# Founding Full Stack Engineer at Clera

> Onsite · United States · Unspecified · Full-stack · open. Source: https://alderhq.app/jobs/ashby%3Aclera%3Aaa3a1ceb-d5c6-48a8-a025-ed57580c79e8 (read 2026-11-14).

## Facts (observed)

- Company: [Clera](https://alderhq.app/companies/clera)
- Location text: San Francisco
- Where it can be done from (inferred): Onsite · United States (evidence: "Location: San Francisco")
- Posted: 2026-08-01 (105 days ago)
- First seen by alder: 2026-11-02 · last verified: 2026-11-14
- Reposted: 0 times · edited: 0 times
- Apply on the employer's site: https://jobs.ashbyhq.com/clera/aa3a1ceb-d5c6-48a8-a025-ed57580c79e8
- Skills listed (inferred): TypeScript, JavaScript, React, Next.js, Node.js, PostgreSQL, AWS

## Pay and sponsorship

- Posted pay: $135k–$155k per year (from the description)
- Market band for similar posted roles (SF Bay Area, n 146): p25 $165k, median $199k, p75 $249k

## Description (the employer's text)

### About the Role

We're an early-stage healthtech SaaS company building a unified platform that helps large healthcare organizations — including complex, multi-hospital systems — measure, manage, and prove the ROI of their nursing excellence programs. Think professional governance, clinical ladder programs, evidence-based practice, and designation readiness, all in one enterprise-grade product.

As a Founding Full Stack Engineer, you'll own architecture and implementation across multiple integrated products. You'll design the core infrastructure, data models, and AI-driven workflows that translate customer insights directly into shipped features — and you'll help set the engineering standards that allow us to scale securely across enterprise healthcare customers.

This is a senior, hands-on founding role with significant scope and ownership. You won't just build features — you'll shape how we build everything.

### What You'll Do

Own architecture and implementation across four integrated product areas.

Design data models that support complex multi-hospital and multi-unit organizational structures.

Build AI-assisted workflows for document authoring, evidence organization, and retrieval.

Implement enterprise-grade infrastructure including SSO/SAML, RBAC, audit logging, and HRIS integrations.

Translate customer conversations and domain knowledge into concrete, shipped product features.

Define and own CI/CD pipelines, testing strategies, and architectural standards for a growing engineering team.

Collaborate closely with product and non-technical stakeholders to align engineering work with clinical and operational needs.

### What We're Looking For

### Must-haves

5+ years building and delivering production SaaS products with end-to-end ownership.

Strong full-stack proficiency with TypeScript, React, and Node.js in production environments.

Proven backend design experience for multi-tenant, workflow-heavy applications.

Hands-on experience implementing enterprise auth systems (SSO/SAML) and integrations such as RBAC, audit logging, and HRIS.

Demonstrated ability to own architecture and execution in an early-stage startup environment.

Experience defining CI/CD pipelines, testing strategies, and architectural standards for growing teams.

Strong communicator — comfortable working directly with non-technical domain experts and enterprise customers.

### Nice-to-haves

Hands-on experience with AI-assisted workflows for writing, evidence organization, or document retrieval.

Familiarity with Next.js, PostgreSQL, Supabase, Vercel, or AWS S3.

Experience with data modeling for multi-hospital or multi-unit organizational structures.

Background in healthcare, clinical workflows, or regulated industries.

Note: Visa sponsorship is not available for this role. Candidates must be authorized to work in the United States.

### Compensation & Benefits

Salary: $135,000 – $155,000 per year

Early-stage equity commensurate with a founding engineering role

Opportunity to shape the technical direction of a company from the ground up

### Location

This role is based on-site in San Francisco, CA. Candidates should be local or willing to relocate.

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Data: alder (https://alderhq.app). Cite https://alderhq.app/jobs/ashby%3Aclera%3Aaa3a1ceb-d5c6-48a8-a025-ed57580c79e8 and the date you read it. Observed facts come from the employer's own listing; location reach, level, family and skills are inferences.