Founding Engineer

About iksa.ai

Clinical Context Platform

We’re a team of clinicians and AI engineers who’ve:

• Led clinical trials with

  65,000+ patients

• Published

  30+ peer-reviewed studies

• Managed chronic-care programs for

  20,000+ patients

• Delivered measurable outcomes, including a

  2× increase in follow-ups

  and a

  0.8% HbA1c reduction

  in a recent trial

make healthcare effortless

The Role

Founding Full Stack Engineer

You’ll work directly with our clinical and product teams to design scalable systems, craft clean APIs, and bring AI-powered clinical workflows to life. More than anything, you’ll shape the technical DNA of a product that’s already proving its impact in real-world healthcare.

What You’ll Do

As a founding engineer, you’ll be deeply involved in building iksa.ai’s core platform, the connective tissue between healthcare data, AI, and clinical workflows. You’ll own end-to-end development of major components at its 0 to 1 and 1 to 10 product journey, so it is critical to have fair knowledge on the overall operations

Platform Architecture & Backend Systems

• Design and implement

  microservices

  and APIs using

  Python (FastAPI/Flask)

  and

  Node.js

  , enabling interoperability between EHRs, labs, and other data systems.
• Build

  secure, high-throughput data pipelines

  that ingest and process sensitive healthcare data in real time.
• Develop

  data models and schemas

  optimized for healthcare data complexity (patients, providers, outcomes, interventions).
• Integrate

  AI services and decision engines

  safely into production environments, ensuring reliability and auditability.

Data & Intelligence Layer

• Work with

  MongoDB

  and

  Neo4j

  to structure both transactional and relational clinical data.
• Build proprietary model

  knowledge graphs

  that link patients, diagnoses, and interventions for driven engagement.
• Contribute to the development of

  AI-powered automation

  , such as triage routing, clinical documentation, or alert systems.

Security, Compliance & Reliability

• Design infrastructure that complies with

  HIPAA

  ,

  GDPR

  , and

  ISO 27001

  standards.
• Implement

  end-to-end encryption

  ,

  access control

  , and

  data auditing

  features.
• Set up

  monitoring, logging, and alerting

  for mission-critical systems in AWS/Azure environments.

Technical Leadership & Culture

• Make foundational decisions about

  architecture, tools, and development practices

  .
• Establish

  code quality standards

  , testing pipelines, and CI/CD workflows.
• Collaborate directly with founders and domain experts to define the

  technical roadmap

  .
• Help build and mentor the next generation of the engineering team as we grow.

Who You Are

• You think like an

  owner

  , not just a contributor
• You’re

  mission-driven

  , with genuine motivation to improve healthcare
• You balance

  speed and quality

  , knowing when to build for scale and when to move fast
• You communicate clearly and can collaborate with clinicians, designers, and business teams
• You thrive in

  ambiguity

  , adapting quickly as the product and company evolve

Why Join iksa.ai

• Shape the foundation:

  Join as a

  founding engineer

  with meaningful equity and a voice in every major decision

• Make real impact:

  Your work directly improves patient outcomes and clinician experience

• Solve deep technical challenges:

  Work at the intersection of AI, data systems, and healthcare compliance

• Grow with the company:

  Build the engineering culture, lead projects, and help scale the team

• Flexible and global:

  Remote-friendly, with a core team in India and collaborators in the US and SEA