Lead Founding Engineer

Axo | Lead Founding Engineer | Sugar Land / Houston, TX (HYBRID) | Full-time | $120k–$160k + Founding Equity Want to help out healthcare providers? Clinicians using our software are already saving hours a day and loving their job again. We are building Axo to make the software layer as invisible and ambient as possible, letting clinicians direct 100% of their attention to patients rather than screens. Our first market is orthotics and prosthetics (O&P), the field designing braces and artificial limbs that restore human mobility and underserved by the tech sector. You’ll join as a founding engineer working directly with myself (former Google SWE) and my co-founder (one of the US's best known O&P clinicians), and small engineering team we want to grow. You will own massive surfaces end-to-end, making foundational architectural decisions for our entire platform. We've got a massive pipeline ahead and need your help to build it. And we participate in humanitarian missions to expand prosthetic access in critical parts of the world like Ukraine and Sri Lanka. - The Stack: C#/.NET, gRPC, SolidJS/TypeScript, and PostgreSQL, built with strict domain-driven design and rigorous testing. - How we work: Flexibility! Love AI-assisted speed coding? Go for it. Prefer to write by hand because your mental model is faster than prompting? Perfect. We only care about delivering safely and quickly. - Requirements: Senior-level depth with production systems, a strong habit of domain modeling, and a philosophy that defaults to simplicity. Strong UI/UX experience with an obsession for user simplicity is a must. To apply, email me directly at jlyman@axoventures.co with a short story about a favorite technical challenge you solved end-to-end. Please put "HN" in the subject line! MUST be in Texas.