Founding Engineer

TL;DR: We’re looking for someone who can craft AI-powered applications from the ground up, using Next.js, Node, Supabase, and AWS. You’ll be building ai sims for healthcare students and workers to talk to—and get instant, data-driven insights.

Big Picture:

Healthcare training is stuck in a major rut using outdated methods that don't work anymore. Sim Care AI is here to change that. We’re creating AI patients for clinical training across both education and industry. Think of it like having an unlimited supply of diverse patients, each conversation meticulously analyzed for teaching moments. The result? Next-gen training that’s more engaging, adaptive, and useful.

We’re not just building a product. We’re reimagining how doctors, nurses, and clinicians learn and refine their skills. That means plenty of complex LLM magic under the hood, a constantly evolving feature set, and the chance to directly impact how healthcare works.

What you’ll be doing:

• Building from scratch: You’ll own entire features, from the initial idea all the way to production.
• Agents: We use agentic flows on both the patient side and our evaluation system. Being able to work with large orchestrations of agents is at the core of building at Sim Care.
• Architecture: Both applications architecture and agent orchestration.
• The stack: Next.js, Node, Supabase, AWS.
• Collaborating with co-founders: Our team is small, so your ideas and decisions will shape the product’s direction. We have a culture of including everyone in the company in big decisions, technical or otherwise.

You should probably:

• Have at least 1+ years of full-stack experience – you know how to build stuff people actually use.
• Be comfortable with our stack
• Have some founding experience – Either as an early employee or founder.

Signs this is not for you:

• You’re looking for a cushy 9–5 with well-defined tasks in triplicate.
• You hate the idea of a fast-moving environment where things might break.
• You aren’t interested in rolling up your sleeves and testing new features or gathering user feedback on the fly.

Location & Comp:

• We’re based in New York City. We require you to be in person though we are flexible for the first 1-2 months.
• Salary range: $90K – $180K
• Equity: 0.5% – 2.0%
• If using LLMs to reshape the way we hire our healthcare workforce excited you then you’re in the right place

Why Sim Care AI?

• We’re actively causing a fundamental shift in healthcare training.
• We’re already in over 30 institutions that rely on our tech to train tomorrow’s doctors and nurses.
• We have major contracts with big companies like McGraw Hill, so this isn’t some distant dream—it’s happening right now.
• Working on this problem is extremely exciting.

Apply now—and let’s see if we can build the future of medical education together.

Three Step Process

• Intro chat with CTO
• Conversation about our tech and product to see how you think about solving the main challenges we face.
• Chat with CEO