Founding Engineer at Sierra Studio

Our hiring partner is building the next generation of maternal health support—combining AI technology with real human expertise to make pregnancy care accessible to millions of families. They’re a mission-driven team of technologists, brand strategists, and women’s health experts creating AI clinicians to support women during pregnancy, starting with doulas.

This is a unique opportunity to be the first engineering hire and define the technical foundation of a platform that will transform how families experience pregnancy and birth 🚀

About the Role

You’ll work directly with the founding team to design and implement scalable systems that blend AI and human-in-the-loop support, helping women access personalized, continuous care. As the Founding Engineer, you’ll be responsible for technical architecture decisions, hands-on development, and helping shape the long-term engineering culture of the company.

This is ideal for someone who thrives in early-stage environments, enjoys working across the stack, and wants to make a tangible impact on women’s health.

What You’ll Do

• Design and implement scalable AI + human-in-the-loop support systems

• Build tools for pregnancy planning, tracking, and clinician workflows

• Collaborate with founders to set technical priorities and product roadmap

• Establish a robust, maintainable codebase from the ground up

• Ensure data integrity, security, and HIPAA compliance as the platform scales

• Ship new features rapidly and thoughtfully, iterating based on user feedback

• (Eventually) mentor and recruit engineers as the team grows

What We’re Looking For

• 3–7 years of full-stack engineering experience (preferably in fast-paced startups)

• Strong backend and database architecture skills

• Experience with React Native (our current mobile stack) and modern frameworks

• Proven ability to ship production-ready products quickly

• Strong understanding of system design and architecture

• Excellent communication and collaboration skills — this role interacts daily with the founding team

• High English proficiency required (daily communication with U.S. founders)

• Preferred: prior experience in healthtech, HIPAA compliance, or regulated data systems

• Bonus: experience building mobile apps (iOS/Android) or AI/ML products

Ideal Profile

• A senior full-stack engineer or a strong mid-level ready to take a senior role

• A builder with an ownership mentality, excited to make architectural decisions

• Curious, proactive, and motivated to learn new domains (AI + healthcare)

• Interested in leadership and potentially growing into a Head of Engineering role

• Passionate about women’s health and social impact

Tech Stack

• Frontend: React Native (mobile-first), React

• Backend: Node.js / TypeScript or similar modern frameworks

• Database: PostgreSQL or equivalent

• Infrastructure: GCP / AWS

• AI Layer: LLMs, prompt engineering, or custom ML models (a plus)

Why Join

• Build from zero: be the first engineer and define the technical foundation

• Shape the product and architecture directly alongside founders

• Join a mission-driven, all-female founding team revolutionizing maternal health

• Work at the intersection of AI, empathy, and healthcare innovation

• Opportunity to grow into a Head of Engineering role as the team expands

Compensation

💰 Salary: USD $70K–100K/year (up to $120K for exceptional candidates)
💎 Equity: 1–2%, depending on experience and seniority
🌎 Location: Remote (LATAM preferred)
🕒 Contract: Full-time💰 Competitive salary + equity + healthcare stipend