Job Details

Product Engineer

  2026-01-12     HealthLeap     San Francisco,CA  
Description:

About Healthleap

HealthLeap builds AI that helps clinicians prioritize patients, surfaces the right data, and gets patients the care they need earlier, so they can leave the hospital sooner.

We integrate with hospital electronic health record systems, screen 100% of patients daily, and risk-rank them in real time. Clinicians at Cedars-Sinai and Penn Medicine start every morning with HealthLeap - with Houston Methodist, Emory, and Intermountain Health deploying now.

Real results: 39% more diagnoses. 4 days earlier detection. $11M/year ROI for our first site at Cedars Sinai. 7× revenue growth in 7 months.

We started with malnutrition. We're expanding to every major condition to ensure no patient falls through the cracks. Sequoia and First Round are backing us to build the platform that screens every patient for everything and drives tangible outcomes.

We're ~15 people. >$7M raised. SF-based, hybrid-friendly. Early enough to shape the product. Late enough to know it works. Results that are changing lives.
About the Role

Ship new products for conditions missed by overworked clinicians.

HealthLeap started with malnutrition - a condition that affects 50% of hospital patients but only 9% get diagnosed. We're expanding to CHF, pressure injury, COPD, and more. You'll lead that expansion. Not just building it - figuring out what to build.
Why you

You've taken something from zero to one. Not inherited a roadmap - created one. You've sat with users, understood their pain better than they could articulate it, and shipped something they couldn't live without. You're drawn to hard problems where the path isn't clear. You'd rather own the outcome than follow instructions.
What you'll do

  • Talk to hospital CMOs, CFOs, and clinicians to understand which conditions hurt most
  • Decide which disease state we tackle next - and own that decision
  • Design and build the product for that condition, end-to-end
  • Figure out how to surface the right information at the right time using LLMs
  • Ship something in weeks, learn, iterate - not months of planning
  • Define what "good" looks like when there's no playbook
What we're looking for
  • 4+ years engineering experience with strong product instincts
  • You've built products from scratch, not just maintained existing ones
  • Strong frontend skills (React/TypeScript) and comfortable building APIs
  • You talk to users and translate insights into shipped features
  • You find the 90/10 - cut scope ruthlessly to ship fast
  • Comfortable with ambiguity - you figure out what to build, not just how
Nice to have
  • Experience with healthcare, clinical workflows, or EHRs
  • Background in early-stage startups or 0-to-1 product work
  • You've worked directly with end users to shape product direction
This role is NOT for you if
  • Startup unpredictability feels like chaos to you. We find it exciting.
  • You need detailed specs before you start. We figure it out as we go.
  • You've never owned something end-to-end. Here, you own outcomes, not tasks.
  • You wait to be told what to do next. We need people who see what's needed and do it.
  • You're looking for a 9-5 with predictable hours. We care about deep work and deep rest (we have a minimum leave policy), but when a hospital go-live is on the line, we show up - even if that means a 60+ hour week.
Interview process
  1. Intro call - Get to know each other
  2. Technical - 1-2 interviews on system design + coding
  3. Case study - Walk us through a product you built from 0-to-1
  4. Onsite - Meet the team in SF
  5. Decision - Same week as onsite

We respect your time. If there's a fit, you'll know fast.

Compensation & Benefits
  • Salary: $175,000 - $275,000 base
  • Equity: Meaningful ownership in an early-stage company
  • Healthcare: 100% of premiums covered
  • PTO: Unlimited, with a recommended minimum of 20 days
  • 401(k): 4% match
  • Equipment: Laptop + budget for your home office
Location

San Francisco, hybrid (Mon/Wed/Fri in office)

If you're passionate about applying frontier AI to real-world impact, join us in building healthcare's future.


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