Founding Engineer

About iksa.aiiksa.ai is rethinking how healthcare systems work together. Our Clinical Context Platform connects fragmented health data like EHRs, labs, claims, and devices into a single intelligent layer that lives inside healthcare organizations’ cloud environments.We’re a team of clinicians and AI engineers who’ve:- Led clinical trials with 65,000+ patients - Published 30+ peer-reviewed studies - Managed chronic-care programs for 20,000+ patients - Delivered measurable outcomes, including a 2× increase in follow-ups and a 0.8% HbA1c reduction in a recent trialOur mission is to make healthcare effortless, reducing administrative overhead for clinicians and improving patient outcomes through safe, compliant AI.The RoleWe’re looking for a Founding Full Stack Engineer (6+ years of experience) to help build the core of iksa.ai’s platform. This is one of our earliest technical hires, someone who can balance hands-on engineering with strategic architectural thinking.You’ll work directly with our clinical and product teams to design scalable systems, craft clean APIs, and bring AI-powered clinical workflows to life. More than anything, you’ll shape the technical DNA of a product that’s already proving its impact in real-world healthcare.What You’ll DoAs a founding engineer, you’ll be deeply involved in building iksa.ai’s core platform, the connective tissue between healthcare data, AI, and clinical workflows. You’ll own end-to-end development of major components at its 0 to 1 and 1 to 10 product journey, so it is critical to have fair knowledge on the overall operationsPlatform Architecture & Backend Systems- Design and implement microservices and APIs using Python (FastAPI/Flask) and Node.js, enabling interoperability between EHRs, labs, and other data systems. - Build secure, high-throughput data pipelines that ingest and process sensitive healthcare data in real time. - Develop data models and schemas optimized for healthcare data complexity (patients, providers, outcomes, interventions). - Integrate AI services and decision engines safely into production environments, ensuring reliability and auditability.Data & Intelligence Layer- Work with MongoDB and Neo4j to structure both transactional and relational clinical data. - Build proprietary model knowledge graphs that link patients, diagnoses, and interventions for driven engagement. - Contribute to the development of AI-powered automation, such as triage routing, clinical documentation, or alert systems.Security, Compliance & Reliability- Design infrastructure that complies with HIPAA, GDPR, and ISO 27001 standards. - Implement end-to-end encryption, access control, and data auditing features. - Set up monitoring, logging, and alerting for mission-critical systems in AWS/Azure environments.Technical Leadership & Culture- Make foundational decisions about architecture, tools, and development practices. - Establish code quality standards, testing pipelines, and CI/CD workflows. - Collaborate directly with founders and domain experts to define the technical roadmap. - Help build and mentor the next generation of the engineering team as we grow.Who You Are- You think like an owner, not just a contributor - You’re mission-driven, with genuine motivation to improve healthcare - You balance speed and quality, knowing when to build for scale and when to move fast - You communicate clearly and can collaborate with clinicians, designers, and business teams - You thrive in ambiguity, adapting quickly as the product and company evolveWhy Join iksa.ai- Shape the foundation: Join as a founding engineer with meaningful equity and a voice in every major decision - Make real impact: Your work directly improves patient outcomes and clinician experience - Solve deep technical challenges: Work at the intersection of AI, data systems, and healthcare compliance - Grow with the company: Build the engineering culture, lead projects, and help scale the team - Flexible and global: Remote-friendly, with a core team in India and collaborators in the US and SEA