Founding Full-Stack Software Engineer

About YouShift

Healthcare runs on people — but the systems that manage them are outdated. At YouShift, we’re building the AI-powered workforce OS for healthcare teams. Our platform replaces spreadsheets and fragmented legacy tools with an intelligent scheduling engine managed by AI agents that handles complex rules, compliance, and real-world operational constraints at scale.

Our investors include Y Combinator (YC) and Bain Capital Ventures—partners who believe in our mission to redefine how hospitals operate. We’re channeling this investment into building a world-class team: people with relentless drive, sharp problem-solving skills, and the passion to push limits in a fast-paced, high-intensity environment. If this resonates, you belong at YouShift.

About The Role

Founding Full-Stack Engineers at YouShift own meaningful parts of the product and infrastructure end-to-end.

This role combines building new capabilities while improving systems already running in production. You will design systems from scratch — and take responsibility for their reliability once they’re live.

You won’t just implement specs. You’ll help define them.

You’ll work across:
• Frontend: React (web), potentially React Native (mobile)
• Backend: TypeScript, Node, PostgreSQL
• Architecture: Strong domain modeling, hexagonal design principles
• Infrastructure: AWS, deployments, monitoring, production debugging

What You’ll Do
• Build and own product features end-to-end: UI → API → database → deployment.
• Design clear interfaces for complex workflows (scheduling, rules engines, approvals, operations dashboards).
• Model real-world operational constraints in clean, maintainable systems.
• Improve reliability: testing strategy, CI/CD, observability, performance.
• Debug production issues thoughtfully and systematically.
• Ship frequently and iterate with real users.
• Use modern AI development tooling to move faster without lowering quality.

What We’re Looking For
• 2+ years (or equivalent experience) shipping production software in high-ownership environments.
• Strong in TypeScript and comfortable across the stack (React + Node).
• Solid fundamentals in data modeling and backend system design.
• Good product instincts — you care about usability and clarity.
• High agency: you take ownership of problems and drive them to completion.
• Pragmatic but disciplined: you value clean abstractions and systems that can evolve.

Nice to Have
• React Native experience.
• Experience with strongly-typed API patterns (tRPC, Zod, TanStack Query).
• Familiarity with constraint-based systems or scheduling logic.
• AWS experience and Terraform (deployments, networking basics, observability).
• Experience improving testing and QA pipelines.

What It’s Like to Join
• Small team. High ownership. No bureaucracy.
• You’ll design systems and see them in production quickly.
• We move fast and expect intensity.
• Real customers. Real operational impact.
• Early equity and meaningful technical influence.

If you’re excited about building deep systems that handle real-world complexity — and taking responsibility for the full lifecycle of what you ship — we’d love to talk.

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