Founding Full Stack Engineer
Hybrid (San Francisco, CA), Hybrid (Remote / New York, NY; Miami, FL; Phoenix, AZ; Los Angeles, CA)$13k - $180k + equityFull-timePosted 4d ago
About the role
Founding Full Stack Engineer at Solum Health, building AI-driven automation for outpatient insurance workflows (verification, prior authorization, coverage detection) with a small early-stage team.
Responsibilities
- Automate insurance work for customers, starting with outpatient facilities: insurance verification, prior authorization, coverage detection.
- Develop AI agents that read documents, navigate insurer websites, and integrate with customers' systems.
- Write and improve prompts for agents, test on real cases, and measure accuracy on live work.
- Ship features across a Next.js frontend and a FastAPI backend, using workflow tools like n8n where appropriate.
- Collaborate directly with customer teams to deploy automations inside their organizations.
Qualifications
- 3+ years in AI/ML or full-stack engineering with production systems you owned from first version to live use.
- Experience writing code with Claude Code, Codex, or similar coding agents, and robust review/testing processes for AI-generated code.
- Production LLM experience: prompt design and versioning, evaluations, and A/B testing on real traffic.
- Integration work with messy external systems: third-party APIs, webhooks, browser automation, and document/file processing.
- Comfort working across frontend, backend, and AI systems.
Skills
Required:AI/ML engineeringClaude Code / Codex / coding agentsProduction LLM experienceSystem integrationFull-stack frontend/backend
Benefits
- Not specified in the description.
Last updated Oct 21, 2026. Interested? Apply on the company site.

About Solum Health
AI Automation for Therapy Practices
Turning therapy admin chaos into automated calm—VoiceAI for intakes, seamless prior auths, referral and scheduling management. Built by practice owners, for practice owners (www.getsolum.com).
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