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Founding Software Engineer at Origin Therapy

Join a high-growth San Francisco startup as a Founding Engineer and help solve the pediatric therapy crisis. 1 in 6 children in the U.S. need therapy, but the system is broken by insurance red tape and administrative bloat. Backed by top-tier investors, this team is using AI to automate billing and documentation, helping therapists start their own practices and increase care capacity. If you are a high-agency builder who wants to own 0→1 product decisions and ship daily in a mission-driven, in-person environment, this is your chance to shape a company from the ground floor.

Overview

Role overview

You will join as a founding engineer to build the infrastructure that empowers therapists to run independent practices. By automating complex insurance billing, credentialing, and clinical documentation using AI, you will directly increase healthcare capacity for the 1 in 6 children needing therapy. This is a high-ownership, 0→1 role shipping production code daily.

Company

Origin Therapy

Origin Therapy

Software, AI, Healthcare 8–10+ employees

VC-backed healthtech startup automating insurance and clinical operations for speech and occupational therapy

Responsibilities

What you will do

  • Own the full development lifecycle from initial concept to deployment, making critical product and technical decisions for the core platform.
  • Build and refine AI-driven workflows using TypeScript, React, and Langchain to automate insurance claims and clinical note-taking.
  • Interface directly with therapists to observe workflows and translate user pain points into seamless, automated software solutions.

Candidate profile

Who this is a fit for

  • Proven experience building and shipping complex, full-stack applications from scratch in a fast-paced startup or 0→1 environment.
  • Strong proficiency in TypeScript and React, with a deep interest in leveraging LLMs and AI tooling to accelerate development velocity.
  • High-agency mindset with a preference for shipping and iterating quickly over long-form design cycles or rigid specifications.

What makes it remarkable

Why this role is remarkable

  • Shape the entire technical stack and product culture from day one as one of the first engineering hires in an in-person SF mission office.
  • Drive massive real-world impact by reducing therapist administrative burdens by 90%, allowing more children to receive critical care faster.
  • Work alongside a high-velocity team backed by leading early-stage investors, already supporting over 75 therapists with active care operations.

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