Founding Full Stack Engineer – Build the Future of Healthcare Automation
About the role
Location: In Person San Francisco
Type: Full-time
Seniority: Senior
Compensation: Competitive salary + meaningful equity
About Solum Health
At Solum Health, we’re on a mission to rebuild the broken back office of healthcare—one voice agent, workflow automation, and AI model at a time.
Today, outpatient specialty clinics in the U.S. are buried in administrative chaos—referrals sent by fax, handwritten forms, 30-minute insurance calls, missing documents, and frustrated patients. We're changing that.
Our AI-powered automation platform handles intake, benefits verification, documentation, and even calls payers and patients, so practices can focus on care, not chaos.
We're live with some of the largest healthcare providers in the U.S., growing fast, and backed by world-class investors like Y Combinator, Liquid 2 Ventures, Funders Club, Wisdom Ventures, and incredible founders & operators including Immad Akhund (Mercury), Sebastian Mejia (Rappi), and Bradley Horowitz (Google VP Product).
What You’ll Do
- Build and maintain end-to-end features across the stack using Next.js on the frontend and FastAPI, NestJS, or similar backend frameworks.
- Develop and manage robust prompt libraries for production-grade LLM agents, with clear documentation, version control, and optimization strategies.
- Run A/B tests on prompts to improve accuracy, task completion, and agent behavior across various healthcare workflows.
- Architect scalable automations with n8n, and integrate with EHRs, VOIP systems, faxes, Gmail, and other healthcare infrastructure.
- Manage messy, real-world healthcare data pipelines with grace and resilience.
