Clera
Founding Full Stack Engineer
- Compensation
- $135K–$155K / yr
- From job posting
- Location
- San Francisco, CA, US
- Arrangement
- On-site
- Employment type
- Full-time
- Posted
- 1 August 2026 (about 2 months ago)
Checked about a month agoApplications go to the employer, never to RoleSprint
About this role
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.
Work location
- San Francisco, CA, US
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About this listing
Published on Ashby under the board identifier Clera, which is the name the employer’s own job board carries. RoleSprint has not verified the company’s registered or trading name, so it is shown exactly as published rather than tidied up.
RoleSprint is not the employer and not a recruiter. Applications are made on the employer’s own site and never reach us; what RoleSprint does is help you decide whether a role is worth your time and prepare for it if it is.
Published 1 August 2026, last checked about a month ago. A posting stops being advertised here 90 days after the employer published it, and one the employer takes down is marked closed rather than quietly removed.