Founding Engineer

Founding Engineer @ Alden Labs

About Alden

Alden is re-architecting how America delivers care. Caregiving is the largest job in the U.S., yet the system still runs on sticky notes, spreadsheets, and late-night calls. Families wait weeks for help. Patients miss visits. Caregivers churn at 65% each year.

We’re building the AI coordination layer for care—agents that reason through ambiguity, motivate caregivers, and turn fragmented workflows into reliable systems. Starting in home care, we’re expanding into senior living, hospice, disability, and beyond—creating the connective tissue for a distributed healthcare system.

For payers, Alden unlocks real-time visibility across fragmented providers: ensuring members get the right care at the right time, while reducing cost and administrative burden.

This isn’t just better software. It’s infrastructure that wasn’t possible until now—and we’re looking for mission-driven builders to solve one of the hardest, highest-impact coordination problems in the world.

More about us here: Joining the Alden team

About the Role

Location: NYC (In-person)

Type: Full-time

At Alden, we're hiring a full-stack software engineer to help us shape the future of healthcare. You'll be on the front lines of our most ambitious product bets—owning development of core features like EHR integrations, intelligent workflows, and cutting-edge voice AI infrastructure. Your work won’t just ship fast—it will unlock major revenue opportunities by enabling Alden to onboard more customers and expand contracts with powerful new use cases.

We're looking for a sharp, high-ownership builder who’s experienced in building great products, comfortable with moving fast, and excited to work at the intersection of healthcare and AI.

What You’ll Be Working On

• Owning large projects from 0 to 1: You’ll be building core pieces of the Alden technology—including defining product requirements, designing systems, building both back-end and front-end, and testing and iterating with customer feedback. Example projects include:

  • Building new use cases that leverage agentic workflow automation and application software, especially to support recruiting, onboarding, and compliance workflows for our customers.

  • Building internal infrastructure for AI voice applications, moving critical functions in-house (inference, transcription, voice, telephony) for scalability.

  • Deploying existing use cases for customers onboarding onto Alden, including building internal tools and integrations with EHRs, HR systems, and communications platforms.

• Establishing and improving engineering processes

• Engaging directly with customers

• Working closely with the CEO and CTO to define Alden’s team culture

What You Bring

• Strong programming skills and proficiency across full-stack web development

  • Tech stack: React (NextJS), Express, PostgreSQL

• Track record of moving quickly and excitement to wear many hats across engineering, product, and working directly with customers

• Curiosity around experimenting with cutting-edge AI technologies, including LLMs and voice AI applications

• Ideally 3+ years of experience as a software engineer

Compensation & Benefits

• Compensation: $170K - $200K+ base salary, plus competitive equity grant (flexible for exceptional candidates)

• Insurance: Fully covered medical, vision, and dental insurance; One Medical membership

• Time off: Unlimited paid time off

• And more: Team off-sites & weekly catered lunch from top NYC restaurants!