Clera

Founding Full Stack Engineer

San Francisco
Salary
$135,000 - $155,000 per year
Level
Mid
Work type
On-site · San Francisco
Visa
Not offered

Open. First seen 6 November 2026.

Apply on the company's site →

About the role

About the Role

We're an early-stage healthtech SaaS company building a unified platform that helps large healthcare organizations — including complex, multi-hospital systems — measure, manage, and prove the ROI of their nursing excellence programs. Think professional governance, clinical ladder programs, evidence-based practice, and designation readiness, all in one enterprise-grade product.

As a Founding Full Stack Engineer, you'll own architecture and implementation across multiple integrated products. You'll design the core infrastructure, data models, and AI-driven workflows that translate customer insights directly into shipped features — and you'll help set the engineering standards that allow us to scale securely across enterprise healthcare customers.

This is a senior, hands-on founding role with significant scope and ownership. You won't just build features — you'll shape how we build everything.

What You'll Do

  • Own architecture and implementation across four integrated product areas.
  • Design data models that support complex multi-hospital and multi-unit organizational structures.
  • Build AI-assisted workflows for document authoring, evidence organization, and retrieval.
  • Implement enterprise-grade infrastructure including SSO/SAML, RBAC, audit logging, and HRIS integrations.
  • Translate customer conversations and domain knowledge into concrete, shipped product features.
  • Define and own CI/CD pipelines, testing strategies, and architectural standards for a growing engineering team.
  • Collaborate closely with product and non-technical stakeholders to align engineering work with clinical and operational needs.

What We're Looking For

Must-haves:

  • 5+ years building and delivering production SaaS products with end-to-end ownership.
  • Strong full-stack proficiency with TypeScript, React, and Node.js in production environments.
  • Proven backend design experience for multi-tenant, workflow-heavy applications.
  • Hands-on experience implementing enterprise auth systems (SSO/SAML) and integrations such as RBAC, audit logging, and HRIS.
  • Demonstrated ability to own architecture and execution in an early-stage startup environment.
  • Experience defining CI/CD pipelines, testing strategies, and architectural standards for growing teams.
  • Strong communicator — comfortable working directly with non-technical domain experts and enterprise customers.

Nice-to-haves:

  • Hands-on experience with AI-assisted workflows for writing, evidence organization, or document retrieval.
  • Familiarity with Next.js, PostgreSQL, Supabase, Vercel, or AWS S3.
  • Experience with data modeling for multi-hospital or multi-unit organizational structures.
  • Background in healthcare, clinical workflows, or regulated industries.

Note: Visa sponsorship is not available for this role. Candidates must be authorized to work in the United States.

Compensation & Benefits

  • Salary: $135,000 – $155,000 per year
  • Early-stage equity commensurate with a founding engineering role
  • Opportunity to shape the technical direction of a company from the ground up

Location

This role is based on-site in San Francisco, CA. Candidates should be local or willing to relocate.

What this role asks for

Particular to this role

Next.js · Vercel

Rare in Clera's other 182 open postings.

Standard for full stack roles

AWS · CI/CD · JavaScript · Node.js · PostgreSQL · React · TypeScript

Common in full stack postings at any company.

Compared with Clera's other open jobs.

The team: Engineering HIRES STEADILY

This role is one of 357 open in Engineering. 225 were posted in the last 30 days and the oldest in March: a team that hires all year rather than one being built.

WHAT THE TEAM WORKS WITH, ACROSS ITS POSTINGS

LLM (181 of 357), TypeScript (179 of 357), React (155 of 357), Python (150 of 357), Machine Learning (75 of 357), Supabase (73 of 357), PostgreSQL (69 of 357)

OTHER ROLES ON THIS TEAM

From the team and dates on Clera's own job board.

Posting history

Reposted once since 9 September 2026: a posting for this role in San Francisco was taken down and the role was posted again.

Salary context

9 other open postings titled Founding Full Stack Engineer state a salary: median USD 180,000 to USD 230,000 a year.

See Full Stack Engineer salaries in San Francisco →

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