# Founding Full Stack Engineer – Build the Future of Healthcare Automation at Solum Health

- Company: Solum Health (YC S22)
- What the company does: AI Automation for Therapy Practices. Backed by Y Combinator.
- Company website: https://www.getsolum.com/
- Type: Startups (AI role)
- Level: Mid level
- Location: San Francisco, CA, US
- Work setup: On-site
- Pay: $120K to $180K base salary per year (USD)
- Posted: 2026-05-22
- Apply by: 2026-10-08
- Apply: https://www.ycombinator.com/companies/solum-health/jobs/dN6vfNk-founding-full-stack-engineer-build-the-future-of-healthcare-automation
- Page: https://www.1752.vc/careers/jobs/solum-health-founding-full-stack-engineer-build-the-future-of-healthcare-automat-2/

## About the role

We’re not building a chill agency tool or another SaaS dashboard. We’re rebuilding the infrastructure of healthcare. This is for builders. For hackers. For people who want to grow fast, take ownership, and maybe even build the next company after this one.

## What they're looking for

- Build and maintain end-to-end features across the stack using Next.js on the frontend and FastAPI , NestJS , or similar backend frameworks
- Develop and manage robust prompt libraries for production-grade LLM agents, with clear documentation, version control, and optimization strategies
- Run A/B tests on prompts to improve accuracy, task completion, and agent behavior across various healthcare workflows
- Architect scalable automations with n8n, and integrate with EHRs, VOIP systems, faxes, Gmail, and other healthcare infrastructure
- Manage messy, real-world healthcare data pipelines with grace and resilience
- Continuously iterate on evals, model performance, and the real-world accuracy of our AI agents

Tags: Engineering