About the Role
As the Founding Engineer, you are our first engineer and the technical leader. You will build the core platform from scratch, owning architecture, data systems, ingestion pipelines, the intelligence layer, and the initial agentic systems that turn a complete record of a senior’s health and life into coordinated action.
Responsibilities
- Build the core platform from scratch
- Own architecture, data systems, ingestion pipelines, the intelligence layer, and initial agentic systems
- Operate through four layers: Ingest & Store, Intelligence, Action, and Compliance
- Make high-leverage technical decisions
- Ship fast
- Own outcomes end-to-end with minimal process
- Define how the platform works
Requirements
- Built real systems from scratch
- Take extreme ownership of problems end-to-end
- High agency
- Figure things out, move fast, and do whatever it takes to make progress
- Thrive in ambiguity and chaos
- Prefer clear goals and maximum freedom over hand-holding and process
- Genuinely excited to work on hard problems that matter
- First-principles thinker with strong technical judgment
- Make pragmatic architecture decisions and ship high-quality work quickly
- Low ego, high output
- Want the intensity and ownership that only exists at the earliest stage of a company
- Do not need constant direction, clear roadmaps, or a well-defined role
Experience Level
- Founding Engineer
- First engineer
- Technical leader
- 0-1 role
About the Company
- The typical US senior sees seven physicians across four practices plus insurers, pharmacies, family members, and facility staff. No one has the full picture. Fragmented data in incompatible systems leaves seniors and families managing chaos instead of focusing on living well.
- Leland is building the first unified system of record for aging to help seniors live longer, healthier, and happier lives.
- With one complete record of a senior’s health and life, AI can intelligently analyze the full picture to surface risks, gaps, and opportunities, while the senior’s trusted human navigator guides the next best actions and removes friction so families can actually follow through.
- This turns fragmented information into proactive, coordinated support that extends healthy, independent years.
- We have a multi-year funding runway and are launching pilots in 2026 with providers and already in active conversations with major US health systems.
- The company is led by a Stanford GSB founder with experience scaling new businesses at Sword Health and Homebase.
