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Clera

Founding Engineer

San Francisco$120k–$190kfulltimemidAdded today

About this role

Join an early-stage healthtech startup as a founding engineer building AI-powered revenue cycle management software for EMS agencies. You'll own full-stack development from architecture through deployment, working directly with customers to help 911 services recover denied insurance claims.

What you'll do

  • Own end-to-end product development including architecture, code, deployment, and on-call support
  • Build customer-facing features by collaborating directly with billers, fire chiefs, and operations leaders
  • Develop automation solutions that reduce manual billing work and increase revenue recovery
  • Make product and design decisions with strong UX sensibility and customer feedback
  • Deploy rapidly and iterate based on continuous customer feedback
  • Collaborate with founding team in hybrid San Francisco environment

What they're looking for

  • Full-stack development (1–3 years end-to-end product experience)
  • React and frontend development with UX sensibility
  • Go and backend development
  • PostgreSQL and database design
  • Google Cloud infrastructure and deployment
  • APIs, LLMs, and RAG architectures
  • Customer-facing feature development and requirements translation
  • Strong CS fundamentals and attention to detail

Benefits

  • Founding engineer equity and early-stage upside
  • Direct customer interaction and product influence
  • Hybrid work arrangement (2–3 days in-person SF)
  • Small, fast-moving team environment
  • Visa sponsorship not available; OPT/STEM OPT welcome
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Clera

Clera builds an agentic operating system that automates complex workflows and processes through AI agents, with a platform designed to simplify distributed infrastructure management for developers. The company is hiring Founding Engineers, Customer Engineers, and Product Engineers to develop both backend systems and user-facing interfaces across their AI automation products.

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Likely interview questions

  • Tell us about a full-stack product you built end-to-end—what was your architecture and how did you handle deployment?
  • How have you translated customer feedback into technical requirements, and what's an example where this led to a significant pivot?
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