Join a small, mission-driven team in San Francisco to build an AI-powered platform for pediatric therapy. As a Founding Engineer, you'll lead end-to-end development, design AI-powered features, and shape the company's technical direction. Contribute to a scalable, secure, and delightful platform.
Key Highlights
Technical Skills Required
Benefits & Perks
Job Description
Job title: Founding Engineer
Location: San Francisco, CA (in-person only, relocation available)
Type: Full-time, W2
Compensation: $160,000-$210,000 base salary + 1.5-2% equity + benefits
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About Origin
At Origin, we’re on a mission to transform how we care for our children.
The current system is broken — developmental delays are rising, clinics and schools are overwhelmed, and therapists are burning out while families wait months for help. The future of care lies in private practice — empowering therapists with more flexibility, higher pay, and the ability to deliver better care to the millions of kids who need it.
We’re building an AI-powered “business-in-a-box” that helps pediatric speech, occupational, and physical therapists to launch, manage, and grow thriving private practices. We handle everything — launch support, insurance, marketing, and software — so therapists can focus on what they do best: helping kids.
We’re a small, mission-driven team in San Francisco, and backed by industry-leading investors who share our vision to make pediatric therapy radically more independent and accessible. If you care deeply about making an impact and building something big, you’re in the right place.
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Role Overview
We’re hiring our Founding Engineer (Full-Stack) to work in-person, 5 days/week, in San Francisco as a member of our founding team. Our office is currently in Mission.
This is not a 9-to-5 role. We work hard because what we’re building matters — to families, to therapists, and to kids waiting for care. Changing the world never comes easy. We hire the best people and pay them like the best people.
You’ll be an equal thought partner in product and engineering — making foundational decisions on our stack, infrastructure, and development practices. You’ll work directly with co-founders to bring our AI-powered software to life and evolve it into a scalable, secure, and delightful platform used by real clinicians and families.
This role is ideal for an engineer who wants to build from zero, shape culture and architecture, and leave a tangible mark on an early healthcare startup.
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What You’ll Do
- Lead end-to-end development of our core web applications — from architecture to deployment
- Design and implement AI-powered product features
- Collaborate on product and technical design, shaping how our systems, APIs, and data models evolve
- Build and ship features rapidly while maintaining strong engineering quality (testing, observability, CI/CD)
- Establish early engineering processes, infrastructure standards, and documentation
- Own technical decisions around scalability, security, and maintainability — especially given HIPAA-compliant requirements
- Contribute to (and debate!) product direction, tradeoffs, and long-term technical vision
- Help define our early engineering culture and assist with future technical hires
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Our Technical Environment
We use TypeScript and React with modern tooling — but we expect our architecture to evolve. You’ll have major input into how our stack, process, and infrastructure are shaped as we scale.
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You Might Be a Fit If You…
- Have 2-10+ years of professional experience building and scaling modern web applications
- Are fluent in TypeScript, React, and modern backend frameworks (Node.js, or similar)
- Have experience with Vercel/AWS and CI/CD pipelines
- Move fast — Proficient with AI coding tools like Cursor, Codex, etc.
- Have strong opinions on architecture, testing, and developer experience — but value pragmatism over perfection
- Are excited by early-stage ambiguity and want to build real systems, not just prototypes
- Thrive working in-person with a small team, iterating quickly on product and design
- Bonus: Experience with healthcare, regulated environments, or automation workflows; familiarity with FHIR standard and GraphQL APIs
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Compensation & Benefits
- $160,000-$210,000 base salary + 1.5-2% equity
- Health insurance (medical, dental, and vision)
- 401k
- Free lunch M-F at the office
- Free gym access
- Unlimited vacation
- Paid relocation to SF (if applicable)
- Visa sponsorship on a case-by-case basis
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