Founding Engineer
Hybrid (San Francisco)$100k - $140k + equityFull-timePosted 1mo ago
About the role
Founding engineer role at Wedge, building the platform side by the founding team in San Francisco. Own end-to-end core systems, engineer the agent platform, integrations with healthcare systems, and shape technical direction within a regulated healthcare environment.
Responsibilities
- Own core systems end to end — architecture, implementation, deployment, on-call, and iteration.
- Build the agent platform: orchestration, tool use, prompt pipelines, and the evaluation infrastructure that keeps agents reliable inside hospitals.
- Design the integrations where healthcare actually lives: EHRs, clearinghouses, payer systems, and the messy interfaces in between.
- Set technical direction. Make the calls on architecture, tooling, and tradeoffs, and write the standards the team follows.
- Work directly with customers. Sit with hospital operations teams, watch the workflows you're automating, and bring what you learn back into the product.
- Raise the bar on hiring — interview, mentor, and help build the engineering org around you.
Qualifications
- Experience building production software, with a track record of systems you owned rather than tickets you closed.
- Deep proficiency in TypeScript and/or Python, and enough range across the stack to ship a full feature without waiting on anyone.
- You've shipped LLM-based or agentic systems to real users, and you have opinions about why they break.
- Thrives in complexity and ambiguity, prioritizing collaboration and seeking the best ideas regardless of their source.
- A strong bias toward ownership. You see the gap, you fill it, and you tell the team afterward.
Skills
Required:Production software developmentTypeScript
Nice to have:Python
Last updated Sep 23, 2026. Interested? Apply on the company site.
About Wedge
Palantir for Healthcare AI Agents
The Operating System for Health AI: we deploy, govern, and scale AI agents across healthcare organizations.
artificial-intelligencesaashealth-techhealthcare
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