[Remote] Founding Full-Stack Engineer

Note: The job is a remote job and is open to candidates in USA. Anyura is building an AI-native operating system for medspas and aesthetic clinics. The Founding Full-Stack Engineer will own major parts of the product end to end, building core clinic workflows, AI-powered assistants, reliable services, and infrastructure while working directly with the CTO and distributed operations team.

Responsibilities

• Build and improve core workflows across scheduling, patient management, charting, consent forms, billing, memberships, and reporting
• Own features across the full stack: interfaces, APIs, database models, integrations, deployment, and production support
• Work directly with the CTO and our operations team in China to turn ambiguous business problems into clear priorities and useful software
• Keep distributed collaboration effective through concise written updates, explicit decisions, clear handoffs, and early escalation of risks
• Build AI-powered assistants and automations grounded in application data, with evaluations, monitoring, and human review where it matters
• Make complex workflows feel simple. Care about interaction quality, loading behavior, error recovery, and the details that make software dependable
• Design reliable systems for concurrent bookings, payment events, background jobs, and integrations. Think through retries, partial failures, and data consistency
• Protect sensitive patient information through tenant isolation, access controls, auditability, and deliberate boundaries around AI data access
• Help shape architecture, infrastructure, observability, and engineering standards as the product and team grow
• Use AI coding tools aggressively while taking responsibility for the design, correctness, and maintainability of everything you ship
• Build internal tools and automation that reduce repetitive work across engineering and operations

Skills

• You are an excellent communicator. You can explain technical decisions to nontechnical teammates, clarify incomplete requirements, and coordinate work across cultures and time zones
• You are comfortable with sustained intensity. You understand the approximately 50–60-hour weekly commitment and can prioritize effectively, stay dependable, and maintain quality during demanding periods
• You have shipped and maintained a product that real customers used. You can explain what you owned, what broke, and what you changed
• You have strong full-stack skills in TypeScript, React, Node.js, and relational databases
• You can move comfortably between frontend interactions, backend logic, data modeling, and production debugging
• You have practical architectural judgment. You know when a simple solution is enough and when reliability requires more deliberate design
• You use AI effectively in your development workflow and can inspect, challenge, and improve its output
• You can work through ambiguity, make decisions with incomplete information, and communicate tradeoffs clearly
• You take responsibility beyond getting a pull request merged, including rollout, user feedback, and production behavior
• You want the pace, accountability, and hands-on work of an early-stage company
• Experience with healthcare software, vertical SaaS, payments, scheduling systems, multi-tenant applications, or production AI agents is especially relevant. We value demonstrated ability and shipped work over a particular degree or employer pedigree
• Mandarin proficiency is a strong plus , particularly the ability to discuss operational workflows and product requirements with our China-based team

Benefits

• Work directly with the CTO on decisions that shape the architecture, product, and engineering organization.
• Own substantial product areas from problem definition through production. Help establish the engineering practices future teammates will inherit.
• Work remotely while collaborating closely with teammates across time zones, including our operations team in China.
• Equity is a central part of this role’s compensation. We want a founding engineer with a meaningful ownership stake in the company they help build.
• Visa sponsorship: Available for qualified candidates.

Company Overview