Nestmed | Founding Product Engineer
Note: We are recruiting on behalf of our valued client. This opportunity is for a position with their organization, not with People Culture Talent. We're excited to help connect talented professionals with this exceptional team!
About Nestmed
Healthcare documentation is broken. Nestmed is fixing it with an AI platform that gives clinicians their time back.
In just one year, we’ve scaled to support tens of thousands of clinicians across more than a million patient visits. We're now the trusted partner for over 60 home health agencies, including 7 of the top 10 enterprises in the US.
Our founding team—hailing from Stanford, YC, Google, and Meta—is backed by the founders of PayPal and Plaid to build the essential infrastructure for the future of the $500B home healthcare industry.
About the Role
Nestmed is seeking a Founding Product Engineer to help shape the technical foundation of our AI documentation platform. This is a rare opportunity to join as one of our first full-stack hires at a seed-stage company with clear product-market fit and explosive growth.
You'll work directly with our CEO and CTO to own major product areas end-to-end—from backend infrastructure to user-facing features. You'll build the systems that power real-time voice documentation, intelligent automation, and analytics for thousands of clinicians. As we scale, you'll establish engineering best practices and grow into a tech lead role.
This is a role for builders who thrive in ambiguity, ship quickly, and turn vague ideas into production-ready features that customers love.
What You'll Own
As a founding product engineer, you'll take end-to-end ownership of major product areas from backend to frontend:
Voice agent for in-visit documentation
Coding agent workflows and automation
Analytics dashboards and data pipelines for clinicians and administrators
Dynamic visit guides with real-time prompting
Customer-editable documentation behavior and rules
You'll work across the full stack—designing APIs, building backend systems, and creating intuitive user interfaces that clinicians love.
Your Impact (First Year)
Successfully scale our platform to support increased enterprise demand, delivering 20%+ productivity gains for clients
Build and ship complete user-facing features autonomously
Implement infrastructure that supports real-time documentation processing
Establish engineering best practices for our growing team
Own product areas end-to-end that directly impact thousands of clinicians
What We're Looking For
Must-haves:
Work history at an early-stage startup before (seed to Series B preferred; Series C/D acceptable)
Career emphasis on backend work (APIs, databases, systems, infrastructure), not frontend-only
Recent work as an individual contributor
Demonstrated experience building things from scratch (0-to-1 experience), not just optimized or maintained existing systems
Comfort owning user-facing features from backend to frontend
Experience scaling platforms in high-growth environments
Robust database modeling, API design, and systems architecture skills
Ability to turn ambiguous product ideas into shipped features
Comfortable with founding engineer responsibilities and thriving in ambiguity
Can work quickly and urgently to show results and iterate on products
What makes you extraordinary:
Use AI tools extensively in your engineering workflow (Cursor, Claude Code, etc.)
Full-stack capable, even though backend-primary
Care deeply about UX, iteration velocity, and real-world usage
AI/ML platform experience (especially audio processing or NLP)
Experience at seed to Series B startups
Previous founding engineer experience
Healthcare or regulated industry background
Enterprise B2B SaaS experience
Real-time systems expertise
Proficient frontend development skills