Software Engineer - Noho Labs

THE ROLE We’re hiring a Founding Engineer to help build the core infrastructure and product surfaces that define Noho’s patient and clinician experience. You’ll work closely with our Co-Founders, CMO, Product Designer / Design Engineer, and Head of Growth to ship end-to-end features across: - Telehealth workflows (intake, scheduling, visits, follow-ups) - Clinical tooling (charting, orders, protocols, dashboards) - Patient experiences (onboarding, labs, education, ongoing care) - Operations infrastructure (fulfillment, quality, compliance, analytics) This is a high-ownership, high-context role: you’re not a ticket-taker; you’re a builder helping shape what the product is and how it scales. WHAT YOU’LL WORK ON Core Product & Telehealth Experience - Own end-to-end development of patient and clinician-facing features: from initial spec and architecture through implementation, launch, and iteration. - Build intuitive flows for intake, eligibility, visit scheduling, and follow-up that feel modern while staying clinically rigorous. - Integrate video, messaging, and asynchronous care into a cohesive telehealth experience. Clinical & Operations Infrastructure - Build tools that make clinicians’ lives easier: charting workflows, order sets, structured data capture, and decision-support surfaces. - Work on fulfillment and quality operations: integrating with U.S.-based distributors sourcing from FDA-registered and inspected manufacturers. - Implement robust admin and internal tools for patient support, care coordination, and growth experiments. Systems, Integrations & Safety - Design and maintain scalable, secure APIs and data models for medical records, prescriptions, and longitudinal patient data. - Integrate with third-party systems (EHR/EMR, labs, pharmacies, logistics, payment providers) where it makes sense—and build internally when it doesn’t. - Collaborate with clinical and compliance stakeholders to ensure privacy, security, and regulatory requirements are embedded in the product, not bolted on. Product & Company Building - Partner with founders and design on product discovery: talk to users, observe clinicians, prototype and validate ideas quickly. - Help shape our engineering culture, standards, and tooling from the ground up. - Contribute to hiring, onboarding, and mentoring future engineers as the team grows. YOU MIGHT BE A FIT IF… - You have 5+ years of professional experience as a full stack or backend-leaning engineer. - You’ve shipped and owned meaningful production systems in a startup or high-growth environment. - You’re comfortable across the stack: - Backend: designing APIs, data models, queueing/async processing, integrating third-party APIs - Frontend: building usable, polished interfaces in a modern framework (React or similar) - You care deeply about reliability, correctness, and safety, especially when dealing with health data or sensitive operations. - You enjoy working with non-technical stakeholders (clinicians, operations, growth) and translating messy requirements into clean, pragmatic solutions. - You’re comfortable with ambiguity and like taking problems from: “We should probably do X” → “here’s a proposal and a first version in prod.” - You think in systems, not just features: you care about the long-term maintainability of what you build. NICE-TO-HAVES None of these are required, but they’re great signals: - Experience in healthcare, telemedicine, or regulated products (HIPAA, PHI, etc.). - Prior work integrating with EMRs/EHRs, labs, pharmacies, or insurance systems. - Familiarity with event-driven architectures, background jobs, or analytics pipelines. - Experience on an early-stage or founding engineering team. - Comfort digging into product metrics and using data to inform iterations. HOW WE WORK We are remote-first with teammates in LA, SF, NYC, North Carolina, and more. Every six weeks, the full-time team meets for an in-person offsite. The way we operate: - Patients before process. Agency over authority. - Speed with safety. Move fast, treat responsibly. - Bias to build. Less debate, more demo. - Forgiveness > Permission. Act like an owner. - Earn trust. Trust is our most valuable currency. The surface area is large and the team is small. Your work will be visible, meaningful, and felt by real patients quickly.