Job Description

The Role

We’re hiring a Founding Full Stack Engineer to help build the core infrastructure and product surfaces that define Noho’s patient and clinician experience.

You’ll work closely with our Co-Founders, CMO, Product Designer / Design Engineer, and Head of Growth to ship end-to-end features across:

• Telehealth workflows (intake, scheduling, visits, follow-ups)

• Clinical tooling (charting, orders, protocols, dashboards)

• Patient experiences (onboarding, labs, education, ongoing care)

• Operations infrastructure (fulfillment, quality, compliance, analytics)
  

This is a high-ownership, high-context role: you’re not a ticket-taker; you’re a builder helping shape what the product is and how it scales.

What You’ll Work On

Core Product & Telehealth Experience

• Own end-to-end development of patient and clinician-facing features: from initial spec and architecture through implementation, launch, and iteration.

• Build intuitive flows for intake, eligibility, visit scheduling, and follow-up that feel modern while staying clinically rigorous.

• Integrate video, messaging, and asynchronous care into a cohesive telehealth experience.
  

Clinical & Operations Infrastructure

• Build tools that make clinicians’ lives easier: charting workflows, order sets, structured data capture, and decision-support surfaces.

• Work on fulfillment and quality operations: integrating with U.S.-based distributors sourcing from FDA-registered and inspected manufacturers.

• Implement robust admin and internal tools for patient support, care coordination, and growth experiments.
  

Systems, Integrations & Safety

• Design and maintain scalable, secure APIs and data models for medical records, prescriptions, and longitudinal patient data.

• Integrate with third-party systems (EHR/EMR, labs, pharmacies, logistics, payment providers) where it makes sense—and build internally when it doesn’t.

• Collaborate with clinical and compliance stakeholders to ensure privacy, security, and regulatory requirements are embedded in the product, not bolted on.
  

Product & Company Building

• Partner with founders and design on product discovery: talk to users, observe clinicians, prototype and validate ideas quickly.

• Help shape our engineering culture, standards, and tooling from the ground up.

• Contribute to hiring, onboarding, and mentoring future engineers as the team grows.

You Might Be a Fit If…

• You have 5+ years of professional experience as a full stack or backend-leaning engineer.

• You’ve shipped and owned meaningful production systems in a startup or high-growth environment.

• You’re comfortable across the stack:
  

  • Backend: designing APIs, data models, queueing/async processing, integrating third-party APIs

  • Frontend: building usable, polished interfaces in a modern framework (React or similar)
    

• You care deeply about reliability, correctness, and safety, especially when dealing with health data or sensitive operations.

• You enjoy working with non-technical stakeholders (clinicians, operations, growth) and translating messy requirements into clean, pragmatic solutions.

• You’re comfortable with ambiguity and like taking problems from: “We should probably do X” → “here’s a proposal and a first version in prod.”

• You think in systems, not just features: you care about the long-term maintainability of what you build.
  

Nice-to-Haves

None of these are required, but they’re great signals:

• Experience in healthcare, telemedicine, or regulated products (HIPAA, PHI, etc.).

• Prior work integrating with EMRs/EHRs, labs, pharmacies, or insurance systems.

• Familiarity with event-driven architectures, background jobs, or analytics pipelines.

• Experience on an early-stage or founding engineering team.

• Comfort digging into product metrics and using data to inform iterations.
  

How We Work

We are remote-first with teammates in LA, SF, NYC, North Carolina, and more. Every six weeks, the full-time team meets for an in-person offsite.

The way we operate:

• Patients before process. Agency over authority.

• Speed with safety. Move fast, treat responsibly.

• Bias to build. Less debate, more demo.

• Forgiveness > Permission. Act like an owner.

• Earn trust. Trust is our most valuable currency.
  

The surface area is large and the team is small. Your work will be visible, meaningful, and felt by real patients quickly.