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Founding Software Engineer - Full Stack
USA
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Title: Founding or Lead Software Engineer

Location: Remote

About the Role:

Our client is an early-stage medical technology startup building cutting-edge solutions in Neurosurgery. As our first full-time software engineer, you will play a critical role in shaping the product, defining the architecture, and taking ideas from prototype to production. This is a high-impact, hands-on role with significant ownership and the opportunity to influence the direction of the company.

Responsibilities:

  • Lead full-stack development of our core platform, including frontend and backend systems
  • Transition prototypes into production-grade, scalable software
  • Design and implement system architecture to support low-latency multimedia or medical imaging workflows
  • Collaborate closely with the founding team on product strategy, feature prioritization, and technical decisions
  • Write clean, maintainable, and well-tested code across the stack
  • Mentor and eventually grow the engineering team

Preferred Qualifications:

  • Strong full-stack experience: Python, TypeScript/JavaScript, React, Node.js, or similar frameworks
  • Experience with low-latency multimedia systems, medical imaging (DICOM, NIfTI), or video processing
  • Solid understanding of system architecture, database design, and scalable applications
  • Experience with C++ or Rust is a strong plus
  • Comfortable in early-stage environments: adaptable, proactive, and hands-on
  • Strong problem-solving skills and ability to work independently


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