# Founding Engineer, AI RCM Healthcare Platform (NestJS, Next.js) at Adentris

- Company: Adentris (YC P25)
- What the company does: Real-time AI Compliance & Revenue Integrity for Medical Providers. Backed by Y Combinator.
- Company website: https://www.adentris.com
- Type: Startups (AI role)
- Level: Mid level
- Location: San Francisco, CA, US / Austin, TX, US
- Work setup: On-site
- Pay: $160K to $220K base salary per year (USD)
- Posted: 2026-08-26
- Apply by: 2026-10-10
- Apply: https://www.ycombinator.com/companies/adentris/jobs/ZpMXZ0C-founding-engineer-ai-rcm-healthcare-platform-nestjs-next-js
- Page: https://www.1752.vc/careers/jobs/adentris-founding-engineer-ai-rcm-healthcare-platform-nestjs-next-js/

## About the role

You'll own the technical direction of the platform end to end. This is not a senior IC role with a bigger title. You decide how clinical data is modeled, how our AI pipelines are evaluated and trusted, and what the platform looks like in two years. Then you build it.

## What they're looking for

- 5+ years shipping production software, with real ownership of systems that outlived your involvement
- Deep TypeScript/Node/NestJS, advanced React and Next.js
- Data engineering at scale: schema design, query optimization, pipelines over large volumes of semi-structured records
- Production LLM systems, not demos. You've built the evaluation harness that kept them honest
- Communication that carries weight: equally clear with a clinician, a founder, and an engineer

Tags: Engineering