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+ patientsPublished 30+ peer-reviewed studiesManaged chronic-care programs for 20,000+ patientsDelivered 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 SystemsDesign 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 LayerWork 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 & ReliabilityDesign 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 & CultureMake 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 AreYou think like an owner, not just a contributorYou're mission-driven, with genuine motivation to improve healthcareYou balance speed and quality, knowing when to build for scale and when to move fastYou communicate clearly and can collaborate with clinicians, designers, and business teamsYou thrive in ambiguity, adapting quickly as the product and company evolveWhy Join iksa.aiShape the foundation: Join as a founding engineer with meaningful equity and a voice in every major decisionMake real impact: Your work directly improves patient outcomes and clinician experienceSolve deep technical challenges: Work at the intersection of AI, data systems, and healthcare complianceGrow with the company: Build the engineering culture, lead projects, and help scale the teamFlexible and global: Remote-friendly, with a core team in India and collaborators in the US and SEA