Product Backend Engineer (TypeScript, Node, Postgres, GCP)

Location: In Person or Remote (U.S. Only). Downtown Brooklyn, New York

Team size: 5 (you’ll be engineer #4)

Comp: $180k - $250k, depending on equity (1.5% - 3%)

Company Stage: Seed stage (raised $5m at $40m valuation post-YC in 2025)

The FutureClinic Mission

Healthcare is a broken system. It’s the most important thing in anyone’s life, but the ability to both deliver and receive healthcare has been artificially constrained in a brick and mortar system of hospitals and clinics that charge predatory prices, increase administrative bloat, and create barriers between doctors and patients.

This has left doctors disgruntled, with 40% in the U.S. planning to leave their jobs in the next 5 years. It’s also left patients lost, rationing when they seek care and sacrificing their overall health.

With FutureClinic, we’re building a completely new category of care. Personal doctors through chat. Asynchronous by design, available from anywhere, and mediated by AI assistants who handle data gathering to make the system infinitely more scalable and affordable than current healthcare delivery.

We want to make expert, personalized healthcare accessible to 8 billion people in the world. The FutureClinic platform empowers individual doctors to launch their own chat-based clinic and offer direct subscription based care to patients. With this model, we can change the way healthcare is delivered for good. In 5 years, everyone will start their healthcare journey with any new symptom by speaking directly to the doctors they’ve chosen through the FutureClinic app. They’ll only ever seek in person care when it’s truly necessary, not as a default first option.

Join us in bringing that vision to reality, and work on the most meaningful problem in the world: making access to healthcare ubiquitous.

TLDR:

FutureClinic is a YC‑backed (F24) healthcare‑AI startup that empowers any physician to launch a fully compliant, chat‑based digital clinic in days. Patients subscribe to their chosen doctor for a flat monthly fee and can reach out whenever health questions arise. No scheduling, no waiting rooms.

About Us

Funding: $5 M seed at a $40 M valuation (January 2025).
Founders: 3 of our 4 co‑founders are both physicians and software engineers.
Model: Doctors are 1099 contractors operating through our PC network and keep 75 % of revenue; FutureClinic earns a 25 % platform fee.
Product: Asynchronous chat intake driven by a clinical‑reasoning AI assistant that syncs seamlessly with our AI‑native EHR, e‑prescribing and billing.

Current Progress

Launch: We launched our first doctor clinic on December 1st 2025. We currently have 65 patients receiving real clinical care through their personal doctor on our platform, and have carried out 120 healthcare appointments (including diagnoses, prescriptions etc.)
Website: www.futureclinic.com
Dr. Syed’s FutureClinic: You can see the ‘doctor page’ of our CEO Dr. Syed here. https://app.futureclinic.com/clinics/drsyed/profile
Doctor Sign-Ups: Since launch, we have received 94 sign-ups from other doctors looking to launch their own FutureClinic on our platform. We are now onboarding them slowly.

The Role

Our engineers build the systems that make chat-based care feel effortless. You will ship backend features that doctors rely on and patients trust, with the privacy and correctness bar that healthcare demands. We move fast, but we do it responsibly, because our product is used for real clinical care.

This is a hands-on product backend role where you will help define what we build, not just how it is implemented.

Our Stack

Language/runtime: TypeScript + Node.js (Hono)
Database: PostgreSQL (Cloud SQL) + Drizzle ORM
Sync: ElectricSQL for realtime sync and offline-friendly experiences
Cloud: GCP (GKE Autopilot, Cloud SQL, GCS)
Infra/DevOps: Terraform (CDKTF), Kubernetes (CDK8s), Docker, GitHub Actions
Workflows: Temporal for long-running flows across care delivery, billing, and EHR automation
Observability: Sentry + GCP Cloud Monitoring

What You’ll Be Doing

Pick high-leverage problems in the patient and clinician experience, and make pragmatic trade-offs to ship meaningful improvements quickly.
Own backend features end-to-end, from scoping and architecture through implementation, rollout, and iteration.
Build and evolve core APIs and services that power chat, intake, subscriptions, billing, and EHR workflows.
Design durable Postgres schemas and data flows that represent real clinical workflows clearly, enforce correctness, and stay performant as usage grows.
Design and evolve Temporal workflows that orchestrate core product flows (care delivery, billing, EHR automation), keeping them observable, resilient, and easy to extend.
Collaborate closely with product, design, and clinical teammates, translating feedback into shipped product improvements.
Operate what you ship, investing in instrumentation, monitoring, and production readiness.

What Experience You Need To Be Successful

3+ years building and operating production systems with Node.js, TypeScript, and PostgreSQL
Early-stage startup experience with meaningful ownership and delivery responsibility
A product engineering mindset, comfortable going from ideation → architecture → delivery → iteration
You naturally lead as an engineer, driving clarity and owning outcomes rather than waiting for perfect specs
Bonus: tech lead experience (requirements intake, sequencing, delivery ownership)
Nice to have: GCP experience (helpful, not required)
Nice to have: experience running LLM inference in production (latency, monitoring, evals)

Why FutureClinic

Direct impact: Your code will help doctors care for patients the same week it’s written.
Clinical brain‑trust: Work daily with physician‑engineers who use what you build.
Ownership: Significant equity in a tight 6‑person Series‑A‑bound team.
Velocity & autonomy: Clear objectives, minimal meetings, rapid iteration.