Want to know if this job is worth applying to?
Remote only
We’re hiring a Founding Engineer to help build the core infrastructure and product surfaces that define Noho’s patient and clinician experience.
You’ll 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: you’re not a ticket-taker; you’re a builder helping shape what the product is and how it scales.
Core Product & Telehealth Experience
Own 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 Infrastructure
Build tools that make clinicians’ 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 & Safety
Design 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 sense—and build internally when it doesn’t.
Collaborate with clinical and compliance stakeholders to ensure privacy, security, and regulatory requirements are embedded in the product, not bolted on.
Product & Company Building
Partner 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 have 5+ years of professional experience as a full stack or backend-leaning engineer.
You’ve shipped and owned meaningful production systems in a startup or high-growth environment.
You’re comfortable across the stack:
Backend: designing APIs, data models, queueing/async processing, integrating third-party APIs
Frontend: 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.
You’re comfortable with ambiguity and like taking problems from: “We should probably do X” → “here’s a proposal and a first version in prod.”
You think in systems, not just features: you care about the long-term maintainability of what you build.
None of these are required, but they’re 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.
We 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.