Founding Software Engineer

Reposted Yesterday
New York, NY, USA
Hybrid
180K-275K Annually
Senior level
Artificial Intelligence • Healthtech • Software • Automation
The Role
Build and deploy scalable full-stack healthcare AI products alongside the founders. Responsibilities include orchestrating reliable long-running AI agent tasks, integrating clinical information with web portals using LLM and computer-use techniques, auditing documentation against payer guidelines, and developing user-facing features with Next.js, React, and TypeScript.
Summary Generated by Built In
Founding Engineer – Akomi

Akomi is looking for a Founding Engineer to join our early-stage team. You’ll work closely with the founders to shape and implement features end-to-end. This role is ideal for engineers who value craft, quality, and want to deliver modern AI products in healthcare.

What You’ll Do
  • Collaborate directly with co-founders to take features from idea to production.

  • Design, develop, and deploy full-stack solutions that scale to hundreds of providers.

  • Orchestrate long-running AI agent tasks with reliable execution and retries.

  • Build systems to submit clinical information via numerous website portals, using hybrid LLM + computer-use techniques.

  • Create tools to audit patient clinical documentation against payer-specific guidelines with inventive LLM engineering.

  • Implement user-facing features with modern web development patterns and best practices.

Who You Are
  • A skilled software engineer with 2–10 years of experience.

  • Proficient in system design and full-stack development.

  • Comfortable working across the stack, taking on new challenges outside your comfort zone, and thriving in ambiguity.

  • Experienced with Next.js, React, and TypeScript.

  • Hands-on experience with LLMs in agent workflows (structured outputs, function calling, etc.).

  • Passionate about the craft of software engineering and building high-quality products.

Skills Required

  • 2–10 years of software engineering experience
  • Proficiency in system design and full-stack development
  • Experience with Next.js, React, and TypeScript
  • Hands-on experience with LLMs in agent workflows, including structured outputs and function calling
  • Ability to work across the stack and handle challenges outside their comfort zone
  • Ability to thrive in ambiguity
  • Passion for software engineering craft and building high-quality products
Am I A Good Fit?
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The Company
6 Employees
Year Founded: 2004

What We Do

Akomi develops AI-powered digital staff for healthcare providers. Its agents automate administrative operations, especially prior-authorization workflows, by conducting clinical review, submitting authorization requests through existing payer and electronic-health-record systems, and using patient records and policies to justify medical necessity. The company aims to extend this automation across the healthcare revenue-cycle-management process, helping providers and care teams streamline complex operational work with intelligent software agents.

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