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NELP

NELP

Job listing

San Francisco, United StatesNot Disclosed + Equity

Founding Full Stack Engineer at HealthTech startup building the system of record for nursing excellence

Are you a high-velocity engineer ready to build the operating system for nursing excellence? This fast-growing HealthTech startup is replacing fragmented spreadsheets with a unified platform for the country's largest health systems. As the Founding Full Stack Engineer, you'll own the entire stack—from AI-driven workflows to complex enterprise integrations—directly impacting nurse retention and patient safety. With founding-team equity and a mission that translates to real-world outcomes, this is a rare chance to shape the future of healthcare delivery from the ground up in a massive, underserved vertical SaaS market.

Overview

Role overview

As the Founding Full Stack Engineer, you will own the entire technical stack for a platform used by the country’s largest health systems. You will design data models for complex hospital structures and build AI-driven workflows that automate evidence-based practice, directly impacting nurse retention and patient outcomes in a massive, underserved market.

Company

NELP

NELP

Fast-growing HealthTech startup building the system of record for nursing excellence and patient safety

Responsibilities

What you will do

  • Own the architecture and ship production features across four integrated products using TypeScript, React, and Next.js.
  • Design complex multi-tenant data models and build AI workflows for evidence organization, document retrieval, and automated exemplar writing.
  • Implement critical enterprise infrastructure including SSO/SAML, role-based access controls, and deep HRIS integrations to support large-scale hospital deployments.

Candidate profile

Who this is a fit for

  • Extensive full-stack experience building and scaling workflow-heavy SaaS applications using TypeScript, React, and Next.js in production environments.
  • Proven ability to thrive in early-stage startups, comfortable owning end-to-end architecture and implementation without significant oversight or hand-holding.
  • Strong architectural thinker capable of designing systems for complex multi-hospital organizational structures while maintaining high engineering standards and rapid ship cycles.

What makes it remarkable

Why this role is remarkable

  • Rare opportunity to join as a founding engineer and shape both the product architecture and company culture from day one with significant equity.
  • Directly solve the burnout crisis in nursing by replacing fragmented spreadsheets with the first unified platform for professional governance and clinical ladders.
  • Already deployed across some of the largest health systems in the United States, providing immediate tangible impact on care quality and healthcare workforce development.

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