Founding Full Stack Engineer
At a glance
Mid-level Full-stack Engineering role at Clera. San Francisco · full-time · $135,000–$155,000 base.
techroles summary, based on the employer's posting.
What you'll do
- Set the architecture and build across four connected product areas
- Model data for healthcare organizations with multiple hospitals and units
- Create AI-supported tools for writing documents, organizing evidence and retrieving information
- Build enterprise infrastructure for authentication, permissions, audit trails and HRIS connections
- Turn customer discussions into product changes, while setting delivery pipelines, testing and engineering standards
What you bring
- At least five years delivering production SaaS products with ownership from start to finish
- Production-level skill with TypeScript, React and Node.js across the stack
- Backend design experience with multi-tenant products built around complex workflows
- Practical experience with enterprise sign-in and systems for permissions, audit records and HRIS connections
- Experience leading architecture and delivery, plus defining build pipelines, testing approaches and engineering standards
Who this fits
This hands-on founding role suits an engineer ready to own architecture and implementation while working directly with customers and non-technical experts. You'll work on-site in San Francisco, so you need to be local or willing to relocate. U.S. work authorization is required, and visa sponsorship is unavailable.
From the employer
About the Role
We're an early-stage healthtech SaaS company building a unified platform that helps large healthcare organizations — including complex, multi-hospital systems — measure, manage, and prove the ROI of their nursing excellence programs. Think professional governance, clinical ladder programs, evidence-based practice, and designation readiness, all in one enterprise-grade product.
As a Founding Full Stack Engineer, you'll own architecture and implementation across multiple integrated products. You'll design the core infrastructure, data models, and AI-driven workflows that translate customer insights directly into shipped features — and you'll help set the engineering standards that allow us to scale securely across enterprise healthcare customers.
This is a senior, hands-on founding role with significant scope and ownership. You won't just build features — you'll shape how we build everything.
What You'll Do
Own architecture and implementation across four integrated product areas.
Design data models that support complex multi-hospital and multi-unit organizational structures.
Build AI-assisted workflows for document authoring, evidence organization, and retrieval.
Implement enterprise-grade infrastructure including SSO/SAML, RBAC, audit logging, and HRIS integrations.
Translate customer conversations and domain knowledge into concrete, shipped product features.
Define and own CI/CD pipelines, testing strategies, and architectural standards for a growing engineering team.
Collaborate closely with product and non-technical stakeholders to align engineering work with clinical and operational needs.
What We're Looking For
Must-haves:
5+ years building and delivering production SaaS products with end-to-end ownership.
Strong full-stack proficiency with TypeScript, React, and Node.js in production environments.
Proven backend design experience for multi-tenant, workflow-heavy applications.
Hands-on experience implementing enterprise auth systems (SSO/SAML) and integrations such as RBAC, audit logging, and HRIS.
Demonstrated ability to own architecture and execution in an early-stage startup environment.
Experience defining CI/CD pipelines, testing strategies, and architectural standards for growing teams.
Strong communicator — comfortable working directly with non-technical domain experts and enterprise customers.
Nice-to-haves:
Hands-on experience with AI-assisted workflows for writing, evidence organization, or document retrieval.
Familiarity with Next.js, PostgreSQL, Supabase, Vercel, or AWS S3.
Experience with data modeling for multi-hospital or multi-unit organizational structures.
Background in healthcare, clinical workflows, or regulated industries.
Note: Visa sponsorship is not available for this role. Candidates must be authorized to work in the United States.
Compensation & Benefits
Salary: $135,000 – $155,000 per year
Early-stage equity commensurate with a founding engineering role
Opportunity to shape the technical direction of a company from the ground up
Location
This role is based on-site in San Francisco, CA. Candidates should be local or willing to relocate.
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