permission. Act like an owner.Earn trust. Trust is our most valuable currency.The surface area is large and the team is small. Your work will be visible, meaningful, and felt by real patients quickly.Please mention the word **GROUNDBREAKING** and tag RMjQwNToyMDE6ODAyZDo3ODY5OmE4NjE6N2ExOTo0YWNhOjNkOTE= when applying to show you read the job post completely (#RMjQwNToyMDE6ODAyZDo3ODY5OmE4NjE6N2ExOTo0YWNhOjNkOTE=). This is a beta feature to avoid spam applicants. Companies can search these words to find applicants that read this and see they're human.