Founding Engineer

Sailor Health is building the AI-native health system for happier and healthier aging. Sailor offers virtual mental health, care navigation, wellness classes, AI coaches, and AI care agents. Our vision is to become the trusted household name for older adults in America, setting a new standard for aging with dignity and honor. We are doubling every 75 days and serving thousands of patients across 43 states. We are honored to have the support and backing of world-class founders from Ramp, Nourish, Headway, Charlie Health, and Spring Health. Sailor is looking for a Founding Full-Stack Engineer to join as our 4th engineer. This is a ground-floor opportunity to design and launch AI-first products from scratch at a startup with extreme PMF. You’ll own major technical decisions, shape our engineering culture, and use AI to drive real clinical impact at scale.

Responsibilities

Build AI coaches for patients: Create AI voice-powered coaches that support cognitive health, mindfulness, and overall wellness, helping patients stay engaged between sessions, practice therapeutic techniques, and build healthy routines in a natural, conversational way; Build AI care agents for healthcare providers: Build and scale AI-native features including speech-to-text triage, care navigation copilots, auto-summarized progress notes, and intelligent intake; Build clinical operations layer: Architect and ship the backbone of care delivery engine, spanning patient scheduling, documentation, and revenue cycle management, leveraging best-in-class healthcare APIs to deliver a seamless and scalable clinical operation

Requirements

A+ player with a burning desire to win, track record of excellence, and drive to build with urgency and precision; 1-5 years of experience; comfortable with backend and frontend in React, TypeScript, Node.js, PostgreSQL, and Claude Code; product-driven with strong intuition for user needs, high EQ, and deep curiosity to understand business and clinical problems; thrives in ambiguity